Inspection Reports for Pruitthealth – Swainsboro
856 HIGHWAY 1 SOUTH, GA, 30401
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Deficiencies: 0
Apr 29, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for PRUITTHEALTH - SWAINSBORO, indicating a regulatory inspection was conducted.
Findings
The report contains an initial comment section but does not provide specific findings or deficiencies in the provided page.
Inspection Report
Re-Inspection
Census: 74
Deficiencies: 0
Apr 29, 2025
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the March 6, 2025 recertification survey.
Findings
All deficiencies cited in the prior March 6, 2025 recertification survey were found to be corrected during this revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
Apr 21, 2025
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 of the follow-up survey conducted on April 21, 2025.
Inspection Report
Annual Inspection
Census: 72
Deficiencies: 3
Mar 6, 2025
Visit Reason
A recertification survey was conducted from March 4 through March 6, 2025, including investigation of multiple complaint intake numbers in conjunction with the standard survey.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to assess a resident for safe self-administration of medication and failure to remove expired medication from the medication room, posing risks to resident safety.
Complaint Details
Multiple complaint intake numbers (GA00240893, GA00240823, GA00253084, GA00243851, GA00246113, GA00240893, GA00250047) were investigated in conjunction with the standard survey.
Severity Breakdown
Level D: 2
Level F: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to assess Resident #35 for self-administration of medication, including lack of physician orders and secure medication storage, creating potential for medication errors and unauthorized access. | Level D |
| Failed to remove expired naloxone medication from one of two medication rooms, increasing risk of adverse health outcomes related to narcotic overdose reversal. | Level F |
| Call light not in reach of Resident #72. | Level D |
Report Facts
Facility census: 72
Expired medication count: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| AA | Unit Manager | Confirmed expired naloxone vials in medication room and discussed removal responsibilities. |
| BB | Registered Nurse | Discussed risks of expired medications and confirmed they should not be in medication room. |
| CC | Registered Nurse | Observed and removed unauthorized albuterol syringes from Resident #35's room. |
| Director of Health Services | Director of Health Services | Stated expectations regarding removal of expired medications and risks of expired naloxone. |
Inspection Report
Life Safety
Census: 76
Capacity: 103
Deficiencies: 3
Mar 5, 2025
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 with life safety requirements, including deficiencies in sprinkler system maintenance and testing, corroded sprinkler heads, storage too close to sprinkler heads, and improper use of flex cord as permanent wiring.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Storage was within 18 inches of the sprinkler head in the dining room storage closet. | SS= D |
| Sprinkler heads were corroded in the kitchen wash area and freezer. | SS= D |
| Flex cord was used as permanent wiring for the Informational Technology (IT) Station. | SS= D |
Report Facts
Number of residents affected by storage height issue: 10
Number of residents affected by corroded sprinkler heads: 5
Number of residents affected by use of flex cord as permanent wiring: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour on 3/5/2025. |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 4, 2023
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00235874, #GA00238368, #GA00237194, and #GA00230211.
Findings
The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.
Complaint Details
Complaints #GA00235874, #GA00238368, #GA00237194, and #GA00230211 were investigated and found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Nov 18, 2022
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
Routine
Census: 65
Deficiencies: 0
Oct 6, 2022
Visit Reason
A standard survey was conducted at Pruitthealth - Swainsboro from 10/4/2022 through 10/6/2022. In addition, multiple complaint intake numbers were investigated in conjunction with this standard survey.
Findings
The standard survey revealed that the facility was in compliance with Medicare/Medicaid regulations at 42 Code of Federal Regulations (C.F.R.) Part 483, Subpart B - Requirements for Long Term Care Facilities.
Complaint Details
Multiple complaint intake numbers (GA00217461, GA00227302, GA00226199, GA00218493, and GA00228458) were investigated in conjunction with the standard survey.
Inspection Report
Renewal
Deficiencies: 0
Oct 6, 2022
Visit Reason
The inspection was conducted as a Licensure Survey from 10/4/2022 through 10/6/2022 to assess compliance for facility licensure renewal.
Findings
No deficiencies were cited during the Licensure Survey conducted from 10/4/2022 through 10/6/2022.
Inspection Report
Life Safety
Census: 68
Capacity: 103
Deficiencies: 3
Oct 5, 2022
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 National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found not in substantial compliance with fire safety requirements, with deficiencies including sprinkler pipes supporting non-sprinkler items, damaged receptacle covers in the medical supply room, and small appliances plugged into power strips in the Unit Manager's office.
Severity Breakdown
E: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Sprinkler pipe above front nurse's station is supporting wires and ductwork, which is not part of the sprinkler system. | E |
| Damaged receptacle cover with a portion missing from the corner in the medical supply room. | D |
| Small appliances (mini refrigerator) are plugged into power strips instead of directly into wall outlets in the Unit Manager's office. | D |
Report Facts
Census: 68
Total Capacity: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 8, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00213939.
Findings
The complaint #GA00213939 was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00213939 was investigated and found to be unsubstantiated with no deficiencies cited.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 6, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint numbers GA00213380 and GA00213259.
Findings
Both complaints GA00213380 and GA00213259 were unsubstantiated with no deficiencies identified during the survey.
Complaint Details
Complaints GA00213380 and GA00213259 were investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 14, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00208859 and #GA00207077, along with a COVID-19 Focused Infection Control Survey.
