Danforth, IL

Prairieview Lutheran Home

4-star overall rating with 2-star inspections with $12,880 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

403 North Fourth Street, Danforth, IL

(815) 269-2970

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

85

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1998-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing

LPN hours / resident day

0.78

Licensed practical nurse staffing

Aide hours / resident day

3.44

Nurse aide staffing

Weekend hours

4.49

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.0
0.6 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.3
0.7 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.6%
10.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
91.6%
8.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.9%
3.3%
0.4 pts better
3.3%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
50.3%
50.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.6%
6.5%
0.1 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.5%
18.5%
6 pts better
19.6%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.1%
22.8%
8.7 pts better
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 26.5%
17.2%
9.3 pts worse
16.3%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.6%
15.0%
3.6 pts worse
14.9%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
1.1%
0.9 pts worse
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.6%
1.7%
2.9 pts worse
1.7%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.3%
21.3%
11 pts worse
19.8%
12.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.7%
5.2%
3.5 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
68.8%
31.2 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 3.9%
14.0%
10.1 pts better
12.0%
8.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.3%
2.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.2%
63.0%
23.2 pts better
79.7%
6.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.6%
26.2%
9.6 pts better
23.9%
7.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-15 · Fire 2024-11-15

13 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-09-29 · Fire 2023-09-29

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-10-07 · Fire 2022-10-07

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-30

F · Potential for more than minimal harm 2023-09-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-09-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-10-30

F · Potential for more than minimal harm 2023-09-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-15

F · Potential for more than minimal harm 2023-09-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-15

F · Potential for more than minimal harm 2023-09-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-09-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-15

F · Potential for more than minimal harm 2023-09-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-15

E · Potential for more than minimal harm 2023-09-29

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2023-10-30

F · Potential for more than minimal harm 2022-10-07

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-11-10

F · Potential for more than minimal harm 2022-10-07

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-11-10

E · Potential for more than minimal harm 2022-10-07

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2022-12-15

E · Potential for more than minimal harm 2022-10-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-10

E · Potential for more than minimal harm 2022-10-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-10

E · Potential for more than minimal harm 2022-10-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-11-10

Inspection history

Recent health citations

G · Actual harm 2025-12-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-12-19

J · Immediate jeopardy 2025-11-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-21

F · Potential for more than minimal harm 2025-11-05

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2025-11-28

E · Potential for more than minimal harm 2025-11-05

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-11-22

D · Potential for more than minimal harm 2025-11-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-11-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-21

G · Actual harm 2025-06-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-24

G · Actual harm 2025-05-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-24

D · Potential for more than minimal harm 2025-05-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-02-11

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-05

E · Potential for more than minimal harm 2024-11-15

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-12-10

E · Potential for more than minimal harm 2024-11-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-07-30

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-08-20

D · Potential for more than minimal harm 2024-07-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-20

G · Actual harm 2024-04-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-10

D · Potential for more than minimal harm 2023-09-29

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-09-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-08-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-08-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-08-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-08-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-25

F · Potential for more than minimal harm 2022-10-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-10-25

E · Potential for more than minimal harm 2022-10-07

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2022-10-25

E · Potential for more than minimal harm 2022-10-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-10-25

D · Potential for more than minimal harm 2022-10-07

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-10-25

D · Potential for more than minimal harm 2022-10-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-10-25

Penalties and ownership

What sits behind the stars

$0 2025-11-05

Payment Denial

Payment Denial · denial start 2025-11-27 · 22 days

22 day denial

$12,880 2025-05-14

Fine

Fine · fine $12,880

Fine

$0 2025-05-14

Payment Denial

Payment Denial · denial start 2025-06-09 · 15 days

15 day denial

$0 2024-04-26

Payment Denial

Payment Denial · denial start 2024-05-23 · 89 days

89 day denial

Ownership

Benner, Doug

Corporate Director · Individual

0% 1 facilities 2020-01-01
Bohlmann, Charles

Corporate Director · Individual

0% 1 facilities 2022-03-01
Henrichs, Jerry

Corporate Director · Individual

0% 1 facilities 2022-01-01
Jenkins, Patrick

Corporate Director · Individual

0% 1 facilities 2022-02-01
Kolberg, Marcie

Corporate Director · Individual

0% 1 facilities 2022-05-01
Moparthi, Venketa

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Munsterman, Jody

Corporate Director · Individual

0% 1 facilities 2022-01-01
Petersen, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-01
Petersen, Jeffrey

Corporate Officer · Individual

0% 1 facilities 2021-12-01
Ritzma, Kristine

Corporate Director · Individual

0% 1 facilities 2022-01-01
Witheft, Judy

Corporate Director · Individual

0% 1 facilities 2023-03-01

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