Inspection Reports for Pruitthealth – Lanier

This document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - LANIER, indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.

The report contains initial comments but does not provide detailed findings or deficiencies within the provided page.

A health revisit survey was conducted from June 23, 2025, through June 25, 2025, at Pruitthealth-Lanier to verify correction of deficiencies cited in the Recertification in conjunction with a Complaint Investigation survey concluded on May 9, 2025.

All deficiencies cited as a result of the Recertification and Complaint Investigation survey were found to be corrected.

The revisit survey was conducted following a Complaint Investigation survey concluded on May 9, 2025.

The inspection was a State Licensure survey conducted from May 6, 2025 through May 9, 2025, to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including improper preparation of pureed foods by dietary staff, failure to keep call lights within reach for residents, inadequate provision of Activities of Daily Living such as nail care, and unsafe water temperatures in resident rooms exceeding the recommended maximum.

A recertification survey was conducted at Pruitthealth-Lanier from May 6, 2025 through May 9, 2025, including investigation of two complaint intake numbers which were found unsubstantiated.

The survey revealed multiple deficiencies including failure to keep call lights within reach for residents, delayed transmission and inaccuracies in Minimum Data Set (MDS) assessments, failure to provide nail care, failure to follow behavior monitoring orders, unsafe water temperatures in resident rooms, improper preparation of pureed foods, and missing privacy curtains compromising resident privacy.

Complaint Intake Numbers GA00254720 and GA00254917 were investigated and found unsubstantiated.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found in substantial compliance with the Emergency Preparedness Program requirements and Life Safety Code standards.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints against the facility.

Complaints GA00254433 and GA00253360 were substantiated, while complaints GA00253651, GA00249561, and GA00248042 were unsubstantiated. No deficiencies were cited related to any of the complaints.

Complaints GA00254433 and GA00253360 were substantiated; complaints GA00253651, GA00249561, and GA00248042 were unsubstantiated.

The document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - LANIER, indicating a regulatory inspection was conducted.

The report contains an initial comment section but does not provide specific findings or deficiencies in the provided page.

A health revisit survey was conducted to verify correction of deficiencies cited as a result of a prior Complaint Investigation and a Focused COVID-19 Survey concluded on June 19, 2024.

All deficiencies cited in the previous Complaint Investigation and Focused COVID-19 Survey were found to be corrected during this revisit survey.

The revisit survey was conducted following a Complaint Investigation; all cited deficiencies were corrected.

The inspection was a State Licensure survey conducted from June 17, 2024 through June 19, 2024 to determine compliance with State Long Term Care Requirements.

The facility was found deficient in infection control practices related to Enhanced Barrier Precautions for one resident, and failed to maintain a clean and homelike environment in 12 of 49 resident rooms, potentially placing residents at risk for infection and diminished quality of life.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint allegations and concerns at PRUITTHEALTH - LANIER.

The survey found deficiencies related to maintaining a clean and homelike environment in 12 resident rooms, delays and procedural errors in medication administration for two residents, and failure to follow infection control practices during care and medication administration for one resident on Enhanced Barrier Precautions.

The survey investigated multiple complaint allegations identified by various GA complaint numbers. Some complaints were unsubstantiated, some substantiated with no deficiencies, and others substantiated with deficiencies.

The document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - LANIER, indicating a regulatory inspection was conducted.

No specific deficiencies or findings are detailed in the provided document.

A revisit was conducted at Pruitthealth Lanier on 7/5/2023 to verify correction of deficiencies cited during the recertification survey.

All deficiencies cited as a result of the recertification survey were found to be corrected as of 6/20/2023.

A revisit survey was conducted from 5/23/2023 through 5/25/2023 to investigate multiple complaint intake numbers and to verify correction of deficiencies cited in the 3/30/2023 Recertification and Complaint Survey.

All deficiencies cited in the 3/30/2023 Recertification and Complaint Survey were found to be corrected. Three complaint intake numbers were unsubstantiated, while one complaint intake number was substantiated with a deficiency cited.

Complaint Intake Numbers GA00235170, GA00235070, GA00235424, and GA00234872 were investigated. GA00235070, GA00235424, and GA00234872 were unsubstantiated. GA00235170 was substantiated with deficiency cited.

The inspection was conducted as a Licensure Survey from 5/23/2023 through 5/25/2023 to assess compliance for facility licensure renewal.

