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Pruitthealth - Magnolia Manor

3003 Veterans Parkway S, Moultrie, GA 31788 · For profit - Limited Liability company · 100 certified beds · (229) 985-3422 Medicare & Medicaid certified

Call the home — (229) 985-3422 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Feb 2024Resident-funds citation (F0568)Behavioral-health or dementia-care citation — no harm found (F0740)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Feb 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0568)
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • about 34% 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 1 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Urgent care / clinic
760 26th Ave SE · (229) 985-6700 · Call to confirm hours
Pharmacy
2707 S Main St · (229) 502-9900 · Call to confirm hours
Grocery
Walmart0.8 mi
419 Cheyenne Way · (229) 890-7416 · Call to confirm hours
Park
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 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 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 held steady at 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 increased14.4%15.3%15.4%typical
Long-stay residents who lose too much weight1.1%5.6%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.9%0.9%better
Long-stay residents with a urinary tract infection5.5%2.5%2.0%worse
Long-stay residents with depressive symptoms2.2%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 injury1.2%3.2%3.3%better
Long-stay residents whose ability to walk worsened8.1%15.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication27.9%20.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.0%95.0%95.3%typical
Long-stay residents with pressure ulcers5.0%5.6%4.7%typical
Long-stay residents with worsening bladder/bowel control8.6%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table21.2%19.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.3%2.6%1.4%worse
Short-stay residents given the seasonal flu vaccine97.3%78.4%79.4%better
Short-stay residents rehospitalized after admission27.6%25.0%22.6%worse
Short-stay residents with an outpatient ER visit14.0%11.6%12.0%worse

§ 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.

59.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 251 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.8%U.S. median 51.5%
Got home and stayed home
16.0%U.S. median 10.7%
Went back to hospital
56.0%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 56.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 109 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 SNF59.8%CMS range 54.8–65.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF16.0%CMS range 12.6–19.810.7%Oct 2022–Sep 2024worse than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge44.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge40.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified92.7%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge98.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.6%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 worsened4.2%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 hospitalization7.0%CMS range 4.4–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.011.02Oct 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

0.97
RN hours/ resident / day
0.88
LPN hours/ resident / day
2.13
Aide hours/ resident / day
3.98
Total nurse hours/ resident / day
0.57
RN hoursweekends
45.5%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 85.5 residents a day — about 86% occupied, or roughly 14 beds typically open. It runs fairly full. 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 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.97 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 3.23 hrs/resident/day on weekends vs 4.27 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.12 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

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

16
deficiencies at the latest standard inspection (2024-11-01)
4
at the previous standard inspection (2022-08-25)

Deficiencies are more than at the previous inspection — worsening. 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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

  • Potential for harm · Dcited before2026-06-11 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record reviews, and review of the facility policy titled, Residents' Rights, the facility failed to provide care in a manner that maintained each resident's dignity and respect for one of 40 sampled residents(R) (R38). This deficient practice had the potential to compromise the residents' rights to be treated with dignity and respect. Findings Include:Review of the facility policy titled, Residents Rights, with a revision date of 12/01/2023 documented, It is policy of the healthcare center to promote and protect the rights of patients/ residents residing in the center. In addition, all patients/ residents and their responsible parties must sign a written statement of acknowledgement and given a copy of the center's patients/ resident rights and responsibilities . Procedure . 2. The center will make every effort to assist the patient/ resident in understanding and exercising his/her rights to assure the patient/resident is always treated with respect, kindness…

    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 · F2024-11-01 · 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's policy titled, Labeling, Dating, and Storage, the facility failed to discard expired items, failed to label and date items in one reach-in refrigerator, one walk-in cooler, and one dry storage area. The facility also failed to ensure food was delivered to residents receiving meals in one of three dining rooms in a sanitary manner related to proper hand washing and sanitation during the delivery of food. This deficient practice had the potential to affect eight residents eating in the 500-hall dining room. The failure had the potential to promote foodborne illnesses associated with bacterial growth and cross-contamination for 89 of 91 residents who received an oral diet. Findings included: Review of the policy titled Labeling, Dating, and Storage revised on 11/11/2022 revealed, 1. Food and beverage items will have an identifying label as well as a received date and opened date, as applicable; for items prepared onsite, a 'use by' date will also be indicated. 4. Food and beverage items will be discarded according to…

