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Pruitthealth - Macon

2255 Anthony Road, Macon, GA 31204 · For profit - Corporation · 228 certified beds · (478) 784-7900 Medicare & Medicaid certified

Call the home — (478) 784-7900 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)
  • about 21% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Montpelier Ave, Macon, GA · (478) 743-8316 · Call to confirm hours
Pharmacy
Walgreens1.1 mi
2495 Pio Nono Ave · (478) 784-9747 · Call to confirm hours
Grocery
562 Straight St · (478) 979-3005 · Call to confirm hours
Park
3315 Roff Ave · (478) 751-9248 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.3%15.3%15.4%better
Long-stay residents who lose too much weight9.9%5.6%5.4%worse
Long-stay residents with a catheter left in their bladder0.8%0.9%0.9%better
Long-stay residents with a urinary tract infection0.8%2.5%2.0%better
Long-stay residents with depressive symptoms0.4%11.3%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.2%3.2%3.3%better
Long-stay residents whose ability to walk worsened5.4%15.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication26.7%20.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.5%95.0%95.3%typical
Long-stay residents with pressure ulcers10.3%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control16.8%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table22.6%19.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication4.7%2.6%1.4%worse
Short-stay residents given the seasonal flu vaccine85.9%78.4%79.4%typical
Short-stay residents rehospitalized after admission27.9%25.0%22.6%worse
Short-stay residents with an outpatient ER visit13.9%11.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days3.012.151.67worse
Long-stay outpatient ER visits per 1,000 resident days1.891.901.80typical

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

37.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

37.1%U.S. median 51.5%
Got home and stayed home
13.7%U.S. median 10.7%
Went back to hospital
0.22U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF37.1%CMS range 23.4–56.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.7%CMS range 9.8–17.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified82.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.0%CMS range 3.9–12.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.48
RN hours/ resident / day
1.14
LPN hours/ resident / day
1.87
Aide hours/ resident / day
3.49
Total nurse hours/ resident / day
0.32
RN hoursweekends
41.9%
Total nursing turnover
43.5%
RN turnover

How full it usually is: this home is certified for 228 beds and averages 176.7 residents a day — about 78% occupied, or roughly 51 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.95 hrs/resident/day on weekends vs 3.71 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.54 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2025-05-15)
15
at the previous standard inspection (2024-01-14)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · D2025-05-15 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, record review, and review of the facility's policy titled Patients/Resident Rights, Accommodation of Needs, the facility failed to provide care in a manner that maintained or enhanced a resident's dignity for one of 50 sampled residents (R) (R73). This deficient practice had the potential to diminish R73's quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life. Findings include: Review of the facility's policy titled, Patients/Resident Rights, Accommodation of Needs, dated 12/1/2023, documented under Policy Statement: It is the policy of this healthcare center to promote and protect the rights of the patients/residents residing in the center. Under Procedure: .B. Privacy: 1. Patients/residents will be provided full visual privacy during routine care and treatment by means of privacy curtains and closed doors. Review of R73's Annual Minimum Data Set (MDS) assessment, dated 2/2/2025, documented Section GG (Functional Abilities and Goals) documented R73 was dependent on staff for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, resident and staff interviews, and review of the facility's policy titled Infection Control-Housekeeping Services, the facility failed to maintain a safe, clean, comfortable, and homelike environment in four of 97 resident rooms (Room F11, Room F13, Room F15, and Room F21). Specifically, buildup of food on a television, stained and sticky floors, and dust-covered ceilings and wall vents were observed. Findings include: Review of the facility's policy titled Infection Control- Housekeeping Services, revised 10/16/2023, revealed under Friction Cleaning: 1. Thorough