Inspection Reports for
Pruitthealth – Crestwood

415 PENDLETON PLACE, VALDOSTA, GA, 31602

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 2.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

47% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2018
2019
2022
2023
2024
2025

Occupancy

Latest occupancy rate 78% occupied

Based on a October 2023 inspection.

Occupancy rate over time

64% 72% 80% 88% 96% 104% Feb 2017 Feb 2018 Mar 2019 May 2022 Oct 2023

Inspection Report

Deficiencies: 1 Date: Jun 26, 2025

Visit Reason
The inspection was conducted to evaluate compliance with food safety and sanitation standards in the facility's kitchen and dietary services.

Findings
The facility failed to ensure kitchen staff thoroughly cleaned and air-dried plates and pans prior to storage, which had the potential to increase the risk of foodborne illness affecting 61 of 66 residents receiving dietary services.

Deficiencies (1)
F 0812: The facility failed to ensure kitchen staff thoroughly cleaned and air-dried plates and pans prior to storage. Wet plates and pans were stacked for use, increasing the risk of foodborne illness.
Report Facts
Residents affected: 61 Total residents receiving dietary services: 66

Employees mentioned
NameTitleContext
Food Service ManagerInterviewed and confirmed wet plates and pans were stacked without proper air drying

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Apr 25, 2024

Visit Reason
The inspection was conducted due to allegations of sexual abuse by one resident towards another in the facility.

Complaint Details
The complaint investigation involved substantiated allegations of sexual abuse by resident R53 towards resident R1. The facility was found to have failed in preventing abuse and in timely reporting the incidents to the State Agency.
Findings
The facility failed to maintain an environment free from sexual abuse by another resident and failed to timely report the allegation of sexual abuse to the State Agency. Multiple incidents of inappropriate sexual behavior by resident R53 towards resident R1 were documented, and staff monitoring and administrative actions were taken after notification.

Deficiencies (2)
F 0600: The facility failed to protect a resident from sexual abuse by another resident, with documented incidents of inappropriate touching and following behavior.
F 0609: The facility failed to timely report an allegation of sexual abuse to the State Agency as required by policy and regulations.
Report Facts
Residents affected: 3 Residents affected: Few Date survey completed: Apr 25, 2024

Employees mentioned
NameTitleContext
Registered Nurse (RN) AAInterviewed regarding resident R1 and R53 behavior
Licensed Practical Nurse (LPN) BBInterviewed regarding monitoring of resident R53
Certified Nursing Assistant (CNA) CCReported observing inappropriate touching by resident R53
Registered Nurse (RN) DDReported separating residents during inappropriate behavior
Licensed Practical Nurse (LPN) EEResponded to incident involving resident R53 touching resident R1
Social Service Director (SSD)Interviewed about reporting and transfer of resident R53
AdministratorNotified of incidents and instructed staff on monitoring resident R53

Inspection Report

Routine
Deficiencies: 1 Date: Feb 22, 2024

Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control practices, specifically related to COVID-19 policies and procedures.

Findings
The facility failed to post notification signs of active COVID-19 status on the front entrance doors and did not consistently follow proper PPE procedures during treatment of a COVID-positive resident. Staff education on PPE use was incomplete, and the facility lacked a policy for COVID-19 notification signage.

Deficiencies (1)
F 0880: The facility failed to post notification signs of the current active COVID-19 status on the front entrance doors as recommended by CDC guidelines. Staff did not consistently wear appropriate PPE, including N95 masks and gowns, when providing care to a COVID-positive resident.
Report Facts
Residents affected: Many residents affected by the infection control deficiencies Residents involved in PPE observation: 17 Staff attendees: 22 Staff attendees: 4

Employees mentioned
NameTitleContext
RN AARegistered NurseObserved not wearing appropriate PPE while administering insulin to a COVID-positive resident
Infection Control Preventionist (ICP)Interviewed regarding COVID-19 notification signage and PPE policies
AdministratorInterviewed regarding missing COVID-19 notification signs and facility error
Director of Nursing (DON)Interviewed regarding PPE requirements for COVID-positive resident care

Inspection Report

Census: 62 Deficiencies: 1 Date: Oct 30, 2023

Visit Reason
The inspection was conducted to evaluate the facility's compliance with proper handling, securing, and management of residents' personal money deposited with the nursing home.

