Inspection Reports for Pruitthealth – Greenville
99 HILLHAVEN RD., GA, 30222
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Abbreviated Survey
Census: 86
Deficiencies: 0
Apr 30, 2025
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by their codes, some of which were substantiated and others unsubstantiated.
Findings
Complaints GA00254708, GA00254549, and GA00250616 were substantiated, while complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated. No deficiencies were cited related to any of the complaints.
Complaint Details
Complaints GA00254708, GA00254549, and GA00250616 were substantiated. Complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated.
Inspection Report
Abbreviated Survey
Census: 86
Deficiencies: 0
Apr 30, 2025
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by their codes.
Findings
Complaints GA00254708, GA00254549, and GA00250616 were substantiated, while complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated. No deficiencies were cited related to any of the complaints.
Complaint Details
Complaints GA00254708, GA00254549, and GA00250616 were substantiated; complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated.
Inspection Report
Abbreviated Survey
Census: 86
Deficiencies: 0
Apr 30, 2025
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by their codes.
Findings
Complaints GA00254708, GA00254549, and GA00250616 were substantiated, while complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated. No deficiencies were cited related to any of the complaints.
Complaint Details
Complaints GA00254708, GA00254549, and GA00250616 were substantiated. Complaints GA00251213, GA00248857, and GA00242739 were unsubstantiated.
Inspection Report
Complaint Investigation
Census: 72
Deficiencies: 0
Sep 4, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00250133.
Findings
The complaint was substantiated but no deficiencies were found during the investigation.
Complaint Details
Complaint number GA00250133 was substantiated without deficiency.
Report Facts
Complaint number: GA00250133
Inspection Report
Plan of Correction
Deficiencies: 0
Dec 21, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - GREENVILLE, indicating a regulatory inspection was conducted.
Findings
The document contains initial comments but does not provide detailed findings or deficiencies in the visible content.
Inspection Report
Re-Inspection
Census: 66
Deficiencies: 0
Dec 21, 2023
Visit Reason
A Revisit Survey was conducted to verify correction of deficiencies cited during the October 29, 2023 Recertification Survey.
Findings
All deficiencies cited in the October 29, 2023 Recertification Survey were found to be corrected during this revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
Dec 15, 2023
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Annual Inspection
Census: 66
Capacity: 67
Deficiencies: 2
Oct 29, 2023
Visit Reason
A State Licensure survey was conducted at Pruitthealth Greenville from October 27, 2023 through October 29, 2023 to assess compliance with state health regulations.
Findings
The facility failed to provide evidence that infection control surveillance data was collected for ten out of fifteen months reviewed, and failed to maintain a clean sanitary environment in the kitchen, with observations of dust mites on the ceiling and greasy burnt food debris in the oven and burner.
Deficiencies (2)
| Description |
|---|
| Failure to provide evidence that infection control surveillance data was collected ten out of fifteen months reviewed (July 2022 through September 2023). |
| Failure to ensure a clean sanitary environment in the kitchen, including dust mites on the ceiling and greasy burnt food debris inside the oven and burner. |
Report Facts
Months without infection control data: 10
Facility census: 66
Facility total capacity: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health Services | Director of Health Services | Interviewed regarding missing infection control data and responsibility for data collection. |
| Dietary Manager | Dietary Manager | Interviewed and observed during kitchen inspections regarding kitchen cleanliness and cleaning schedules. |
| Administrator | Facility Administrator | Interviewed regarding expectations for dietary staff cleaning and confirmed observations of dust mites and unclean kitchen equipment. |
Inspection Report
Routine
Census: 67
Deficiencies: 3
Oct 29, 2023
Visit Reason
A standard survey was conducted at Pruitthealth Greenville from October 27, 2023 through October 29, 2023 to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including unsanitary kitchen conditions, failure to maintain infection control surveillance data for 10 of 15 months reviewed, and lack of evidence of antibiotic stewardship monitoring for 10 of 15 months.