scrubbing will be used for all environmental surfaces that are being cleaned in patient/resident care areas. A deep cleaning will be performed for each patient/resident room monthly and at discharge. Under Routine Cleaning of Horizontal Surfaces: 1. In patient/resident care areas, cleaning of non-carpeted floors and other horizontal surfaces will be performed daily and more frequently if spillage or visible soiling occurs. Observations made on 5/12/2025 at 11:00 am revealed that resident room F11's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to ensure two of 20 sampled residents (R) (R112 and R10) were referred to the appropriate state-designated authority for a review for a Preadmission Screening and Resident Review (PASRR) Level II. This failure had the potential to place R112 and R10 at risk of not receiving specialized services. Findings include: 1. Review of R112's electronic medical record (EMR) revealed R112 was admitted to the facility on [DATE] with diagnoses including, but not limited to, bipolar disorder, major depressive disorder, and anxiety. Review of R112's admission Minimum Data Set (MDS) assessment, dated 9/22/2023, revealed Section A (Identification Information) documented R10 had not been evaluated by Level II PASRR and determined to have a serious mental illness and/or mental retardation or a related condition. Section I (Active Diagnoses) documented diagnoses included psychiatric/mood disorder and depression, other than bipolar. Review of R112's Quarterly MDS…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-15 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, record review, and review of the facility's policy titled Care Plan, the facility failed to implement the individualized care plan for one of 50 sampled residents (R) (R52) related to high fall risk. The deficient practice had the potential to place R52 at risk for safety and injuries, which could lead to hospitalization and a diminished quality of life. Findings include: Review of the facility's policy titled Care Plan Policy, revised 7/27/2023, revealed under Policy Statement: It is the policy of the health care center for each patient/resident to have a person-centered baseline care plan followed by a comprehensive care plan developed following completion of the Minimum Data Set (MDS) and Care Area Assessment (CAA) portions of the comprehensive assessment according to the Resident Assessment Instrument (RÄI) Manual and the patient/resident choice. The policy also revealed under admission Comprehensive Plan of Care: .4.The care plan approach serves as instructions for the patient/resident's care and provides continuity of care by all…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and record review, the facility failed to ensure services for hearing were provided for one of 50 sampled residents (R) (R106). The deficient practice had the potential to cause a decrease in R106's quality of life. Findings include: Review of the admission record revealed that R106 was admitted to the facility with diagnoses that include, but are not limited to, paraplegia, acquired absence of the left leg below the knee, shigellosis, methicillin-susceptible Staphylococcus aureus infection, osteomyelitis, and other lesions of the oral mucosa. Review of R106's Quarterly Minimum Data Set (MDS), dated [DATE], revealed Section C (Cognitive Patterns) documented a Brief Interview of Mental Status score of 15 (indicating little to no cognitive impairment). Section B (Hearing, Speech, and Vision) documented moderate difficulty with hearing. Review of R106's care plan, dated 1/14/2025, revealed a Problem of Resident is noted to be hear [sic] of hearing. Speaker may…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff and resident interviews, and record review, the facility failed to ensure one of 50 sampled residents (R) (R127) received restorative nursing as ordered by the physician. This deficient practice had the potential to place R127 at risk for medical complications, such as decreased range of motion of her left hand. Findings include: Review of the R127's Quarterly Minimum Data Set (MDS) assessment, dated 2/17/2025, revealed Section C (Cognitive Patterns) documented a Brief Interview Mental Status (BIMS) score of 14 (indicating little to no cognitive impairment). Section GG (Functional Abilities and Goals) documented upper extremity impairment on one side. Section O (Special Treatments, Procedures, and Programs) documented that the resident did not receive Restorative Nursing or splint/brace assistance. Review of R127's electronic medical record (EMR) revealed diagnoses including, but not limited to, cerebrovascular accident (CVA), hemiplegia, and hemiparesis. Review of R127's Physician's Orders revealed an order dated 4/24/2024 for LUE (left upper extremity)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, record review, and review of the facility's policy titled Smoke Free Policy, the facility failed to ensure three of seven residents (R) (R19, R20, and R49) who smoked had complete and accurate smoking assessments. In addition, the facility failed to ensure one of seven R (R19) who smoked had a care plan related to smoking. These deficient practices had the potential to place R19, R20, and R49 at an increased risk of accident hazards related to smoking. Findings include: Review of the facility's policy titled Smoke Free Policy, revised date 12/12/2023, revealed the Assessment and Care Planning section included, . 2. Grandfathered patients/residents will be assessed, utilizing the Smoking Observation Form in the Electronic Health Record (EHR), by a Licensed Nurse upon admission, re-admission, and/or with a significant change. A re-admission smoking care plan shall be developed by the licensed nurse on the admission Interim Care Plan Form, or electronically. 3. An assessment utilizing The Smoking Observation Form in the EHR is completed at least…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and record reviews, the facility failed to ensure oxygen (O2) was administered as prescribed by the physician for two of 20 residents (R) (R22 and R95) receiving O2. This deficient practice had the potential to place R22 and R95 at risk of respiratory complications and a diminished quality of life. Findings include: 1. Review of R22's electronic medical record (EMR) revealed diagnoses including, but not limited to, sarcoidosis, shortness of breath, and eosinophilic asthma. Review of R 22's Quarterly Minimum Data Set (MDS) assessment, dated 3/14/2025, revealed Section C (Cognitive Patterns) documented a Brief Interview for Mental Status (BIMS) of 15 (indicating little to no cognitive impairment). Section O (Special Treatments, Procedures, and Programs) revealed R22 received O2 therapy. Review of R22's care plan, last reviewed/revised 4/29/2025, revealed Problem area stating the resident was at risk for respiratory complications related to diagnosis of asthma and shortness of breath. The Approach revealed O2 has an ordered flow rate. Review of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, resident and staff interviews, record review, and review of the facility's policy titled Infection Prevention and Control Plan, the facility failed to ensure staff followed infection control practices during wound care for one of 18 residents (R) (R106) with pressure ulcers. In addition, the facility failed to properly store personal care supplies in one of 11 resident restrooms observed. These deficient practices had the potential to place R106 at increased risk of infection related to cross-contamination, and had the potential to increase the risk of cross-contamination to the residents residing in room A1. Findings include: Review of the facility's policy titled Infection Prevention and Control Plan, revised 6/21/2024, revealed the Procedure section included A. Infection Control Administrative Structure . 10. Partners are responsible for implementing the Infection Prevention and Control Policy and Procedures. 1. Review of R106's Quarterly Minimum Data Set (MDS) assessment, dated 3/20/2025, revealed Section M (Skin Conditions) documented the resident had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-01-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and review of the facility policies titled Labeling, Dating, and Storage, Leftovers, Food Ordering, Receiving, and Storage, Dishwashing, and Pot/Pan Washing and Sanitation, the facility failed to label, date, and securely wrap opened food items; failed to remove dented cans from general can storage; failed to prevent wet nesting in staked pans to eliminate potential of bacteria growth; and failed to sanitize dishware to prevent cross-contamination. This deficient practice affected 136 of 153 residents receiving an oral diet. Findings include: 1. A review of the facility policy titled Labeling, Dating, and Storage, revised 11/11/2022, revealed the Procedure section lines numbered 1. Food and beverage items will have an identifying label as well as a received date and opening date. 2. Foods will be stored in their original or approved container and if opened shall be wrapped tightly with film, foil, etc. A review of the facility policy titled Leftovers, dated September 2001, revealed the Guidelines section line numbered 5. Non-perishable…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Ecited before2024-01-14 