Tabitha At Prairie Commons

3490 Ewoldt Street
Grand Island, NE, 68803
3083211122
CCN: 285307
2
Overall
1
Health
4
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
TABITHA, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST100%
EVENTIDE NEBRASKA SENIOR LIVING LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
CROUCH, RYANCONTRACTED MANAGING EMPLOYEENOT APPLICABLE
BYE, ROBERTCORPORATE DIRECTORNOT APPLICABLE
FISCHBACH, TYLERCORPORATE DIRECTORNOT APPLICABLE
GULBRANSON, PATRICKCORPORATE DIRECTORNOT APPLICABLE
HALVORSON, JOSEPHCORPORATE DIRECTORNOT APPLICABLE
HVIDSTON, LUKECORPORATE DIRECTORNOT APPLICABLE
JOHNSON, VIKKICORPORATE DIRECTORNOT APPLICABLE
LARSON-CASSELTON, CINDYCORPORATE DIRECTORNOT APPLICABLE
BOCK, JODEECORPORATE DIRECTORNOT APPLICABLE
BRANDT, TERRYCORPORATE DIRECTORNOT APPLICABLE
LEE, JUDITHCORPORATE DIRECTORNOT APPLICABLE
LUNAK, BRANDONCORPORATE DIRECTORNOT APPLICABLE
SCHAFER, ERICCORPORATE DIRECTORNOT APPLICABLE
SELJEVOLD, PETERCORPORATE DIRECTORNOT APPLICABLE
SWENSON, KARLACORPORATE DIRECTORNOT APPLICABLE
HVIDSTON, LUKECORPORATE OFFICERNOT APPLICABLE
BYE, ROBERTCORPORATE OFFICERNOT APPLICABLE
JOHNSON, VIKKICORPORATE OFFICERNOT APPLICABLE
RIEWER, JONCORPORATE OFFICERNOT APPLICABLE
EVENTIDEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OHE, DARINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTON, SHERRILLW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-05-01Fine$10K
Health Deficiencies (15)
2025-05-01 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
F678 · Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-12-23 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2024-05-01 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.99
3.68
RN Hrs/Resident/Day
0.98
0.54
LPN Hrs/Resident/Day
1.91
0.81
CNA Hrs/Resident/Day
3.10
2.33
PT Hrs/Resident/Day
0.19
0.12
Data as of 2026-03-01