Severity Breakdown
F: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure a clean sanitary environment in the kitchen, including dust mites on the ceiling and greasy burnt food debris inside the oven and burner. | F |
| Failure to provide evidence that infection control surveillance data was collected for ten out of fifteen months reviewed (July 2022 through September 2023). | F |
| Failure to provide evidence of a monitoring system to track and trend antibiotic use for ten out of fifteen months of infection control data reviewed (July 2022 through September 2023). | F |
Report Facts
Months without infection control surveillance data: 10
Months without antibiotic stewardship monitoring: 10
Facility census: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding kitchen cleaning responsibilities and expectations | |
| Administrator | Interviewed regarding expectations for dietary staff and infection control surveillance | |
| Director of Health Services | Interviewed regarding infection control data collection and antibiotic stewardship program | |
| Infection Preventionist | Provided infection control binder and discussed data collection issues | |
| Senior Nurse Consultant | Interviewed about in-service training for newly hired Infection Preventionist | |
| Consultant Pharmacist BB | Consultant Pharmacist | Interviewed about monthly visits and antibiotic order reviews |
| Pharmacist CC | Pharmacist | Interviewed about monthly auto-generated Antibiotic Stewardship Report |
Inspection Report
Life Safety
Census: 65
Capacity: 113
Deficiencies: 1
Oct 28, 2023
Visit Reason
A Life Safety Code Survey was 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 due to failure to have a written smoking/no smoking policy on file, affecting the entire facility.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have a written smoking/no smoking policy on file for residents and/or staff. | SS= D |
Report Facts
Census: 65
Total Capacity: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Confirmed findings regarding absence of smoking/no smoking policy |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 10, 2023
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00236607.
Findings
The complaint #GA00236607 was substantiated with no deficiencies cited during the survey.
Complaint Details
Complaint #GA00236607 was substantiated with no deficiencies cited.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 19, 2023
Visit Reason
An abbreviated survey was conducted to investigate complaints #GA00230420, #GA00230594, #GA00230609, and #GA00230675 at Pruitt Health Greenville from April 18 through April 19, 2023.
Findings
The complaints investigated were unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaints #GA00230420, #GA00230594, #GA00230609, and #GA00230675 were investigated and found to be unsubstantiated with no deficiencies cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 4, 2022
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - GREENVILLE following a survey completed on 08/04/2022.
Findings
The report contains initial comments but does not specify any detailed deficiencies or findings.
Inspection Report
Re-Inspection
Census: 51
Deficiencies: 0
Aug 4, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 6/2/22 Standard Survey.
Findings
All deficiencies cited as a result of the 6/2/22 Standard Survey were found to be corrected.
Inspection Report
Renewal
Census: 44
Deficiencies: 1
Jun 2, 2022
Visit Reason
A Licensure Survey was conducted from 5/31/2022 through 6/2/2022 to assess compliance with licensure requirements.
Findings
The facility failed to ensure that one of four exit doors was properly secured, resulting in one resident (#27) eloping from the facility. The door leading to the smoke porch did not close completely, allowing the resident to exit unsupervised.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure that one of four exit doors was properly secured, resulting in one resident (#27) eloping from the facility. |
Report Facts
Resident sample size: 44
Number of exit doors: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant AA | Certified Nursing Assistant | Spotted resident #27 outside the facility and provided information about the elopement |
| Maintenance Director | Maintenance Director | Responsible for daily exit door checks and provided information about door security and checks |
| Housekeeping Supervisor | Housekeeping Supervisor | Responsible for door checks during Maintenance Director's absence; noted missing Manager Notebook |
Inspection Report
Life Safety
Census: 46
Capacity: 113
Deficiencies: 0
Jun 2, 2022
Visit Reason
A Life Safety Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in compliance with the Emergency Preparedness Program requirements under 42 CFR 483.73 and the Life Safety Code standards.
Inspection Report
Abbreviated Survey
Census: 75
Deficiencies: 0
Jan 6, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints #GA00210590, #GA00207350, #GA00207730, and #GA00203417 from January 4 to January 7, 2021.