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of facility policy titled Care Plans, the facility failed to develop or implement a care plan for seven of 37 sampled residents (R) (R81, R17, R9, R130, R133, R64, and R26). Findings include: A review of the facility policy titled Care Plans revised 7/27/2017, revealed the section titled admission Comprehensive Plan of Care line numbered 3: The comprehensive person-centered care plan is developed to include measurable goals and timeframe to meet a resident's medical, nursing, and psychosocial needs, the services that are furnished to attain or maintain the resident's highest practicable physical, mental psychosocial needs that are identified in the comprehensive assessment. The section titled Care Plan Review and Update line numbered 4: Care plans will be updated by nurses, Case Mix Directors, or any other interdisciplinary team member so that the care plan will reflect the resident's needs at any given moment. 1. A review of the clinical record revealed that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, record review, and review of the facility policy titled Self-Administration of Medications by Patients/Residents, the facility failed to ensure one resident (R) (R48) reviewed for self-administration of medications did not have medications stored at the bedside. This deficient practice had the potential to allow R48 to administer the medications in an unsafe manner. The sample size was 37 residents. Findings include: A review of the facility policy titled Self-Administration of Medications by Patients/Residents, with a revision date of 1/28/2020, revealed the Policy Statement: Each patient/resident who desires to self-administer medication is permitted to do so if the healthcare center's Licensed Nurse and physician have determined that the practice would be safe for the patient/resident and other patients/residents of the healthcare center. The Procedure section revealed: 1. The opportunity to self-administer medications is reviewed during routine assessment…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, resident responsible party interview, staff interviews, review of the facility policy titled Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, and review of the website titled Agency of Healthcare Research and Quality (AHRQ), the facility failed to notify the physician and family of an allegation of abuse for one resident (R) (R9). The sample size was 37 residents. Findings include: A review of the policy titled Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, review date of 1/11/2024 indicated: Policy line numbered 2. In accordance with applicable laws and regulations, the Administrator or his or her designee should notify the appropriate state agency (or agencies), the patient's attending physician, and the patient's designated representative of any allegation or incident described above and of the pending investigation. The state survey agency and the state agency for adult protective services should be notified in accordance with state law through established…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-14 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Initial observation tour on D Unit on 1/12/2024 at 9:18 am of Room D-3 revealed a 30 cubic centimeter (cc) syringe on the floor next to a trash can that had no liner. The trash can was observed with trash stuck in the bottom of the can along with a brown liquid substance. There was dried formula observed on a tube feeding pump and pole. A dried formula was observed on the left bed rail. Observation revealed the floor was dirty with trash. The nightstand had flaky particles and stains next to a suction machine with the suction tubing hanging from the left side of the nightstand. The floor on the right side of Bed B had a fall mat partially rolled up with trash on top of it. Observations from 1/12/2024 through 1/14/2024 revealed all environmental concerns listed above remained unchanged. Observation and interview on 1/13/2024 at 8:45 am with Licensed Practical Nurse (LPN) HH confirmed the dirty tube feeding pump, dirty floor, dirty trash can, dirty bed rail, and trash on the floor. LPN HH stated that it is the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of facility policy titled Care Plans, the facility failed to develop a baseline care plan regarding dementia and hospice care for one resident (R) (R206) of 13 newly admitted residents in the past 30 days. Findings include: A review of the facility policy titled Care Plans, revised 7/27/2023, revealed the Definitions section to state: Baseline Care Plan - must include the minimum healthcare information necessary to