Inspection Reports for
Pruitthealth – Lakehaven
410 EAST NORTHSIDE DRIVE, VALDOSTA, GA, 31602
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
83% occupied
Based on a July 2024 inspection.
Occupancy rate over time
Inspection Report
Deficiencies: 2
Date: Aug 7, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care planning and facility sanitation, including dialysis care plans and kitchen cleanliness.
Findings
The facility failed to develop and implement a dialysis care plan for a resident who repeatedly refused dialysis treatments. Additionally, the ice machine in the kitchen was found to be unclean with a buildup of black substance, posing a potential risk to residents.
Deficiencies (2)
F 0656: The facility failed to ensure a dialysis care plan was developed for a resident who repeatedly refused dialysis treatments. The care plan lacked a dialysis focus and interventions for refusals.
F 0812: The facility failed to ensure the ice machine was clean and sanitized, with black substance buildup observed inside the machine. This posed a potential risk to 64 residents receiving an oral diet.
Report Facts
Residents affected: 64
Dialysis frequency: 3
Dialysis refusals: 4
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 4
Date: Jul 3, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to protect a resident from neglect and inadequate respiratory care, including failure to assess and respond to an acute respiratory distress event.
Complaint Details
The complaint investigation was substantiated. The facility failed to protect resident R1 from neglect and inadequate respiratory care during an acute respiratory distress event on 6/2/2024, including failure to assess, intervene, notify, and document, and attempted to cancel a 911 call initiated by the resident.
Findings
The facility failed to protect resident R1 from neglect by not assessing, medicating, or effectively assisting her during an acute respiratory distress event on 6/2/2024. Staff attempted to cancel a 911 call initiated by the resident, did not notify the physician, and failed to document the change in condition. Additionally, the facility failed to develop a person-centered baseline care plan addressing R1's chronic respiratory conditions.
Deficiencies (4)
F 0600: The facility failed to protect resident R1 from abuse and neglect by not assessing her respiratory distress, failing to intervene or document the change in condition, and attempting to cancel a 911 call.
F 0655: The facility failed to develop a person-centered baseline care plan for resident R1 addressing her chronic respiratory complications within 48 hours of admission.
F 0695: The facility failed to provide safe and appropriate respiratory care for resident R1 by not assessing her during an acute change in condition, not notifying the physician, and not documenting the event.
F 0835: The facility administration failed to effectively oversee abuse prevention, respiratory care monitoring, and care planning for resident R1, resulting in serious harm risk.
Report Facts
Facility census: 75
Date of respiratory distress event: Jun 2, 2024
Date of survey completion: Jul 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN QQ | Licensed Practical Nurse | Nurse assigned to resident R1 during respiratory distress event who failed to assess, intervene, document, or notify physician and attempted to cancel 911 call |
| RN VV | Registered Nurse, Charge Nurse ED | Emergency department nurse who received 911 calls and described resident's respiratory distress |
| Paramedic WW | Paramedic | EMS crew member who responded to 911 call and described resident's condition and lack of staff assistance |
| Administrator | Facility Administrator | Facility administrator interviewed regarding knowledge and oversight of incident and policies |
| DHS | Director of Health Services | Facility Director of Health Services interviewed regarding incident awareness and care planning |
| Medical Director | Medical Director | Physician interviewed regarding expectations for resident assessment and notification during respiratory distress |
Inspection Report
Routine
Deficiencies: 6
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, care plan implementation, oxygen therapy, dialysis services, food safety, and infection control at the nursing home.
Findings
The facility was found deficient in multiple areas including unsecured medications at bedside without proper assessment, failure to follow oxygen therapy orders, inadequate communication with dialysis centers, unsanitary kitchen conditions, and improper storage of oxygen therapy equipment increasing infection risk.
Deficiencies (6)
F 0554: The facility failed to ensure two residents had unsecured, unauthorized medications stored at the bedside without assessment for self-administration.
F 0656: The facility failed to implement care plans for two residents receiving oxygen therapy, specifically not following prescribed oxygen flow rates.
F 0695: The facility failed to ensure one resident had a physician's order for continuous oxygen use and failed to administer oxygen at prescribed rates for two residents.
F 0698: The facility failed to maintain ongoing communication and collaboration with the dialysis center for one resident receiving dialysis.
F 0812: The facility failed to maintain the main kitchen in a clean and sanitary condition, including the oven, ice machine, cooler racks, and steam table, potentially affecting 75 residents.
F 0880: The facility failed to store oxygen therapy equipment in a sanitary manner for three residents, increasing the risk of respiratory infection.
