Inspection Reports for Pruitthealth – Crestwood
415 PENDLETON PLACE, GA, 31602
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Low
Census Over Time
Census
Capacity
Inspection Report
Abbreviated Survey
Census: 69
Deficiencies: 0
Jul 31, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00197643.
Findings
The complaint was found to be unsubstantiated during the survey.
Complaint Details
Complaint GA00197643 was investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Census: 70
Deficiencies: 0
Mar 27, 2019
Visit Reason
A revisit survey was conducted on 3/26/19 through 3/27/19 to verify correction of deficiencies cited in the 1/31/19 Annual Recertification Survey.
Findings
All deficiencies cited as a result of the 1/31/19 Annual Recertification Survey were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 18, 2019
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags had been corrected.
Inspection Report
Life Safety
Census: 74
Capacity: 79
Deficiencies: 1
Jan 30, 2019
Visit Reason
The visit was a Life Safety Code Survey to assess compliance with fire safety regulations and the National Fire Protection Association (NFPA) 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance due to failure to complete required fire drills per shift per quarter, specifically the first quarter third shift fire drills were not completed, which could place 30% of residents and staff at risk during an emergency.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to complete first quarter third shift fire drills as required by NFPA 101 Life Safety Code. | SS= D |
Report Facts
Census: 74
Certified Beds: 79
Percentage at risk: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed that first quarter third shift fire drills were not completed |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Dec 4, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00192727.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint GA00192727 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 27, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00191287.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint GA00191287 was investigated and found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 27, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The surveyor noted that all previously cited survey tags have been corrected.
Inspection Report
Annual Inspection
Census: 66
Deficiencies: 0
Feb 8, 2018
Visit Reason
A standard survey was conducted at Pruitthealth Crestwood from February 5, 2018, through February 8, 2018, to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility was found to be in substantial compliance with the Health portion of the Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 68
Capacity: 79
Deficiencies: 6
Feb 6, 2018
Visit Reason
The inspection was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety requirements including emergency lighting, hazardous area enclosures, sprinkler system maintenance, corridor door maintenance, smoke barrier integrity, and electrical system safety. Multiple deficiencies were observed during a tour with staff, confirmed by staff interviews.
Severity Breakdown
E: 4
D: 2
F: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to provide emergency lighting throughout the facility, including Skilled Courtyard and MSU Courtyard. | E |
| Hazardous areas were not maintained as sprinklered and smoke tight; doors lacked self-closing and latching devices in multiple utility and supply rooms. | E |
| Sprinkler piping in ceiling at room #316 was supporting external loads of water piping and wiring, indicating improper maintenance of sprinkler system. | D |
| Corridor door to room #265 did not close and latch properly, indicating failure to maintain corridor doors. | D |
| Smoke barriers were not properly maintained as 1/2 hour fire rated barriers; penetrations and discontinuities noted in multiple locations including skilled nursing station and MSU nursing station. | F |
| Electrical system deficiencies including damaged wall receptacles in rooms #312 and #264, missing cover plate in room #250, uncovered light fixtures in room #360, and unapproved extension cord use in Finance Office. | E |
Report Facts
Census: 68
Total Capacity: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member who confirmed findings during facility tour |
Inspection Report
Follow-Up
Deficiencies: 0
May 15, 2017
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Follow-Up
Deficiencies: 0
May 5, 2017
Visit Reason
A follow-up was conducted on 5/5/17 to the health portion of the recertification survey conducted on 3/2/17 to verify correction of previously identified deficiencies.
Findings
The deficiencies identified in the prior recertification survey had been corrected as of the follow-up visit.
Inspection Report
Follow-Up
Deficiencies: 1
Apr 20, 2017
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited deficiencies, with all prior issues corrected except for one related to sprinkler system supervisory signals.
Findings
The facility failed to ensure that the PIV and Backflow preventer were electronically supervised, which could place 100% of residents and staff at risk if the sprinkler system water supply was shut off. This deficiency was confirmed during a tour and staff interview.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure that PIV and Backflow preventer were electronically supervised as required by NFPA 72. | SS= D |
Report Facts
Number of sprinkler control valves not electronically supervised: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M confirmed the findings at the time of discovery. |
Inspection Report
Life Safety
Census: 62
Capacity: 84
Deficiencies: 4
Feb 27, 2017
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code 2012 edition standards.
Findings
The facility was found not in substantial compliance with life safety requirements including emergency lighting failure, incomplete sprinkler system coverage in patient closets, lack of electronic supervision of sprinkler control valves, and smoke doors failing to close and seal properly.
Severity Breakdown
C: 2
D: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Emergency lights in hallway C were not functioning properly when tested. | C |
| Patient room closets were not sprinkled as required by NFPA 13. | D |
| Sprinkler system supervisory signals failed to electronically supervise two sprinkler control valves (PIV and Backflow preventer). | D |
| Smoke doors in hallway E failed to close and seal properly. | C |
Report Facts
Census: 62
Total Capacity: 84
Percentage at risk: 30
Percentage at risk: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and testing |
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