properly care for each patient/resident immediately upon their admission, which would address patient/resident specific health and safety concerns to prevent decline or injury, and would identify needs for supervision, behavioral interventions, and assistance with activities of daily living, as necessary. The Procedure section stated: New admission Baseline Plan of Care: 1. Upon a new admission, a baseline care plan will be developed by the admitting nurse/nurses in conjunction with other IDT, the patient/resident, and/or patient/resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews, and record review, the facility failed to provide Activities of Daily Living (ADL) care related to showers and shaving for four of 38 sampled residents (R) dependent on staff for ADL care, (R17, R18, R58, and R123.) This failure had the potential to negatively impact R17, R18, R58, and R123's quality of life. Findings included: 1. On 1/12/2024 at 11:22 am and 6:08 pm and on 1/13/2024 at 10:48 pm, R17 was observed in bed, not shaven with a full and uneven beard. A review of the clinical record revealed that R17 had diagnoses including, but not limited to, cerebral palsy, lack of coordination abnormal posture; convulsions; mild cognitive impairment; and anoxic brain damage. A review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that R17 was dependent on staff for personal hygiene. A review of the clinical record for R17 revealed no recent documentation that the resident refused to be shaved. 2. On 1/12/2024 at 10:35 am and on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the policy titled Restorative Nursing Program, the facility failed to ensure Occupational Therapy recommendations were implemented for two of 17 residents (R) (R56 and R127). This deficient practice had the potential to cause a negative outcome to the resident's physical, mental and psychosocial health, or well-being. The sample size was 37 residents. Findings include: A review of the policy titled Restorative Nursing Program, revised 11/04/2021, revealed the Policy Statement: It is the policy of this healthcare center to provide restorative nursing which actively focuses on achieving and maintain optimal physical, mental, and psychological functioning and well-being of the patient/resident. Restorative nursing program is under the supervision of a Registered Nurse (RN) and a License Practical Nurse (LPN), and restorative nursing services are provided by Restorative Nursing Assistants (RNAs), Certified Nursing Assistants (CNAs), and other…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policy titled Medication Administration: Enteral Tubes, the facility failed to provide enteral nutrition and hydration according to current physician orders for one of twenty-one residents (R) (R64) receiving tube feeding via a gastrostomy tube (G-tube) (a tube placed into a patient's stomach through the abdominal wall to provide a means of feeding when oral intake is not adequate). The sample size was 37 residents. Findings include: A review of the facility's policy titled, Medication Administration: Enteral Tubes, revised 1/30/2020 revealed a Policy Statement: The healthcare center provides safe and effective administration of enteral formula and medications. Enteral formulas will be administered via feeding tube by physician order following nursing assessment of the patient/resident's condition and in consultation with the dietician and consultant pharmacist. The Procedure section line numbered 1 stated: Choice of enteral…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record reviews, and a review of the facility policy titled Oxygen Administration, the facility failed to ensure that oxygen therapy was administered as ordered by the Physician for one resident (R) (R48) receiving oxygen. The sample was 37 residents. Findings include: A review of the facility policy titled Oxygen Administration, revised 8/2/2023, revealed the Policy Statement: It is the policy of [NAME] Health Hospice and Healthcare Centers/Veteran Homes to provide oxygen safely and accurately to appropriate patients/residents. Record review revealed R48 had diagnoses including pulmonary hypertension and wheezing. A review of the Significant Change Minimum Data Set (MDS) dated [DATE] revealed Section C - Cognitive Patterns revealed a Brief Interview for Mental Status (BIMS) score of 13, indicating little to no cognitive impairment; Section O -Treatments/Procedures revealed R48 received oxygen therapy. A review of the Physician's Orders for R48 revealed an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0725 — failed to have enough nursing staff — isolated