Report Facts
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 75
Residents affected: 3
Dialysis communication sheets completed: 17
Dialysis visits: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| JJ | Unit Manager | Confirmed medications at bedside and oxygen flow rate discrepancies; reported expectations for CPAP and BiPAP equipment storage |
| GG | Licensed Practical Nurse (LPN) | Reported being unaware of medications at residents' bedside during shift |
| Director of Nursing | Director of Nursing (DON) | Confirmed residents were not assessed for medication self-administration; reported staff expectations for medication monitoring and oxygen equipment cleaning |
| Dietary Manager | Dietary Manager | Confirmed unsanitary kitchen conditions and lack of cleaning documentation |
| MDS Coordinator | Minimum Data Set Coordinator | Reported expectations that care plan interventions are followed for oxygen therapy |
Inspection Report
Routine
Deficiencies: 7
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, care plan implementation, oxygen therapy, dialysis services, food safety, medical record documentation, and infection control in a nursing home facility.
Findings
The facility was found deficient in multiple areas including unsecured medications at residents' bedsides without proper assessment, failure to follow oxygen therapy orders, inadequate communication with dialysis centers, unsanitary kitchen conditions, incomplete documentation of resident care, and improper storage of respiratory therapy equipment increasing infection risk.
Deficiencies (7)
F 0554: The facility failed to ensure two residents had unsecured, unauthorized medications stored at the bedside without proper assessment for self-administration.
F 0656: The facility failed to implement care plans for two residents receiving oxygen therapy, specifically not following prescribed oxygen flow rates.
F 0695: The facility failed to ensure one resident had a physician's order for continuous oxygen use and failed to administer oxygen at prescribed rates for two residents.
F 0698: The facility failed to maintain ongoing communication and collaboration with the dialysis center for one resident receiving dialysis.
F 0812: The facility failed to maintain the main kitchen in a clean and sanitary condition, including dirty ovens, ice machine, steam table, and walk-in cooler shelves.
F 0842: The facility failed to provide complete and accurate medical records documenting Activities of Daily Living care for one resident, with multiple days of missing shower documentation.
F 0880: The facility failed to store oxygen therapy equipment in a sanitary manner for three residents, increasing the risk of respiratory infection.
Report Facts
Dialysis Communication Sheets completed: 17
Dialysis visits: 23
Missed shower/bath days: 93
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 75
Residents affected: 1
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| JJ | Unit Manager | Confirmed medication storage issues and oxygen therapy observations |
| GG | Licensed Practical Nurse (LPN) | Reported unawareness of medications stored at residents' bedside |
| AA | Certified Nursing Assistant (CNA) | Discussed documentation practices for bed bath/shower care |
| Director of Nursing (DON) | Confirmed deficiencies related to medication storage, oxygen therapy, dialysis communication, ADL documentation, and infection control | |
| Dietary Manager | Confirmed unsanitary kitchen conditions and cleaning form deficiencies | |
| Administrator | Stated expectation for kitchen cleanliness and sanitation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 27, 2022
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely follow a Nurse Practitioner's telephone order to collect a urine specimen for a urinalysis for one resident.
Complaint Details
The complaint investigation involved one resident (R130) in a sample of 24 residents reviewed. The failure to collect the urine specimen was substantiated. The Director of Nursing confirmed the nursing staff did not follow policy regarding specimen collection or notification within 24 hours.
Findings
The facility failed to collect a urine specimen for resident R130 as ordered, and the order was discontinued without collection. The nursing staff did not follow the facility's policy to collect the specimen within 24 hours or notify the Nurse Practitioner of the inability to obtain the specimen.
Deficiencies (1)
F 0773: The facility failed to provide or obtain laboratory tests/services when ordered and promptly inform the ordering practitioner of the results. Specifically, a urine specimen was not collected for resident R130 despite a telephone order, and the order was discontinued without collection.
Report Facts
Residents reviewed: 24
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Nov 26, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00200774 and GA00200981.
Complaint Details
Complaint GA00200981 was unsubstantiated. Complaint GA00200774 was partially substantiated.
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.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Aug 1, 2019
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00197766.
Complaint Details
Complaint GA00197766 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
Re-Inspection
Deficiencies: 0
Date: 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
Date: 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
Date: Jan 7, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00193728.
Complaint Details
Complaint GA00193728 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 5, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00189872.
Complaint Details
The complaint was partially substantiated but no health deficiencies were cited.
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.
Inspection Report
Re-Inspection
Census: 87
Deficiencies: 0
Date: 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
Date: 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
Date: 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.
Deficiencies (4)
Emergency lighting was not provided at the kitchen exit discharge.
Sprinkler heads were discolored, corroded, and painted in multiple areas including electrical/boiler room, kitchen office, patient restrooms, and kitchen dish wash room.
No documentation was provided to verify the 4-hour load bank test of the emergency generator had been conducted.
Full and empty oxygen cylinders were stored together without segregation or physical separation.
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
Date: Mar 15, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00186154.
Complaint Details
Complaint GA00186154 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: 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
Date: 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
Date: 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.
Deficiencies (1)
Facility failed to ensure that all aisles, passageways, and corridors leading to the exit were free of all debris and obstructions.
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
Date: 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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