Inspection Reports for Pruitthealth – Lakehaven
410 EAST NORTHSIDE DRIVE, GA, 31602
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 26, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00200774 and GA00200981.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations. Complaint GA00200981 was unsubstantiated, and GA00200774 was partially substantiated. No deficiencies were cited.
Complaint Details
Complaint GA00200981 was unsubstantiated. Complaint GA00200774 was partially substantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 1, 2019
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00197766.
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 GA00197766 was investigated and found to be unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 24, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the Recertification survey conducted on 2019-04-18.
Findings
All deficiencies cited in the prior Recertification survey were found to be corrected during this revisit survey.
Inspection Report
Life Safety
Census: 86
Capacity: 90
Deficiencies: 0
Apr 17, 2019
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association standards.
Findings
The facility was found to be in substantial compliance with the Emergency Preparedness plan requirements and the NFPA 101 Life Safety Code 2012 edition standards.
Report Facts
Stories: 1
Construction Date: 1969
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jan 7, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00193728.
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 GA00193728 was investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 5, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00189872.
Findings
The facility was found not to be in compliance with Federal and State Long Term Care regulations; however, the complaint was partially substantiated and no health deficiencies were cited.
Complaint Details
The complaint was partially substantiated but no health deficiencies were cited.
Inspection Report
Re-Inspection
Census: 87
Deficiencies: 0
Jun 25, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 04/27/18 Recertification Survey.
Findings
All deficiencies cited as a result of the 04/27/18 Recertification Survey were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Jun 15, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
All violations previously cited were corrected as noted during the follow-up survey.
Inspection Report
Life Safety
Census: 78
Capacity: 90
Deficiencies: 4
Apr 25, 2018
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 with life safety requirements, including failure to provide emergency lighting at the kitchen exit, improper maintenance of sprinkler systems with corroded and painted sprinkler heads, lack of documentation for generator load bank testing, and improper storage of oxygen cylinders with full and empty cylinders stored together without segregation.
Severity Breakdown
D: 2
F: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Emergency lighting was not provided at the kitchen exit discharge. | D |
| Sprinkler heads were discolored, corroded, and painted in multiple areas including electrical/boiler room, kitchen office, patient restrooms, and kitchen dish wash room. | F |
| No documentation was provided to verify the 4-hour load bank test of the emergency generator had been conducted. | F |
| Full and empty oxygen cylinders were stored together without segregation or physical separation. | D |
Report Facts
Census: 78
Total Capacity: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 15, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00186154.
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 GA00186154 was investigated and found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Jun 27, 2017
Visit Reason
A follow-up visit was conducted to verify correction of deficiencies identified in the prior recertification survey.
Findings
The follow-up survey found that the previously cited deficiencies had been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Jun 27, 2017
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: 79
Capacity: 90
Deficiencies: 1
May 8, 2017
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) standards.
Findings
The facility was found not in substantial compliance due to blocked aisles, passageways, and corridors leading to exits, which were being used as storage, potentially placing 100% of residents at risk in an emergency.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure that all aisles, passageways, and corridors leading to the exit were free of all debris and obstructions. | SS= D |
Report Facts
Census: 79
Total Capacity: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings of blocked exits and storage in aisles during facility tour |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 13, 2017
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate issues identified by GA00172316 and GA00169586.
Findings
The facility was found to be in compliance with Federal and State Long Term Care regulations 42 CFR, Part 483, Subpart B, and no deficiencies were cited.
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