Findings
The facility failed to maintain accurate bookkeeping techniques for one private pay resident, resulting in discrepancies in daily rates and billing. The resident had multiple billing inconsistencies and arrears, and the facility could not explain the discrepancies in the daily rates charged.

Deficiencies (1)
F 0568: The facility failed to properly hold, secure, and manage a resident's personal money, resulting in discrepancies in daily rates and billing for one private pay resident.
Report Facts
Facility census: 62 Resident arrears total: 4291.42 Resident arrears total: 3881.82 Resident daily rates: 288 Resident daily rates: 284.03 Resident daily rates: 302.645 Resident daily rates: 249.23 Resident daily rates: 245.86

Inspection Report

Routine
Census: 69 Deficiencies: 1 Date: May 5, 2022

Visit Reason
The inspection was conducted to assess the facility's maintenance and environmental conditions, specifically to ensure the residents' right to a safe, clean, comfortable, and homelike environment.

Findings
The facility failed to maintain residents' rooms in good repair on two of seven halls, with issues including cracked floor tiles, rust on doorframes, dirt buildup near air conditioners, missing baseboards, and jagged bathroom thresholds. Maintenance processes were in place but lacked specific policies and timely repair completion.

Deficiencies (1)
F 0584: The facility failed to maintain a safe, clean, and comfortable environment, with cracked floor tiles, rust on doorframes, dirt buildup near air conditioners, missing baseboards, and jagged bathroom thresholds observed on 200 and 300 Halls.
Report Facts
Facility census: 69

Inspection Report

Abbreviated Survey
Census: 69 Deficiencies: 0 Date: Jul 31, 2019

Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00197643.

Complaint Details
Complaint GA00197643 was investigated and found to be unsubstantiated.
Findings
The complaint was found to be unsubstantiated during the survey.

Inspection Report

Re-Inspection
Census: 70 Deficiencies: 0 Date: 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 Date: 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 Date: 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.

Deficiencies (1)
Failure to complete first quarter third shift fire drills as required by NFPA 101 Life Safety Code.
Report Facts
Census: 74 Certified Beds: 79 Percentage at risk: 30

Employees mentioned
NameTitleContext
Staff MConfirmed that first quarter third shift fire drills were not completed

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Dec 4, 2018

Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00192727.

Complaint Details
Complaint GA00192727 was investigated and found to be unsubstantiated.
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.

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Sep 27, 2018

Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00191287.

Complaint Details
Complaint GA00191287 was investigated and found to be unsubstantiated.
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.

Inspection Report

Follow-Up
Deficiencies: 0 Date: 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 Date: 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 Date: 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.

Deficiencies (6)
Facility failed to provide emergency lighting throughout the facility, including Skilled Courtyard and MSU Courtyard.
Hazardous areas were not maintained as sprinklered and smoke tight; doors lacked self-closing and latching devices in multiple utility and supply rooms.
Sprinkler piping in ceiling at room #316 was supporting external loads of water piping and wiring, indicating improper maintenance of sprinkler system.
Corridor door to room #265 did not close and latch properly, indicating failure to maintain corridor doors.
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.
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.
Report Facts
Census: 68 Total Capacity: 79

Employees mentioned
NameTitleContext
Staff MStaff member who confirmed findings during facility tour

Inspection Report

Follow-Up
Deficiencies: 0 Date: 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 Date: 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 Date: 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.

Deficiencies (1)
Facility failed to ensure that PIV and Backflow preventer were electronically supervised as required by NFPA 72.
Report Facts
Number of sprinkler control valves not electronically supervised: 2

Employees mentioned
NameTitleContext
Staff M confirmed the findings at the time of discovery.

Inspection Report

Life Safety
Census: 62 Capacity: 84 Deficiencies: 4 Date: 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.

Deficiencies (4)
Emergency lights in hallway C were not functioning properly when tested.
Patient room closets were not sprinkled as required by NFPA 13.
Sprinkler system supervisory signals failed to electronically supervise two sprinkler control valves (PIV and Backflow preventer).
Smoke doors in hallway E failed to close and seal properly.
Report Facts
Census: 62 Total Capacity: 84 Percentage at risk: 30 Percentage at risk: 100

Employees mentioned
NameTitleContext
Staff MConfirmed findings during facility tour and testing

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