Tabitha At Prairie Commons
3490 Ewoldt Street
Grand Island, NE, 68803
3083211122
CCN: 285307
2
Overall1
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| TABITHA, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| EVENTIDE NEBRASKA SENIOR LIVING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| CROUCH, RYAN | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| BYE, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| FISCHBACH, TYLER | CORPORATE DIRECTOR | NOT APPLICABLE |
| GULBRANSON, PATRICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| HALVORSON, JOSEPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| HVIDSTON, LUKE | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, VIKKI | CORPORATE DIRECTOR | NOT APPLICABLE |
| LARSON-CASSELTON, CINDY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BOCK, JODEE | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRANDT, TERRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| LEE, JUDITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| LUNAK, BRANDON | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHAFER, ERIC | CORPORATE DIRECTOR | NOT APPLICABLE |
| SELJEVOLD, PETER | CORPORATE DIRECTOR | NOT APPLICABLE |
| SWENSON, KARLA | CORPORATE DIRECTOR | NOT APPLICABLE |
| HVIDSTON, LUKE | CORPORATE OFFICER | NOT APPLICABLE |
| BYE, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, VIKKI | CORPORATE OFFICER | NOT APPLICABLE |
| RIEWER, JON | CORPORATE OFFICER | NOT APPLICABLE |
| EVENTIDE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OHE, DARIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ACTON, SHERRILL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2025-05-01 | Fine | $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/Day3.68
5.99
RN Hrs/Resident/Day0.54
0.98
LPN Hrs/Resident/Day0.81
1.91
CNA Hrs/Resident/Day2.33
3.10
PT Hrs/Resident/Day0.12
0.19
Data as of 2026-03-01