Prairie House Living Center

Name: Prairie House Living Center
Address: 1301 MESA DR, Plainview, TX, 79072, US
Telephone: 8062934855

1301 Mesa Dr, Plainview, TX 79072 · Hale County · 121 certified beds · avg 82 residents/day · certified since May 1, 1995

Part of chain: ADVANCED HEALTHCARE SOLUTIONS (28 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 11, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 26, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 26, 2026	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Feb 26, 2026	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Nov 14, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 14, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 14, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 14, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 21, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 21, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 21, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 21, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Sep 21, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 12).

Year	Citations	Worst severity that year
2023	5	F
2024	4	E
2026	13	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.21	3.46	3.95	bottom 41% in Texas; bottom 22% in the U.S.
Registered Nurse hours	0.36	0.44	0.69	bottom 43% in Texas; bottom 16% in the U.S.
Weekend total nurse staffing	2.84	3.04	3.50	bottom 43% in Texas; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.34	0.48	bottom 34% in Texas; bottom 19% in the U.S.
Total nursing staff turnover (%)	26.7	55.3	45.8	top 3% in Texas; top 9% in the U.S.
RN turnover (%)	40.0	54.6	42.9	top 30% in Texas; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.97, RN 0.33, weekend 2.63. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Advanced HCS LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Childress County Hospital District	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2014
Holcomb, Holly	Individual	W-2 Managing Employee	NOT APPLICABLE	04/15/1996
Holcomb, Holly	Individual	Corporate Officer	NOT APPLICABLE	05/29/2021
Lichtschein, Teddy	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Scheiner, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Shelby, Jack	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Stratton, Emilee	Individual	W-2 Managing Employee	NOT APPLICABLE	05/07/2014
Stratton, Emilee	Individual	Corporate Officer	NOT APPLICABLE	03/18/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Plainview Healthcare Center	1.3 mi	Plainview, TX	★★☆☆☆	2/5

Compare this facility with the 1 closest →

All facilities in Plainview →

Facility data as of CMS processing date 2026-08-01. CCN 675478.

The Care File

Visit checklist — Prairie House Living Center

1301 Mesa Dr, Plainview, TX 79072 · 8062934855

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675478 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)