Findings
All complaints investigated were found to be unsubstantiated with no deficiencies identified during the survey.
Complaint Details
Complaints #GA00210590, #GA00207350, #GA00207730, and #GA00203417 were investigated and found to be unsubstantiated with no deficiencies.
Report Facts
Complaints investigated: 4
Census: 75
Inspection Report
Abbreviated Survey
Census: 92
Deficiencies: 0
Jun 16, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations for COVID-19.
Report Facts
Total census: 92
Inspection Report
Re-Inspection
Census: 94
Deficiencies: 0
Jan 14, 2020
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 11/25/19 Complaint Survey.
Findings
All deficiencies cited as a result of the 11/25/19 Complaint Survey were found to be corrected.
Complaint Details
The visit was a follow-up to a complaint survey conducted on 11/25/19; all cited deficiencies were corrected.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 11, 2019
Visit Reason
A complaint survey was conducted on 7/11/19 to investigate complaint GA00197289 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint GA00197289 was investigated and found to have no deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 20, 2019
Visit Reason
The inspection was conducted to investigate complaint #GA00195127 to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00195127 was investigated and found to have no deficiencies.
Inspection Report
Re-Inspection
Census: 97
Deficiencies: 0
Jan 28, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the Standard Survey on November 29, 2018.
Findings
All deficiencies cited in the previous Standard Survey had been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Jan 18, 2019
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected during the follow-up visit.
Inspection Report
Life Safety
Census: 91
Capacity: 113
Deficiencies: 2
Nov 28, 2018
Visit Reason
The Life Safety Code Survey was 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 due to failure to maintain smoke barrier walls with the required fire resistance rating and failure to document the annual inspection of fire/smoke rated doors, potentially placing 91 residents at risk in the event of fire.
Severity Breakdown
F: 1
D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to maintain smoke barrier walls with construction having a fire resistance rating of at least one-half hour, including unsealed and improperly sealed penetrations. | F |
| Failed to document the annual inspection of installed fire/smoke rated doors. | D |
Report Facts
Residents at risk: 91
Certified beds: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff S | Staff member who confirmed findings during observation and documentation review. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 9, 2018
Visit Reason
The inspection was conducted to investigate complaint #GA00191636 to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00191636 was investigated and found to have no deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 13, 2018
Visit Reason
The inspection was conducted as a Complaint Survey from 7/11/18 through 7/13/18 to investigate complaints #GA 00189681 and #GA 00189893 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Investigation of complaints #GA 00189681 and #GA 00189893; no deficiencies were found.
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 3, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00188380.
Findings
The complaint investigation was concluded and found to be unsubstantiated.
Complaint Details
Complaint #GA00188380 was investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Census: 99
Deficiencies: 0
Mar 2, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the January 11, 2018 Standard Survey.
Findings
All deficiencies cited as a result of the January 11, 2018 Standard Survey were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 1, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
Inspection Report
Life Safety
Census: 94
Capacity: 113
Deficiencies: 1
Jan 9, 2018
Visit Reason
The visit 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 due to failure to maintain fire stopping in through penetrations of smoke barrier walls, which could place residents at risk in the event of fire. Specifically, penetrations above the ceiling at separation doors for A Hall were not properly fire stopped.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to maintain fire stopping in through penetrations to maintain a ½ hour fire resistance rating in smoke barrier walls, including a pipe sealed with sheetrock mud and fire caulk and a flexible metal conduit pulled away from fire stopping leaving an unsealed penetration. | SS= D |
Report Facts
Census: 94
Certified beds: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings of unsealed penetrations in smoke barrier walls during facility tour |
Inspection Report
Re-Inspection
Deficiencies: 1
Dec 8, 2017
Visit Reason
A revisit survey was conducted on 12/8/17 for the complaint survey dated 10/18/17 to verify correction of previously cited deficiencies.