No deficiencies were identified during the Licensure Survey conducted from 5/23/2023 through 5/25/2023.

A revisit survey was conducted from 5/23/2023 through 5/25/2023, including investigation of multiple complaint intake numbers. The visit was to verify correction of previous deficiencies and investigate complaints related to dialysis transportation services.

The facility failed to ensure consistent transportation services for one resident requiring dialysis, resulting in multiple missed dialysis appointments and subsequent hospitalization due to systemic swelling/edema. The facility has a van and designated drivers but transportation issues persisted, impacting resident care.

Complaint Intake Numbers GA00235170, GA00235070, GA00235424, and GA00234872 were investigated. GA00235070, GA00235424, and GA00234872 were unsubstantiated. GA00235170 was substantiated with deficiency cited.

A Life Safety Code (LSC) revisit was conducted to verify correction of previously cited LSC deficiencies.

The revisit found that all previously cited Life Safety Code deficiencies had been corrected.

A recertification survey was conducted from March 28 through March 30, 2023, including investigation of multiple complaint intake numbers in conjunction with the standard survey.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to assess resident for self-administration of medications, failure to provide showers per resident preference, failure to apply ordered splints, failure to change oxygen tubing as ordered, failure to secure medication carts, failure to maintain kitchen cleanliness, and unsafe handrails with sharp edges.

Multiple complaint intake numbers were investigated in conjunction with the standard recertification survey.

The Life Safety Code survey was conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code 2012 edition standards.

The facility was found not in substantial compliance due to failure to seal above ceiling penetrations at smoke compartments in the 200 and 300 Hallways, potentially placing 30 residents at risk of smoke spreading between compartments.

The inspection was a State Licensure survey conducted from March 28, 2023 through March 30, 2023 to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including failure to provide showers according to resident preferences, unsecured medication carts, failure to assess resident ability to self-administer medications, unsafe physical plant conditions such as cracked and jagged handrails, and inadequate cleaning and sanitation of the main kitchen.

The document is a statement of deficiencies and plan of correction for PRUITTHEALTH - LANIER, indicating a regulatory inspection was conducted.

The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited in the 10/01/2021 Recertification Survey and to investigate Complaint Intake Number GA00218744.

All deficiencies cited in the prior recertification survey were found to be corrected. The complaint investigation was unsubstantiated with no deficiencies cited.

Complaint Intake Number GA00218744 was investigated and found to be unsubstantiated with no deficiencies cited.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00218744.

The complaint was unsubstantiated and no deficiencies were cited during the survey.

Complaint #GA00218744 was investigated and found to be unsubstantiated with no deficiencies cited.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and related fire safety standards.

The facility was found to be in compliance with the requirements set forth in 42 CFR Subpart 483.90(a) and the NFPA 101 Life Safety Code 2012 edition. The Emergency Preparedness Program was also reviewed and found compliant with 42 CFR & 483.73.

A licensure survey was conducted from 9/28/21 through 10/1/21 to assess compliance with regulatory requirements for the facility.

The facility failed to implement the comprehensive care plan related to ongoing communication and collaboration with the dialysis facility for one resident requiring dialysis, specifically regarding completion and transmission of dialysis communication sheets.

A Recertification Survey and Complaint/Abbreviated Survey was conducted on behalf of the Georgia Department of Community Health from 9/28/21 through 10/1/21, including substantiated complaint investigations with no citation.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to failure to implement comprehensive care plans and dialysis care communication for one resident, and food safety violations including improper labeling, storage, and discarding of food items.

Complaint Investigations GA00213382 and GA00217319 were substantiated with no citation.

The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.

The report contains initial comments but does not provide specific findings or deficiencies.

A revisit survey was conducted to verify correction of deficiencies cited during the complaint survey conducted on January 29, 2021.

All deficiencies cited as a result of the complaint survey were found to be corrected during this revisit survey.

The revisit survey was conducted following a complaint survey on January 29, 2021; all prior deficiencies were corrected.

A COVID-19 Focused Infection Control Survey was conducted in conjunction with a complaint survey investigating multiple complaint numbers from March 8, 2021 through March 11, 2021.

Complaints GA00206826, GA00207447, GA00209183, GA00210373, GA00211694 were unsubstantiated with no deficiencies cited. Complaint GA00207581 was substantiated with no regulatory violations. The facility was found to be in compliance with infection control regulations and implemented recommended COVID-19 practices.