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and review of the facility policy titled State Minimum Staffing for Healthcare Center, the facility failed to ensure sufficient staffing to meet residents' needs on one of seven units (F Unit). The census was 153 residents. Findings included: A review of the facility policy titled State Minimum Staffing for Healthcare Center, with the last revised date of 7/15/2016, revealed the Policy Statement included: Staffing shall be sufficient to meet the healthcare needs of each patient/resident as identified in the patient/resident's plan of care. 1. On 1/12/2024 at 10:35 am and 1/14/2024 at 1:11 pm, R18 was observed in bed with a hospital gown on and not shaved. A review of the care plan with the last revision date of 12/13/2023 revealed that R18 had a self-care deficit related to ADL care due to impaired physical status, vision, and muscle weakness (generalized) and that R18 required extensive to total assistance with ADL's, transfers, and bathing. 2. On 1/12/2024 at 11:22 am, 1/12/2024 at 6:08 pm, and 1/13/2024 at 10:48 am, R17 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, record review, and review of the facility policy titled Monitoring of Antipsychotics, the facility failed to ensure one of five residents (R) (R26) reviewed for unnecessary medications received medications as ordered. Specifically, the facility failed to decrease the dose of aripiprazole (an antipsychotic medication) for R26 as ordered by the Nurse Practitioner (NP). Findings include: A review of facility policy titled Monitoring of Antipsychotics revised 7/20/2020 revealed the Policy Statement: Patients/residents receive antipsychotic medications only when medically necessary. Every effort is made for patients/residents who use antipsychotics to receive the intended benefit of the medications and to minimize the unwanted effects of the antipsychotic medications. The Procedure section line numbered 6 stated: Gradual dose reduction is attempted with all patients/residents who receive antipsychotic medications. A review of R26's Face Sheet revealed the resident was admitted to the facility with a diagnosis including unspecified schizophrenia, major…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, and record review, the facility failed to provide routine dental services for one of 37 sampled residents (R) (R17). This failure had the potential to negatively impact R17's quality of life. Findings included: On 1/12/2024 at 11:22 am R17 was observed with only a few natural and they were discolored/decayed. A review of the clinical record revealed that R17's funding source was Medicaid GA. A review of the Annual Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was assessed to have obvious or like cavities or broken natural teeth. During an interview with the Administrator and the Director of Nursing on 1/14/2024 at 3:32 pm, they confirmed if a resident was evaluated by the dentist, the consult would be in the Electronic Medical Record (EMR). A review of the EMR revealed there was no documentation of a dental exam or consult for routine dental examination.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and review of the facility recipe titled Puree Oven Baked Chicken, the facility failed to ensure dietary staff followed recipes for preparing pureed foods to avoid compromising the nutritive value, flavor, or appearance. This affected eight of 136 residents receiving an oral diet. Findings include: A review of the recipe titled Pureed Oven Baked Chicken, revealed the smallest amount to prepare was for 50 servings. The recipe ingredients included oven-baked chicken, broth, and thickener. Observation on 1/13/2024 at 10:05 am of Assistant Dietary Manager (ADM) puree chicken for lunch meal revealed she placed 12, four-ounce scoops of cooked chicken in the food processor bowl and pureed. The ADM opened the lid, scraped the sides of the bowl, and then added two large handfuls of breadcrumbs and continued to puree. The ADM opened the lid, scraped the sides of the bowl, added four, four one-ounce spoons of chicken broth, and continued to puree. The ADM placed the pureed chicken in a steam table pan and placed it in the oven to reheat. During an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-14 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record review, review of the facility policy titled Nutritional Screening and Assessments/Food Preferences, and review of the facility document titled Position Description: Job Title: Dietary Manager, the facility failed to honor food preferences for one resident (R) (R84) of 67 residents with food likes, dislikes, and preferences. Findings include: A review of the policy titled Nutritional