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Nursing HomeMedicaid Investigative

Tabitha at Prairie Commons

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3490 Ewoldt Street, Grand Island, NE 6880336 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 10 Google reviews

5
4
3
2
1
Tabitha at Prairie Commons Nursing Home in Grand Island, NE — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High staff turnover (58%)
  • High RN turnover (75%)

Below average in NE · Meets national RN staffing standard · Above recommended total nurse staffing · $10,296 in fines

Source: Medicare data

What this means for your family

Tabitha at Prairie Commons is an excellent choice for independent and assisted living, offering a vibrant social environment and high-quality amenities. However, if your loved one requires skilled nursing care, proceed with caution and conduct thorough due diligence, as recent reports suggest a significant decline in care quality and responsiveness in that specific unit.

Google Reviews

Google Reviews

10 reviews on Google
Tabitha at Prairie Commons is highly regarded for its independent and assisted living programs, with families frequently praising the vibrant activity schedule, warm staff, and home-like atmosphere. However, recent feedback highlights a significant disparity in quality once residents transition to skilled nursing care, where concerns regarding neglect and staffing levels have been raised.

Quality Themes

Tap a score for details
Food9.0Staff7.0Clean9.0Activities10.0MedsN/AMemory8.0Comms8.0ValueN/A

Strengths

  • Engaging and varied activity programs
  • Warm, compassionate staff
  • Beautiful, home-like facility design
  • Quality dining options

Concerns

  • Negligence and poor quality of care in the skilled nursing unit (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02023(2)5.02024(6)1.02025(1)3.02026(4)

Distribution · 13 analyzed

5
8
4
2
3
0
2
0
1
3

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's focus on engaging and varied activities, could you walk me through what a typical week looks like for residents in terms of social programming?
  • 2I noticed the facility has a very warm, home-like design; how do you ensure that the quality of personalized care matches the welcoming environment of the building?
  • 3With the recent focus on staffing levels, how does the team ensure consistent, high-quality attention for residents, particularly in the skilled nursing unit?
  • 4What specific protocols are in place to ensure that medical care and oversight are handled proactively to prevent health-related complications?
  • 5I see that you have been active in responding to feedback online; how do you incorporate family input and concerns into your daily operations and care planning?
  • 6Can you explain the current steps being taken to address recent health inspection findings to ensure the highest standards of safety and care for your 36 residents?

Personalized based on this facility's data


Key Review Excerpts

The whole facility is beautiful. There are SO MANY amazing activities to keep the residents involved and engaged socially and emotionally which is vital to maintaining quality of life.

Memory care family member · 2024★★★★★

Mom had to have her food puréed and they did a nice job of making it tasty for her. Mom even celebrated her 92nd birthday at Tabitha and they were very gracious to offer our family a room for that celebration!

Rehab patient's family · 2023★★★★

Independent living side of this facility is fantastic, but the moment our loved one needed skilled nursing care here things spiraled quickly. The level of negligence here he has experienced is appalling.

Long-term resident's family · 2026☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.00hrs
OK
Registered nurses for medical care
Total Nursing
5.26hrs
OK
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
88%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.9%
Worse than Avg
Here
14.9%
US
12.1%
NE
4.3%
Hall
9.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
19.4%
NE
26.3%
Hall
24.4%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.5%
Worse than Avg
Here
8.5%
US
1.6%
NE
3.0%
Hall
2.4%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility6.5%
Worse than Avg
Here
6.5%
US
0.9%
NE
1.6%
Hall
2.7%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
NE
5.2%
Hall
4.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.1%
Mixed vs Avgs
Here
16.1%
US
15.5%
NE
20.8%
Hall
15.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.8%
Better than Avg
Here
84.8%
US
79.8%
NE
75.9%
Hall
84.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.8%
Mixed vs Avgs
Here
82.8%
US
81.8%
NE
80.5%
Hall
85.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
NE
2.3%
Hall
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (6.7)
3 complaint-triggered
$10,296 in fines

This facility has faced recurring challenges with medication management and fire safety systems across multiple surveys, with families filing complaints about medication errors and daily care assistance. The most recent issues in December 2024 involved medication errors and assistance with daily activities, while earlier surveys identified problems with emergency power systems, sprinkler systems, and dietary services. All deficiencies show correction dates, though the pattern of recurring medication and safety issues suggests ongoing operational challenges families should discuss during visits.

May 1, 2025Routine
10
0678Immediate jeopardy · IsolatedCorrected

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.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Dec 23, 2024Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 1, 2024Routine
9
0803Potential for harm · WidespreadCorrected

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0131Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

May 1, 2024Complaint
1
0578Potential for harm · PatternCorrected

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.

Federal Penalties

Fine

May 1, 2025

$10,296

Ownership & Operations

Who Operates This Facility

Owner / Operator

Tabitha at Prairie Commons

Organization Type

nonprofit

Ownership & Management

Owners

Tabitha, INC.

Owner · Organization

100%

Eventide Nebraska Senior Living LLC

Owner (parent company) · Organization

100%

Key personnel

Bock, JodeeOfficer / DirectorBrandt, TerryOfficer / DirectorBye, RobertOfficer / DirectorFischbach, TylerOfficer / DirectorGulbranson, PatrickOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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