    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 · E2024-11-01 · tag F0645 — pattern
    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 2. Record review revealed R16 was admitted on [DATE] with diagnoses of anxiety and dementia, with dementia being the primary diagnosis. Resident had an order for psychiatric services and received psych counseling services for anxiety during her stay. Record review of Physician Order Form (POF) dated October 2024 revealed R16 received the following medications, alprazolam (Xanax) 1 mg tablet twice a day (order start date 5/9/2024). Resident also had an order for Effexor 75 mg twice a day (start date 6/1/2023). Record review revealed no PASARR Level ll. Review of progress notes revealed R16 had a history of displaying irrational behaviors since admission as defined/documented in the care plan. Record review revealed a care plan created 4/21/2022 (last revised 4/10/2024) documented and identified problems as irrational behaviors of, canceling medical appointments, refusing care, refusal for family to receive notifications about her significant changes, making false allegations regarding her care, keeping over 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-01 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    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 reviews, the facility failed to provide evidence that nutrition assessments were completed by the Registered Dietitian (RD) for three of three residents (R) (R66, R44, and R46). Specifically, they failed to complete an admission nutrition assessment for one resident (R66), and follow-up assessments for two residents (R44 and R46), who were identified with weight loss. Findings included: A facility policy on nutrition assessments was requested but not provided. 1. Record review revealed that R66 was admitted to the facility on [DATE] with diagnoses of but not limited to Alzheimer Disease, dementia, peripheral vascular disease, and atherosclerotic heart disease of native coronary artery without angina pectoris. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] documented unable to determine Brief Interview for Mental Status (BIMS) score, which indicated severe cognitive impairment. Review of weights at the time of admission on [DATE] documented 130 pounds…

    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 · E2024-11-01 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    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, interviews, record reviews, and review of the facility's policy titled, Medication Administration: General Guidelines, the facility failed to maintain effective infection control practices for three of four residents (R) (R21, R31, R34) during medication administration. Specifically, the facility failed to maintain infection practices for one resident (R21) during a fingerstick blood sugar check, during inspection of the PPE (personal protective equipment) cart that was not maintained in a sanitary manner, during observation of dining, observation in resident rooms where dirty IV (intravenous) tubing was left, and during resident screening where staff were seen sitting on resident's beds. The deficient practices had the probability to increase the potential for cross-contamination and spread of infection. Findings included: Review of the facility's policy titled, Medication Administration: General Guidelines dated 2014 revealed under the Policy Statement, Medications are administered as…

    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 · Dcited before2024-11-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and record review, the facility failed to provide care in a manner that maintained or enhanced resident's rights, dignity and respect. Specifically, the facility failed to ensure facial hair was removed when requested for one female resident (R) (R36) of 28 sampled residents. Findings included: A facility policy on ADL care was requested during the survey but was not provided. Record review for R36 revealed the following diagnoses not limited to dementia and cardiopulmonary heart disease. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, indicating little to no cognitive impairment. MDS also revealed R36 required partial moderate assistance with bathing/personal hygiene and required the use of a walker/wheelchair for ambulation/mobility. Record review of R36's Activities of Daily Living (ADL) care plan created 2/24/2023 identified a problem, an ADL Decline related to…

    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 · D2024-11-01 · 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 observations, resident and staff interviews, and record review, the facility failed to ensure unauthorized and expired medications were not stored at the bedside of one of 28 residents (R) (R16). The deficient practice had the potential to allow unauthorized access of unsecured medications to residents and visitors. Findings included: A facility policy on self-administering medications was requested but not provided. Record review for R16 revealed diagnoses of but not limited to unspecified dementia, paroxysmal atrial fibrillation, chronic kidney disease, stage 4 (severe), and pulmonary hypertension. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15 indicating little to no cognitive impairment. Continued review revealed that R16 was not assessed to self-administer medications. Observation on 10/29/2024 at 9:53 am revealed a bottle of expired prescription medication labeled premium saline moisturizing nasal spray…

    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 · D2024-11-01 · tag F0578 — failed to honor advance directives / code status — isolated
    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.
    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 resident and staff interviews, record review, and review of the facility's policy titled, Advance Directives, the facility failed to provide residents and/or representatives written information with options regarding their right to accept or refuse medical or surgical treatment for four Residents (R) (R52, R65, R15, R29) out of a sample size of 28 residents reviewed. This failure denied the residents and/or representatives the opportunity to have choices and preferences with their health care decisions and formulating an Advance Directive. Findings included: Review of the policy titled Advance Directives dated 2014, under Procedure revealed, Prior to, or upon Admission, the patient/resident and/or their responsible party will be asked about the existence of any advance directives. The Advance Directive Checklist, which is in the Georgia admission Packet, will be completed. 1. Record review revealed R52 was admitted to the facility on [DATE] with diagnoses not limited to chronic diastolic congestive…