Findings
The revisit survey revealed that all previously cited deficiencies had been corrected and the facility was in substantial compliance as of 11/28/17. Observations confirmed proper food temperatures were maintained using domes on plates and new digital thermometers were in use.
Complaint Details
The revisit survey was conducted following a complaint survey dated 10/18/17. The revisit confirmed correction of all deficiencies.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Issues with steam table water level/heat affecting food temperatures and inconsistent use of plate warmers, insulated bases, and domes to maintain proper food temperatures during transit to residents' rooms. | SS=F |
Report Facts
Food temperatures: 161
Food temperatures: 171
Food temperatures: 161
Food temperatures: 189
Food temperatures: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding steam table water level and food temperature maintenance | |
| Dietary Manager | Responsible for in-service training of dietary staff and use of digital thermometers | |
| Director of Health Services | Involved in educating nursing staff on food temperature policies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 8, 2017
Visit Reason
A complaint investigation was conducted to investigate complaint GA00182893.
Findings
The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint GA00182893 was investigated and found to be unsubstantiated.
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 1
Oct 18, 2017
Visit Reason
An abbreviated survey was conducted to investigate complaint GA#00180901 related to dietary services at the facility.
Findings
The facility failed to maintain entrée items at food temperatures above 135 degrees Fahrenheit on the steam table for two meals, potentially affecting 82 of 84 residents. Multiple residents and staff reported food being served cold, and observations confirmed food temperatures below required levels. The facility reheated food prior to serving. No dietary staff were Servesafe certified and no recent formal in-services on food temperatures or foodborne illnesses were conducted.
Complaint Details
The complaint category relating to dietary services was substantiated with deficiencies.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to maintain entrée items at food temperatures above 135 degrees Fahrenheit on the steam table to prevent foodborne illness. | F |
Report Facts
Resident census: 84
Tube feeders: 3
Tube feeders consuming food: 1
Food temperatures below 135°F: 7
Food temperatures observed at dinner: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cook AA | Conducted steam table temperature measurements and reheated food | |
| Dietary Manager | DM | Calibrated thermometers, confirmed reheating procedures, and provided food temperature policy information |
| Certified Nursing Assistant BB | CNA | Reported residents' complaints about cold food |
| Certified Nursing Assistant CC | CNA | Reported residents' complaints about cold food and reheating practices |
| Certified Nursing Assistant DD | CNA | Agreed residents complain about cold food reaching the halls |
| Administrator | Interviewed regarding dietary staff certification and kitchen observations | |
| Registered Dietician | RD | Provided information on kitchen audit and food temperature concerns |
| Director of Health Services | Provided information about tube fed residents |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 7, 2017
Visit Reason
The inspection was conducted as a complaint survey to investigate complaint numbers GA00179111, GA00179405, and GA00179477 to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey, indicating compliance with the applicable long term care regulations.
Complaint Details
The visit was complaint-related to investigate three specific complaints (GA00179111, GA00179405, GA00179477). No deficiencies were found, indicating the complaints were not substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 14, 2017
Visit Reason
The inspection was conducted as a complaint investigation survey to investigate complaint number GA00178279.
Findings
No health deficiencies were cited during the complaint investigation survey.
Complaint Details
Complaint number GA00178279 was investigated and found to have no health deficiencies.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 19, 2017
Visit Reason
The inspection was conducted as a Complaint Survey on July 6 and July 13, 2017, to investigate complaint #GA00177018 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Investigation of complaint #GA00177018 found no deficiencies; compliance with 42 CFR, Part 483, Subpart B was confirmed.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 3, 2017
Visit Reason
The inspection was conducted to investigate complaint #GA00175686 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA00175686 was investigated and found to have no deficiencies.
Inspection Report
Re-Inspection
Deficiencies: 0
Jan 25, 2017
Visit Reason
A revisit to the standard survey was conducted to verify substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B-Requirements for Long Term Care Facilities.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations as alleged in the Plan of Correction effective on 1/16/2017.
Inspection Report
Follow-Up
Deficiencies: 0
Jan 17, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
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