Pruitthealth - Warner Robins LLC

Based on observations, staff interviews, and review of the facility policy titled Labeling, Dating, and Storage and Patients/Resident's Personal Food, the facility failed to ensure items stored in the reach in cooler, walk in cooler, and dry food storage area were labeled, dated, and not beyond their expiration date. In addition, the facility failed to ensure that resident food items stored in 2 of 2 nourishment rooms were labeled and dated. This deficient practice had the potential to adversely affect 54 of 54 residents receiving an oral diet.Findings include:On 02/27/2026 at 7:50 AM, the initial kitchen observation tour began with Certified Food Manager (CFM) and revealed the following concerns: 1. The reach-in cooler contained three juice containers that did not have an open date. Directions on the box said to use contents within seven days of opening.2. The walk-in cooler contained rice that was not dated.3. The walk-in cooler contained two boxes of juice thawing that did not have the date in which the box was put in the cooler to begin the thawing process.4. There were four…

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.

Based on observation and staff interviews, the facility failed to ensure dietary staff pureed fried fish in a manner to avoid compromising the nutritive value. This deficient practice had the potential to place eight of eight residents who received a pureed diet at risk of decreased nutritional intake. Findings include: Observation on 2/1/2025 at 11:30 am of Dietary [NAME] AA preparing puree fried fish for the lunch meal revealed she placed eight fried fish filets in the food processor bowl and began to puree. The cook then added eight slices of bread to the food processor bowl with the fried fish and pureed both together. Dietary [NAME] AA added three cups of vegetable broth to the food processor bowl and pureed the contents until desired puree consistency. Further observation revealed no recipe was available, and no documentation was available to guide the puree production. In an interview on 2/1/2025 at 11:30 am, Dietary [NAME] AA revealed that she always added bread to food items when she prepared puree foods. Dietary [NAME] AA stated that she was trained to add one slice 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.

Based on observations, staff interviews, and review of facility policies titled Food Ordering, Receiving, and Storage, Receipt and Storage of Food & Supplies, and Pot/Pan Washing and Sanitation, the facility failed to discard leftover and expired food, label and date leftover foods, remove dented cans from storage shelves, maintain the cleanliness of the walk-in refrigerator and dry storage areas, and avoid wet nesting of steam table pans to prevent bacterial growth. These deficient practices had the potential to promote foodborne illnesses associated with bacterial growth and cross-contamination for 56 of 58 residents consuming an oral diet from the kitchen. Findings include: Review of the facility policy titled Food Ordering, Receiving, and Storage, revised 6/14/2016, revealed the Procedure section included . 9. Dented cans should be kept in a separate designated area, with a dented can sign, and away from regular stock. Review of the facility policy titled Receipt and Storage of Food & Supplies, revised 3/24/2016, revealed the Procedures section included . 6. All storage areas…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to ensure that transfer notices were provided for two of two residents (R) (R50 and R62) reviewed for hospital transfers. This failure created the potential for R50 and R62 to be uninformed about their rights related to hospital transfer and subsequent return to the facility. Findings include: 1. Review of electronic medical record (EMR) for R50 revealed diagnoses that included, but not limited to, acute upper respiratory infection, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and vascular dementia. Review of the EMR under the Census tab indicated that R50 was transferred to the hospital on 5/7/2024 and returned on 5/15/2024. Further review revealed an additional transfer to the hospital on 1/22/2025. There was no documentation found in the EMR to indicate that R50 was provided a copy of the transfer notice upon transfer to the hospital. During an interview on 2/2/2025 at 10:50 am, Agency Licensed…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of facility policy titled Bed Hold Acknowledgement Form, the facility failed to ensure that bed hold notices were provided for two of two residents (R) (R50 and R62) reviewed for hospitalization. This failure had the potential to place R50 and R62 at risk of denial of re-admission and loss of their room following hospitalization. Findings include: Review of the facility policy titled Bed Hold Acknowledgment Form, revised 12/6/2022, revealed the Policy: Bed Holds section included . The second notice, which specifies the duration of the bed hold policy, will be issued at the time of any transfer. 1.Review of electronic medical record (EMR) for R50 revealed diagnoses that included, but not limited to, acute upper respiratory infection, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and vascular dementia. Review of the EMR under the Census tab indicated that R50 was transferred to the hospital on 5/7/2024 and returned 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.

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 ensure a comprehensive person-centered care plan was developed for the use of psychotropic medications for one of five residents (R) (R12) reviewed for the use of unnecessary medications. This deficient practice had the potential to place R12 at risk for not receiving treatment and/or care according to their needs. Findings include: Review of the facility policy titled Care Plans, revised July 27, 2023, revealed the Policy Statement was 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 (RAI) Manual and the patient/resident choice. The admission Comprehensive Plan of Care section included .3.…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and a review of the facility policy's titled, Implanted Venous Port (Mediport) - Accessing, and Implanted Venous Port (Mediport) - De-Accessing, the facility failed to assess the competency of nursing staff caring for implanted venous ports for one of three Resident (R) (#8) receiving Intravenous (IV) antibiotics every four hours. This failure had the potential for residents to have a decline in health status. Findings include: A review of the facility assessment dated [DATE], on page 17 under the heading Competencies, revealed skills of all staff are assessed during orientation with post test for all key clinical areas. New nurses receive an individualized educational program that includes completion of standardized modules through Relias learning. Basic competencies included but were not limited to intravenous care and management (RN Staff), hand hygiene, and infection prevention. A review of the policy titled Implanted Venous Port (Mediport) -…

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.

Based on observations, staff interviews, record review, and review of the facility policy titled, Administering Medications, the facility failed to ensure one of three Resident (R) (#8) is free of significant medication errors. Findings include: A review of the policy titled, Administering Medications, revised December 2012, revealed the policy statement was medications shall be administered in a safe and timely manner, and as prescribed. Under section title Policy Interpretation and Implementation, number 7 revealed the individual administering medications must check the label three (3) times to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medications. Record review of the care plan for R#8 indicated a focus of care on infection of the left knee prosthetic. Interventions included but were not limited to administering antibiotics as ordered by the Medical Director (MD). Record review of the Electronic Medical Record (EMR) for R#8 revealed a physician order for oxacillin sodium in dextrose…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and a review of the facility's policy titled, Infection Control, Implanted Venous Port (Mediport) - Accessing, Administering Medications and the facility assessment, the facility failed to implement infection control practice during the care of a resident receiving medications via a port and during change of needle device to access the port for one of three Resident (R) (#8) receiving intravenous (IV) antibiotic therapy every four hours. These failures had the potential of exposing patients to infections due to cross contamination. Findings include: A review of the policy titled Infection Control, not dated, revealed the objective of infection control policies and practices are listed as but not limited to prevent, detect, investigate, and control infections in the facility. A review of the policy titled Implanted Venous Port (Mediport) -Accessing, last revised September 2011, made into competency 6/17/2023, revealed the process to set up a sterile field…

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.