    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 · D2024-11-01 · 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 [NAME], [NAME] Based on observations, staff interviews and record reviews, the facility failed to ensure the facility was maintained in a safe, clean, and homelike environment on three of eight halls (Hall 600, 700, and 800). Specifically, the facility failed to replace a stained pillow for R53, failed to ensure the common area on two halls were free of trip hazards from electrical sockets on the floor on the 700 and 800 halls, failed to repair one cracked toilet on the 600 hall, and failed to maintain the sanitation of three water fountains covered in a thick beige/white hard scale substance. The deficient practice had the potential to cause an unsafe and unsanitary environment. Findings included: A facility policy on environment was requested but not provided. 1. Observation on 10/30/2024 at 11:00 am on the 700-hall common area revealed the electrical socket was in the floor. There was one lamp on each end of the couch. Each lamp was plugged into the electrical socket near the hallway. The lamp farthest away…

    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 before2024-11-01 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and review of the facility's policy titled, Grievances: Healthcare Centers, the facility failed to ensure residents were informed of the name of the Grievance Official and how to file a grievance. Spceifically, the facility failed to ensure that all residents who resided in the facility were knowledgeable of the grievance process. Findings include: Review of the facility policy titled, Grievances: Healthcare Centers, revised 1/10/2024 revealed the following under Policy Statement: The Administrator of each healthcare center serves as its grievance official and is responsible for the following: overseeing the grievance process; receiving and tracking grievances through to the conclusion; leading necessary investigations; maintaining confidentiality of all information associated with grievances (for example, the identity of the patient for those grievances submitted anonymously); issuing written grievance decisions to the person who filed the grievance (if known); and coordinating with state and federal agencies as necessary in light of specific allegations. During…

    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
Show the remaining 18 citations
  • Potential for harm · Dcited before2024-11-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Care Plans, the facility failed to develop and/or implement a comprehensive care plan for five of 28 sampled residents (R) (R36, R52, R56, R25, R65). Specifically, the facility failed to implement care plans for activities of daily living (ADL) and incontinence care for R36 and R52; psychiatric services for R25 and R65; and vision services for R56. These deficiencies had the potential to adversely affect their quality of care and services, as well as their quality of life. Findings included: Review of the facility policy titled Care Plans revised 7/27/2023 revealed 3. The comprehensive person-centered care plan is developed to include measurable goals and timeframes to meet a patient/resident's medical, nursing, and psychosocial needs, the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial needs that are identified in 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · 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 and staff interviews, and record review, the facility failed to provide Activities of Daily Living (ADL) care for six of six residents (R) (R36, R52, R72, R29, R56, and R23 ) according to the residents care needs. Specifically, the facility failed to ensure that fingernails were trimmed and clean for (R72, R29, R56, R23); failed to ensure incontinence care was provided for R52, and failed to provide a bath/shower on the weekend for R36. Findings included: 1. Record review revealed R36 had diagnoses of but not limited to, vertigo of central origin, dizziness and giddiness, repeated falls, atrial fibrillation, pain in left/right knee, chronic kidney disease stage 3, and systolic (congestive) heart failure. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated little to no cognitive impairments and required assistant with bath/showers/grooming. During the initial tour of the 600 Hall…

    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 · D2024-11-01 · 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 resident and staff interviews, record review, and review of the facility's policy titled, Specialty Services: Dental Services Vision Services, Podiatry Services, Hearing Services, and Mental Health, the facility failed to obtain vision services for two of 28 residents (R) (R56 and R78). Findings included: Review of the facility's policy titled Specialty Services: Dental Services, Vision Services, Podiatry Services, Hearing Services, and Mental Health last revised on 1/3/2024 revealed, 2. Nursing partners shall encourage and assist the patient/resident in carrying out the specialty service physician recommendations and instructions. 3. The clinical records shall show documentation of all consultation by the specialty service provider and all recommendations and instructions on patient/resident care related to the specialty service. 1. Review of the medical record revealed R56 admitted with diagnoses of but not limited to heart failure, need for assistance with personal care, muscle weakness…

