Eventide Prairie Commons Care Center — nursing home in Grand Island, NE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 36 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 29.7 CMS, MDS-derived
CMS Certification Number: 285307
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 12, 2023
Ownership type: Non profit - Corporation
Operator (legal business name): Tabitha Grand Island, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (308) 321-1122
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 3, 2026

Citations

23

16 health · 7 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E6	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$24,676

Payment denials

0

Latest

Jun 3, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 285307
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 36
First approved: Apr 12, 2023
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Nebraska.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 3, 2026	Health	Health Complaint	1	Actual harm	—	Open →
May 1, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
May 1, 2025	Health	Health Standard	5	Immediate jeopardy	—	Open →
Dec 23, 2024	Health	Health Complaint	2	Potential harm	—	Open →
May 1, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 1, 2024	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Apr 12, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 12, 2023	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 3, 2026	Civil money penalty (fine)	$14,380	—	285307\|Fine\|143587
May 1, 2025	Civil money penalty (fine)	$10,296	—	285307\|Fine\|134626

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E6	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 3, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 25, 2026	Complaint
May 1, 2025	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected May 27, 2025
May 1, 2025	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 23, 2025
May 1, 2025	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 23, 2025
May 1, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 23, 2025
May 1, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2025
May 1, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2025
May 1, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 27, 2025
May 1, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 27, 2025
May 1, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 27, 2025
May 1, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected May 27, 2025
Dec 23, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2025	Complaint
Dec 23, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 6, 2025	Complaint
May 1, 2024	K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 3, 2024
May 1, 2024	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 3, 2024
May 1, 2024	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2024
May 1, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 1, 2024	Complaint
May 1, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 1, 2024
May 1, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2024
May 1, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2024
May 1, 2024	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 1, 2024
May 1, 2024	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 1, 2024
May 1, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 1, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.9

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.14

State avg 4.12US avg 3.90

Registered nurse (RN)0.81

State avg 0.69US avg 0.69

Licensed practical nurse1.00

State avg 0.68US avg 0.86

Nurse aide3.32

State avg 2.75US avg 2.35

Weekend total nurse4.67

State avg 3.57US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.35 (case-mix index 1.34).

Staff turnover

Total nursing staff turnover64.6%

State avg 48.5%US avg 45.3%

Registered nurse turnover100.0%

State avg 43.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 1, 2025
Cycle 1 health score: 119
Total weighted score: 107.25

Operating entity

Tabitha Grand Island, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

24

Organizations

3

Individuals

21

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Tabitha, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 22, 2022
Eventide Nebraska Senior Living LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Oct 10, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Tabitha, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 22, 2022
Eventide Nebraska Senior Living LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Oct 10, 2024
Eventide	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 19, 2024
Sherrill Acton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 22, 2024
Darin Ohe	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 22, 2024
Tonya Van Pelt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2026
Jodee Bock	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Terry Brandt	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Robert Bye	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Tyler Fischbach	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Patrick Gulbranson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Vikki Johnson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Cindy Larson-Casselton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Judith Lee	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Brandon Lunak	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Eric Schafer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Peter Seljevold	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Karla Swenson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 10, 2024
Robert Bye	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 10, 2024
Vikki Johnson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 10, 2024
Brandon Lunak	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2026
Jon Riewer	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 10, 2024
Mitchell Hervert	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 10, 2026
Tonya Van Pelt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 13, 2026

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3490 Ewoldt Street, Grand Island, NE 68803
ZIP: 68803
County: Hall County FIPS 31079
State: Nebraska
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Emerald Nursing & Rehab Lakeview 1405 West Hwy 34, Grand Island, NE 68801 CCN 285106	2.6 km	95	Jan 29, 2026	431 IJ	$13k
Tiffany Square 3119 West Faidley Avenue, Grand Island, NE 68803 CCN 285087	4.2 km	103	Mar 4, 2026	29	—
Good Samaritan Society - Grand Island Village 4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803 CCN 285285	4.4 km	67	Jun 1, 2026	431 harm	$10k
Chi Health St. Francis 2116 West Faidley Avenue, Grand Island, NE 68803 CCN 285081	4.4 km	36	Mar 20, 2025	13	—
Adept Nursing & Rehab of Grand Island 800 Stoeger Drive, Grand Island, NE 68803 CCN 285221SFF Candidate	4.6 km	76	Aug 27, 2026	691 IJ25 open	$17k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285307	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285307	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 285307

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction