Prairie Maison
700 South Fremont, Prairie Du Chien, WI 53821 · Crawford County · 50 certified beds · avg 48 residents/day · certified since Dec 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Mar 13, 2025 · F-0700 · triggered by a complaint
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.
Why it matters: Improperly used bed rails can trap or injure residents — in the worst cases, causing serious harm.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 13, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 19, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 |
|---|---|---|
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Apr 28, 2025 | E · Potential for harm, repeated | 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 |
| Apr 28, 2025 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 13, 2025 | ▲ K · Immediate jeopardy, 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. · from a complaint |
| Mar 13, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 19, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 19, 2024 | 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. |
| Jun 19, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 17, 2023 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Mar 23, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 7 | 2 | K ▲ |
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)
2 fines totaling $152,525, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 13, 2025 | Fine | $149,380 |
| Jun 19, 2024 | Payment Denial | 22 days from Jul 18, 2024 |
| Sep 5, 2023 | Fine | $3,145 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.71 | 4.29 | 3.95 | top 28% in Wisconsin; top 18% in the U.S. |
| Registered Nurse hours | 0.72 | 1.01 | 0.69 | bottom 25% in Wisconsin; top 34% in the U.S. |
| Weekend total nurse staffing | 4.35 | 3.84 | 3.50 | top 26% in Wisconsin; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.68 | 0.48 | bottom 22% in Wisconsin; top 43% in the U.S. |
| Total nursing staff turnover (%) | 32.8 | 46.9 | 45.8 | top 14% in Wisconsin; top 19% in the U.S. |
| RN turnover (%) | 23.1 | 39.7 | 42.9 | top 22% in Wisconsin; top 18% 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 4.48, RN 0.69, weekend 4.14. Staffing rating: 5/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Community Health Services Corporation | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2004 |
| Ackerman, Sierra | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2023 |
| Ackerman, Sierra | Individual | ADP of the SNF | NOT APPLICABLE | 10/16/2023 |
| Baker, Jane | Individual | Corporate Director | NOT APPLICABLE | 08/28/2024 |
| Baker, Jane | Individual | Trustee of the SNF | NOT APPLICABLE | 08/28/2024 |
| Community Health Services Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Community Health Services Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Friar, Joseph | Individual | Corporate Director | NOT APPLICABLE | 10/01/2021 |
| Friar, Joseph | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2021 |
| Grunwald, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2015 |
| Grunwald, Mark | Individual | Trustee of the SNF | NOT APPLICABLE | 11/01/2015 |
| Konichek, Marsha | Individual | Corporate Director | NOT APPLICABLE | 05/01/2019 |
| Konichek, Marsha | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2019 |
| Mara, Deborah | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/15/2020 |
| Mara, Deborah | Individual | ADP of the SNF | NOT APPLICABLE | 10/15/2020 |
| Moore, Rita | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2024 |
| Moore, Rita | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Olson, Illene | Individual | Corporate Director | NOT APPLICABLE | 11/01/2018 |
| Olson, Illene | Individual | Trustee of the SNF | NOT APPLICABLE | 11/01/2018 |
| Prairie Nursing Facility LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "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 |
|---|---|---|---|---|---|
| Great River Care Center | 3.3 mi | Mc Gregor, IA | ★★★★☆ | 4/5 | |
| Guttenberg Care Center | 18.3 mi | Guttenberg, IA | ★★★★★ | 5/5 | |
| Elkader Care Center | 19.3 mi | Elkader, IA | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525525.