    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 · D2024-11-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and record review, the facility failed to follow an Occupational Therapy (OT) Restorative Nursing Program (RNP) recommendation for orthotic application (splint) for one of eight sampled residents (R) (R78) reviewed for ROM (Range of Motion) and mobility. The deficient practice had the potential to result in progression of contractures. Findings included: Review of the medical record revealed diagnoses of but not limited to a left-hand contracture. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14 indicating little to no cognitive impairment. Review of a physician order dated 8/29/2024 revealed, Patient to wear progressive resting hand splint to LUE (Left Upper Extremitties) digits/hand/wrist 6-7 hours daily, seven days/week as tolerated by patient once a day. Review of the OT plan of care dated 8/29/2024 revealed a recommendation and fitting for a left-hand splint device.…

    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 before2024-11-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record reviews, and review of the facility's policy titled, Occurrence Reduction Program, the facility failed to ensure an environment free from potential accident hazards by failing to properly secure oxygen (O2) tank for one of 10 residents (R) (R16) receiving oxygen therapy. In addition, the facility failed to remove aerosol cans from the bedside for one resident (R47); and failed to provide adequate supervision for residents assessed as high risk for falls for three of 10 residents (R34, R75, and R65). Findings included: Review of the policy titled, Occurrence Reduction Program dated 2014 revealed under Policy Statement: This healthcare center recognizes that due to the frailty of the patient/residents served, there is an increased risk of occurrences that may result in injury to the patient/resident and/or others. In an effort to prevent occurrences, each patient/resident will be assessed for risk and appropriate and realistic interventions will be implemented upon…