Complaints GA00206826, GA00207447, GA00207581, GA00209183, GA00210373, GA00211694 were investigated. Five complaints were unsubstantiated with no deficiencies cited. One complaint was substantiated with no regulatory violations.

The inspection was conducted as a complaint investigation regarding the facility's failure to promptly notify the responsible party and physician of a resident's fall.

The facility failed to notify the responsible party and physician of a fall for one resident, resulting in a three-day delay in treatment and actual harm including a right femur/hip fracture requiring hospitalization and surgery. The investigation revealed deficiencies in fall reporting and communication protocols.

The complaint investigation concluded that the facility did not notify the responsible party or physician of a fall on 4/4/2020 for resident #4, resulting in delayed treatment and injury. The facility nurse responsible was terminated for failure to complete a fall report and notify appropriate parties. The incident was reported to the State Survey Agency on 4/8/2020.

An Abbreviated/Partial Extended Survey was conducted from 1/25/2021 to 1/29/2021 to investigate multiple complaints regarding the facility, including allegations of failure to notify responsible parties and physicians of a resident fall resulting in injury.

The facility failed to notify the responsible party and physician of a resident fall on 4/4/2020, resulting in a delay in treatment of three days for a right femur/hip fracture. The resident was found on the floor, assisted back to bed without documented assessment or timely reporting. The nurse responsible was terminated for failure to complete the occurrence report. Deficiencies were cited related to notification of changes, provision of services meeting professional standards, and accident prevention.

The investigation was initiated due to multiple complaints (GA00203437, GA00205239, GA00205527, GA00206105, GA00206223). Complaints GA00205527 was unsubstantiated; GA00206105, GA00203437, and GA00206223 were substantiated with no deficiencies cited. GA00205239 was substantiated with deficiencies cited related to failure to notify and assess a resident fall resulting in actual harm.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00208783.

The complaint was substantiated but no regulatory violations were found during the survey.

Complaint # GA00208783 was substantiated without regulatory violations.

An Abbreviated/Partial Extended Survey was conducted to investigate four complaints identified by numbers GA00198865, GA00199830, GA00200179, and GA00204286.

Three complaints (GA00199830, GA00200179, and GA00204286) were unsubstantiated with no regulatory violations cited. One complaint (GA00198865) was substantiated but no regulatory violations were cited.

Complaint #GA00198865 was substantiated; complaints #GA00199830, GA00200179, and GA00204286 were unsubstantiated.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.

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.

A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted at PruittHealth-Lanier on July 6, 2020.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.

An abbreviated survey was conducted to investigate multiple complaint allegations identified by codes GA00196809, GA00196786, GA00197142, GA00196317, and GA00198071.

One complaint (GA00198071) was substantiated with no deficiencies found, while all other complaints were unsubstantiated but deficiencies were cited.

The survey investigated five complaints; one was substantiated with no deficiencies, and the others were unsubstantiated but deficiencies were noted.

A complaint survey was conducted on 3/27/19 to investigate complaint GA00195327 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint investigation survey.

Complaint GA00195327 was investigated and no deficiencies were found, indicating compliance with applicable requirements.

This document is a Statement of Deficiencies and Plan of Correction for PruittHealth - Lanier, related to regulatory compliance following an inspection.

The document contains no detailed deficiencies or findings; it primarily serves as a form for reporting deficiencies and the provider's plan of correction.

A standard survey was conducted at Pruitthealth - Lanier from 10/8/18 through 10/11/18 to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to keep a resident's call light within reach and failure to develop and provide a baseline care plan within 48 hours for a newly admitted resident.

The inspection was conducted as part of the annual survey to assess compliance with medical, dental, and nursing care regulations at PRUITTHEALTH - LANIER.

The facility failed to ensure that a resident's call light was kept within reach as required by the care plan, resulting in the resident being unable to alert staff for assistance on multiple occasions. The Director of Nursing confirmed the call light was not accessible and no policy for call light placement was provided at the time of the survey.

The visit was conducted as a Life Safety Code Survey to assess compliance with Medicare/Medicaid participation requirements and the National Fire Protection Association (NFPA) Life Safety Code standards.

The facility was found to be in substantial compliance with the Life Safety Code requirements, including emergency preparedness and fire safety standards.

A complaint survey was conducted on 2018-09-11 and 2018-09-12 to investigate multiple complaints identified by their numbers.

The investigation determined compliance with Federal and State Long Term Care Requirements, and no deficiencies were cited.