Screening and Assessments/Food Preferences, reviewed 1/8/2021 indicated the Policy Statement was: It is the policy of [NAME] Health for patient/resident to receive an initial nutritional screening and comprehensive nutritional assessment upon admission. The Food Preference Form is completed for each patient/resident upon admission and annually to ensure food choices and preferences are granted. The Procedure section revealed: 3: The Dietary Manager, Dietitian, or a designee will visit the patient/resident to discuss the patient/resident's preferences, choices, and/or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-28 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to ensure that it was maintained in a safe clean and comfortable environment. Specifically, the facility failed to ensure residents rooms were in good repair on two of seven halls (D Hall and F Hall) that was occupied by residents. Findings include: On 4/26/22 at 12:32 p.m., observation of resident room F7 revealed paint in residents' bathroom behind the toilet was peeling near the base, brown ring on the floor around the toilet, and molding on the wall entering residents' room has cracked sheet rock noted. On 4/26/22 at 12:36 p.m., observation of room F10 wall behind bed B needs repair. Paint is scuffed off wall, behind bed A there were black spots and chipped paint under overbed light. On 4/26/22 at 12:40 p.m., observation of room F11 revealed wall to the right, walking into room adjacent to bed A revealed spackle applied to wall with areas of chipped paint, air vent located on the wall to left room entrance had noted hole under vent with cracked dry wall noted, two holes in wall right of bed B under the window, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRUITTHEALTH — 95 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.9-1.9 vs chain
Health inspection 2 of 52.8-0.8 vs chain
Staffing 1 of 52.5-1.5 vs chain
Quality measures 2 of 53.6-1.6 vs chain
The other 94 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Oaks - Athens Skilled Nursing, TheAthens, GA 1 of 5PruittHealth - Holly Hill, LLCValdosta, GA 1 of 5PruittHealth - LilburnLilburn, GA 1 of 5PruittHealth- AikenAiken, SC 1 of 5PruittHealth- ColumbiaColumbia, SC 1 of 5PruittHealth- Rock HillRock Hill, SC 1 of 5PruittHealth-Carolina PointDurham, NC 1 of 5PruittHealth-DurhamDurham, NC 1 of 5PruittHealth-TrentNew Bern, NC 1 of 5PruittHealth-Union PointeMonroe, NC 1 of 5Pruitthealth - AustellAustell, GA 1 of 5Pruitthealth - Lakehaven, LLCValdosta, GA 1 of 5Pruitthealth - Magnolia ManorMoultrie, GA 1 of 5Pruitthealth - Old CapitolLouisville, GA 1 of 5Pruitthealth - PalmyraAlbany, GA 1 of 5Pruitthealth - SwainsboroSwainsboro, GA 1 of 5Pruitthealth - ToccoaToccoa, GA 1 of 5Pruitthealth - West AtlantaAtlanta, GA 2 of 5NC State Veterans Home-KinstonKinston, NC 2 of 5PruittHealth - AugustaAugusta, GA 2 of 5PruittHealth- BambergBamberg, SC 2 of 5PruittHealth- DillonDillon, SC 2 of 5PruittHealth- EstillEstill, SC 2 of 5PruittHealth- Moncks CornerMoncks Corner, SC 2 of 5PruittHealth- RidgewayRidgeway, SC 2 of 5PruittHealth-NeuseNew Bern, NC 2 of 5Pruitthealth - BrookhavenAtlanta, GA 2 of 5Pruitthealth - CreeksideAugusta, GA 2 of 5Pruitthealth - DecaturDecatur, GA 2 of 5Pruitthealth - FairburnFairburn, GA 2 of 5Pruitthealth - Fleming IslandFleming Island, FL 2 of 5Pruitthealth - ForsythForsyth, GA 2 of 5Pruitthealth - GriffinGriffin, GA 2 of 5Pruitthealth - Richmond, LLCAugusta, GA 2 of 5Pruitthealth - RomeRome, GA 2 of 5Pruitthealth - SavannahSavannah, GA 2 of 5Pruitthealth - Valdosta, LLCValdosta, GA 2 of 5Pruitthealth-North Tampa, LLCLutz, FL 2 of 5The Oaks-BrevardBrevard, NC 3 of 5Christian City Rehabilitation CenterUnion City, GA

Showing 40 of 94; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
READD, ANGELAIndividualW-2 MANAGING EMPLOYEEsince 02/28/2022
PRUITT, NEILIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 03/03/2003

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$17.1M
Net patient revenuemost recent cost report
+2.0%
Operating marginrevenue minus expenses
$3.6M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 82%Medicare 2%Other / private 16%

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$297per resident / day
operating cost
$9,031per month
≈ monthly operating cost
$303per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.

Typical monthly cost in Georgia
$8,821/mo
Nursing home (semi-private)
$9,429/mo
Nursing home (private)
$5,300/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115288. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-15, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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