    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 before2024-11-01 · 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, and review of the facility's policy titled, Oxygen Administration, the facility failed to ensure two of 10 residents (R) (R16 and R11) receiving oxygen therapy, oxygen tubing and nebulizer masks were covered, and did not rest on the floor. The deficient practice had the probability to increase the risk of infection for residents receiving oxygen therapy. Findings included: Review of the facility policy titled, Oxygen Administration, dated 2014 under Infection revealed, Control Policy of 02 Humidifier Bottles: Change all oxygen tubing when there is visible soiling with respiratory secretions and mucous and weekly. Clean exterior of concentrators weekly and between each patient/resident use with bactericidal surface cleaner. 1. Record review revealed R16 was admitted on [DATE] with Dx (diagnoses) of but not limited to paroxysmal atrial fibrillation, primary pulmonary hypertension, anxiety and dementia, with dementia being the primary diagnosis. Review of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 resident and staff interviews, record reviews, and review of the facility's policy titled, Specialty Services: Dental Services, Vision Services, Podiatry Services, Hearing Services, and Mental Health, the facility failed to obtain mental health services for three of three sampled residents (R) (R61, R65, and R25). The deficient practice had the probability to affect the overall mental health status of residents requiring psychiatric services. Findings included: Review of the facility's policy titled Specialty Services: Dental Services, Vision Services, Podiatry Services, Hearing Services, and Mental Health last revised on 1/3/2024 revealed 2. Nursing partners shall encourage and assist the patient/resident in carrying out the specialty service physician recommendations and instructions. 3. The clinical records shall show documentation of all consultation by the specialty service provider and all recommendations and instructions on patient/resident care related to the specialty service. 1. Review of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-07 · tag F0585 — failed to handle grievances — pattern
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident and family interviews, staff interviews, record review and review of facility policy titled, Resident Grievances, the facility failed to ensure residents' concerns that were presented in resident council meetings were followed through the grievance process; the facility also failed to file a grievance and investigate for one of two residents (R)(R1) after being informed by another state office. The facility census was 93 residents. Findings include: Review of the facility policy titled Grievances: Healthcare Centers revised 1/10/2024. Policy Statement: It is the policy of (Named Facility) and its affiliated healthcare centers to follow an established process whereby patients and/or customers may have their grievances and complaints resolved in a prompt, reasonable and consistent manner. All Partners should take an active part in efforts to resolve grievances and complaints without discrimination or retaliation against a person filing a grievance or complaints. The Administrator of each healthcare centers serves a as its grievance official and is responsible for 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 · D2024-02-07 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    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 resident interviews, staff interviews, record review, and review of the facility policy titled, Resident Trust, the facility failed to include cash transactions for one of 48 residents (R1); the facility also failed to open and put cash into a trust account for one of 48 resident (R2). The facility census is 93. Findings include: Review of the facility policy, Resident Trust dated 1/30/2024. Automated Trust Fund System Patient funds may not be managed by the facility utilizing any record-keep system other than the automated Patient Trust Fund System (RFMS). This system was designed to meet the minimum requirements of state and federal regulations. All patient trust transactions must be documented on the automated Patient Trust Fund system when the transaction occurs. Patient trust fund transactions include deposits; cash disbursements; check disbursements; interest; and service charges (if applicable). Documenting Receipts Currency. (Named facility) does not accept cash. 1. During an observation 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-07 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interviews, and review of the facility policy titled, Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of property, the facility failed to protect two Residents (R1, R2) from exploitation of their cash money locked in a facility safe. The facility census was 93. Findings include: Review of the facility policy titled, Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, Reviewed 1/11/2024. Procedure: 1. The Administrator of the provider is responsible for ensuring that an accurate and timely investigation is completed. If there is an occurrence of or allegation involving patient abuse (including injuries of unknown source), neglect, exploitation, mistreatment, or misappropriation of patient property, the following investigation and reporting procedures will be followed. Review of the admission Packet - Skilled Nursing Facility dated 3/30/2023 revealed R1 selected the option I Do Authorize The facility to hold, safeguard, manage, and account for monies I deposit…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-07 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interviews, and review of the facility policy titled, Abuse Prevention & Reporting, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act of timely reporting to the State Agency an incident in which one of two residents (Resident 1 (R1) money was stolen from a facility safe. The facility census was 93. Findings include: Review of the facility policy titled, Abuse Prevention & Reporting revised 8/18/2023. Policy. This assisted living center will not tolerate abuse, neglect, or exploitation of its residents by anyone. Such incidents will be reported to all appropriate authorities, agencies and registries and a written copy as such reports maintained in a central file and the resident's file. Procedure: Anyone witnessing, suspecting, or hearing an allegation of mental, physical, verbal, or sexual abuse, neglect or exploitation of any resident will immediately report this to the Administrator whether the Administration is on the premises or not.…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, resident and staff interviews, and review of the facility policy titled, Care Plans, the facility failed to develop a comprehensive person-centered care plan with goals and interventions for one resident (R) R#81, receiving intravenous (IV) antibiotics of 35 sampled residents reviewed for care plans. Findings included: Review of the policy titled Care Plans, revised on 7/21/2021, revealed the following: admission Comprehensive plan of Care: 2. A comprehensive person-centered care plan would be developed within seven days after completion of the comprehensive assessment. The comprehensive care plan should describe services to be furnished to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing, including any specialized and rehabilitation services. The care plan will contain four main components, problem, goal, approach, and accountability. Comprehensive care plans should be reviewed and updated as needed. Observation 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-25 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, resident and staff interviews, and review of the facility policy titled, Care Plans, the facility failed to update care plan for one resident (R) R#81, related to indwelling catheter usage, of 35 sampled residents reviewed for care plans. Findings included: Review of the policy titled Care Plans, revised on 7/21/2021, revealed the following. Care Plan Review and Update: 2. Discontinued problems, goals or approaches should be indicated directly on the care plan. Updates with the care plan should be made with any changes in condition at the time the change occurred. 4. Care plans can be updated by any interdisciplinary team member so that the care plan will reflect the resident needs at any given moment. Record review of R#81's Minimum Data Set (MDS) admission assessment dated [DATE] an admission on [DATE] and brief interview of mental status (BIMS) score 15 (which indicated an intact cognition). Further review of the record revealed a primary/admitting…

    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 before2022-08-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and review of facility policy titled Oxygen Administration dated 11/22/21 the facility failed to ensure oxygen (O2) tanks were secured in three resident (R) reviewed R#27, R#33, and R#50 rooms of 18 residents receiving oxygen. Findings include: Review of facility policy titled Oxygen Administration dated 11/22/21 revealed under procedure: number eight (8): Rack or cart is required for stabilization of E-tanks when in use or in storage. 1. Observations on 8/23/22 at 10:40 a.m. and 8/24/22 at 8:30 a.m. revealed observation of oxygen tank free standing in the corner of R#27's room by the head of the bed. During an interview 8/24/22 at 8:30 a.m. with R#27 it was revealed that the oxygen tank had been there for a couple of days, but R#27 was unsure of exactly how long. R#27 revealed that the oxygen tank is used when going out to appointments. Record review for R#27 revealed resident had diagnoses of Chronic respiratory failure with hypoxia, Anxiety disorder, Chronic…