Complaints #GA00189215, GA00189413, GA00190488, and GA00191211 were investigated and found to be unsubstantiated as no deficiencies were cited.

A complaint survey was conducted to investigate complaint #GA00188520 and GA00188772 to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

Complaint investigation for complaints #GA00188520 and GA00188772; no deficiencies found.

A complaint survey was conducted to investigate complaint #GA00186417 and GA00187326 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

Complaint survey conducted for complaints #GA00186417 and GA00187326; no deficiencies were found.

A complaint survey was conducted to investigate complaint #GA00186780 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint investigation survey.

Complaint #GA00186780 was investigated and found to have no deficiencies.

A complaint survey was conducted on 3/5/18 to investigate complaint GA00185495 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiency was cited during the complaint investigation survey.

Complaint GA00185495 was investigated and no deficiency was found.

A revisit to the Complaint survey of 12/7/17 was conducted to verify correction of previous deficiencies.

All deficiencies identified in the prior complaint survey were corrected as of 1/27/18, and the facility was in substantial compliance as of the Federal Monitoring visit on 12/13/18.

This was a follow-up visit to a complaint survey conducted on 12/7/17 to verify correction of deficiencies.

A revisit to the Federal Monitoring survey of 12/13/17 was conducted to verify correction of previously cited deficiencies.

All deficiencies cited in the prior survey were corrected, and the facility was found to be in substantial compliance as of 2/8/18.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during this follow-up visit.

A Life Safety Code Comparative Federal Monitoring Survey was conducted by CMS following a state survey to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and related NFPA codes.

The facility was found not in substantial compliance due to deficiencies in the maintenance of the automatic sprinkler system and the smoke barrier fire resistance. Specifically, a metal HVAC duct obstructed a sprinkler's spray pattern, and a smoke barrier wall near rooms 203/204 had unsealed penetrations around wires.

A Federal Monitoring survey was conducted to assess compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B, Requirements for Long Term Care facilities.

The facility was found not in substantial compliance due to multiple deficiencies including failure to provide a bed accommodating a resident's height, failure to ensure privacy during care, failure to conduct a significant change assessment, inadequate pressure ulcer treatment documentation, food safety violations, and lack of full visual privacy in resident rooms.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 Edition.

The facility was found in substantial compliance with the Life Safety Code requirements for participation in Medicare/Medicaid.

A Standard Survey was conducted at Pruitt Health Lanier Buford, Georgia from October 30th 2017 to November 2, 2017 to assess compliance with Medicare/Medicaid regulations.

The Standard Survey revealed the facility was in substantial compliance with Medicare/Medicaid regulations (C.F.R.) Part 483, Subpart B-Requirements for Long Term Care Facilities.

The inspection was conducted to investigate complaint #GA00177391 to determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey.

Complaint #GA00177391 was investigated and found to have no deficiencies.

A revisit survey was conducted to investigate the plan of correction (POC) of complaint #GA00174634 with entrance and conclusion on 7/21/2017.

The facility was found to be in substantial compliance with Medicare/Medicaid regulations. Licensed nurses were educated and monitored on administering tube feedings and hydration per physician orders, with ongoing quality assurance measures in place.

The revisit survey was conducted to investigate the plan of correction for complaint #GA00174634.

An abbreviated survey was conducted to investigate complaint #GA00174634 with entrance on 5/5/17 and concluded on 5/11/17 regarding failure to provide enteral feeding and water flushes to a resident with a gastric feeding tube.

The facility failed to maintain professional nursing standards by not ensuring that enteral feeding and water flushes were given as ordered to one resident, resulting in severe dehydration, altered mental status, urinary tract infection, and hospitalization. Multiple missing documentation and missed treatments were confirmed by staff interviews and record reviews.

Complaint #GA00174634 was substantiated. Actual harm was identified when a resident admitted with a gastric feeding tube was transferred to the hospital for severe dehydration, altered mental status, and urinary tract infection due to missed enteral feeding and water flushes. Multiple missing signatures on Medication Administration Records were noted. Staff interviews confirmed missed treatments and inadequate documentation.

An unannounced abbreviated survey was conducted to investigate complaint GA00173552 at PruittHealth - Lanier.

The facility was found to be in substantial compliance with 42 CFR, Part 483, Subpart B, Requirements for long term care facilities.

Investigation of complaint GA00173552; facility found in substantial compliance.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up visit.