D

Tabitha At Prairie Commons

3490 Ewoldt Street, Grand Island, NE 68803
Score: 46 / 100

Tabitha At Prairie Commons faces challenges in its CMS ratings, earning a D grade with a score of 46/100. The facility ranks in the 37th percentile among Nebraska nursing homes, suggesting significant room for improvement.

Staffing levels at Tabitha At Prairie Commons exceed national averages, with 5.99 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.98 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 15 deficiencies at Tabitha At Prairie Commons, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide basic life support, including cpr, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.99 3.8 Above Average
Registered Nurses (RN) 0.98 0.7 Above Average
Licensed Practical Nurses (LPN) 1.91 0.7 Above Average
Certified Nursing Assistants (CNA) 3.10 2.4 Above Average
Weekend Total Nursing 5.30 3.8 Above Average
Weekend RN Hours 0.77 0.7 Above Average

🔍 Inspection & Deficiency History

15
Total Deficiencies
Apr 30, 2025
Most Recent Inspection
🟠 14 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0678 Severity J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Apr 30, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Apr 30, 2025 · Infection Control Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Apr 30, 2025 · Resident Rights Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Apr 30, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.7% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 14.8% 14.5% Average
Urinary tract infections 6.8% 2.5% Worse
ADL decline (daily activities) 17.1% 14.0% Worse
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 41.6% 45.0% Average

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $10,296

How This Grade Was Calculated

This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
36
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2025
Deficiencies (Cycle 1)
5