    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 before2022-08-25 · 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 observation, staff interview, and review the policy titled, Oxygen Administration the facility failed to obtain a Physician's order for oxygen for one resident (R) R#53, 18 residents that received oxygen therapy. Findings included: Review of policy titled Oxygen Administration, last revised 11/01/2019, had policy statement indicating it is the policy of named hospice provider to provide oxygen in safely and accurately to appropriate patients. Procedure: Oxygen will be administered by licensed personnel when ordered by the physician, PA, or NP. Observation on 8/23/22 at 12:55 p.m. of R# 53 lying in bed using oxygen (O2) via nasal cannula (n/c) set between 2.5-3 liters per minute (LPM) from concentrator at bedside. Observation on 8/24/22 at 8:24 a.m. of R#53 sitting up in bed eating breakfast using O2 via n/c, concentrator set at 2.5-3 LPM. Record review revealed R#53 admitted to the facility on [DATE] with diagnoses that included (not full list) major depressive disorder, generalized anxiety disorder,…

    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 · F2019-06-20 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to ensure that the staff designated as Dietary Manager was a certified dietary or food service manager or had a similar food service management certification or degree. There were 85 out of 86 residents that received an oral diet. Findings include: A review of the personnel file for the Dietary Manager revealed that her hire date was 4/23/17. Further record review revealed that the DM was enrolled in a course for the Certified Dietician Manager on 8/14/17. The completion date for the course was 8/14/17. There was no evidence of dietary manager certification. During an interview on 6/17/19 at 11:41 a.m., the Dietary Manager (DM) revealed that she has been employed with the facility for approximate 16 months. She stated she is not certified because she was unable to take the exam for personal reasons. She revealed a completion of the course work for the exam in August 2017. DM stated per her knowledge the time frame was five years to become certified as dietary manager and she has until 2021 to take the exam. She has not…

    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 before2019-06-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interview, and review of the facility policy titled Care Plans, the facility failed to develop a care plan related to respiratory diagnoses and the use of oxygen therapy for one resident (R) (#35) of 25 sampled residents. Findings include: Review of the policy titled Care Plans revealed a policy statement: It is the policy of the health care center for each patient/resident to have a person-centered care plan developed according to the Resident Assessment Instrument (RAI) manual and patient/resident choice. Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed R#35 with a Brief Interview of Mental Status (BIMS) score 10, indicating moderate cognitive impairment and active diagnoses including chronic obstructive pulmonary disease (COPD), asthma, chronic lung disease, and heart failure. Section J - Health Conditions documented the resident had shortness of breath or trouble breathing, with and without exertion, and when lying flat.…

    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 · D2019-06-20 · 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, record review, and interview, the facility failed to honor food preferences for breakfast food for one resident (R) (#5) of 25 sampled residents. Findings include: Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed R#5 with a Brief Interview for Mental Status (BIMS) score of 15 (a score of 13 to 15 indicates that a resident is cognitively intact). Review of the undated document titled Diet History/Food Preference List, revealed R#5 was able to make needs known, talked about food preferences, preferences noted, and they will encourage intake. Documentation included R#5 did not like eggs, grits, and did like toast, bacon, biscuits, cereal, and grilled cheese. Review of a Nutritional Progress Note dated 5/17/19 revealed the Registered Dietician (RD) visited R#5 related to a need for updated food preferences. The RD documented she informed the kitchen of breakfast preference of grilled cheese with bacon, cranberry juice, milk, disliked grits, eggs, and fried foods;…

    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

“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 1 of 52.8-1.8 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 3 of 53.6-0.6 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 - MaconMacon, 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
BLACK, JONATHANIndividualW-2 MANAGING EMPLOYEEsince 06/28/2021
PRUITT, NEILIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 09/19/2007

CMS files one row per role, so the 3 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.

$11.3M
Net patient revenuemost recent cost report
-1.8%
Operating marginrevenue minus expenses
$3.9M
Related-party expense34% of expenses
Who pays — share of resident-days
Medicaid 53%Medicare 12%Other / private 35%

This home reported $3.9M paid to related parties — landlords or management companies under common ownership — equal to about 34% 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

$349per resident / day
operating cost
$10,617per month
≈ monthly operating cost
$343per 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 115326. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-01, 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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