Findings
The complaints were substantiated with no deficiency found. The facility was found to be in compliance with infection control regulations and COVID-19 preparedness requirements.
Complaint Details
Complaints #GA00208859 and #GA00207077 were substantiated with no deficiency.
Inspection Report
Routine
Census: 53
Deficiencies: 0
Aug 26, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted on August 25 - August 26, 2020 by Ascellon on behalf of the Georgia Department of Community Health (DCH).
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 77
Deficiencies: 0
Aug 5, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted to assess 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 and §483.80 infection control regulations and had implemented the CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Census: 69
Deficiencies: 0
Jul 16, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted at Pruitt Health Swainsboro on 7/16/2020 to assess compliance with relevant CMS and CDC regulations.
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, implementing recommended practices to prepare for COVID-19.
Report Facts
Total census: 69
Inspection Report
Follow-Up
Deficiencies: 0
Mar 10, 2020
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 survey tags have been corrected during the follow-up survey.
Inspection Report
Life Safety
Census: 73
Capacity: 103
Deficiencies: 5
Jan 23, 2020
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.
Findings
The facility was found not in substantial compliance with life safety requirements, including failure to maintain hazardous areas, fire alarm system components, smoking regulations, portable space heaters, and oxygen cylinder storage, all posing fire risks to residents and staff.
Severity Breakdown
F: 2
E: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to maintain hazardous area with combustible materials blocking exit door in eye wash station room. | F |
| Fire alarm control panel batteries were not dated as required. | E |
| Failed to maintain smoking regulations; cigarette butts discarded in grassy areas posing fire risk. | E |
| Electrical space heater in dietary manager's office lacked documentation of operating temperature compliance. | E |
| Oxygen cylinder found free standing in PT room restroom, not properly secured or stored. | F |
Report Facts
Census: 73
Total Capacity: 103
Residents at risk: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Follow-Up
Deficiencies: 0
Oct 22, 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 survey tags have been corrected.
Inspection Report
Life Safety
Census: 82
Capacity: 103
Deficiencies: 6
Aug 30, 2018
Visit Reason
The inspection was conducted to assess compliance with emergency preparedness and life safety code requirements, including fire safety and emergency lighting, at PruittHealth Swainsboro.
Findings
The facility was found not in substantial compliance with emergency preparedness requirements and the 2012 NFPA 101 Life Safety Code. Deficiencies included failure to install and maintain emergency lighting, open penetrations in fire barriers, improper wiring on sprinkler systems, and unsealed fire walls, all of which could place residents and staff at risk in the event of a fire or disaster.
Severity Breakdown
SS=F: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Emergency preparedness plan was not in substantial compliance with Appendix Z requirements. | — |
| Failed to install and maintain emergency lighting for means of egress, including no emergency lighting outside two exit doors leading out of the laundry. | SS=F |
| Failed to maintain emergency lighting; emergency light outside exit door to smoking patio did not work when manually manipulated. | SS=F |
| Failed to maintain open penetrations in fire barriers; open penetration located in wheelchair storage room. | SS=F |
| Failed to maintain wiring off of fire sprinkler system; wiring was laying or hanging on sprinkler piping throughout the building. | SS=F |
| Failed to maintain fire walls; all fire walls were not sealed with fire caulking to the upper or lower decking's. | SS=F |
Report Facts
Census: 82
Total Capacity: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during the inspection tour |
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 26, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00187450.
Findings
The complaint was unsubstantiated.
Complaint Details
Complaint #GA00187450 was investigated and found to be unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 21, 2018
Visit Reason
The inspection was conducted as a Complaint Survey from 3/20/18 through 3/21/18 to investigate complaint #GA00186564 and determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint investigation survey.
Complaint Details
Complaint #GA00186564 was investigated and found to have no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 11, 2017
Visit Reason
A follow-up to the Recertification survey of August 7, 2017 was conducted to verify correction of previous deficiencies.
Findings
The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of October 1, 2017.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 5, 2017
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: 152
Capacity: 152
Deficiencies: 6
Aug 14, 2017
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 National Fire Protection Association (NFPA) 101 Life Safety Code standards.
Findings
The facility was found not in substantial compliance with Life Safety Code requirements, including failures to maintain emergency lighting and exit signage, smoke barrier doors not closing completely, uncovered electrical junction boxes in the attic, noncompliance with smoking regulations, and improper outdoor oxygen cylinder storage exposing cylinders to direct sunlight.
Severity Breakdown
D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to maintain two of fourteen emergency light exit sign combination fixtures in operable condition. | D |
| Failed to maintain two of fourteen exit signs in operable condition. | D |
| Failed to maintain smoke compartment doors that were closing completely between two smoke compartments. | D |
| Failed to maintain containment of electrical connections by leaving junction boxes uncovered in the attic. | D |
| Failed to comply with smoking regulations by not providing noncombustible safe design ashtrays or metal trash cans with self-closing covers in the designated smoking patio area. | D |
| Failed to properly store outdoor oxygen cylinders; storage area was not covered and exposed cylinders to direct rays of the sun. | D |
Report Facts
Emergency light exit sign fixtures: 14
Exit signs: 14
Residents and staff at risk: 90
Residents and staff at risk: 50
Residents and staff at risk: 40
Residents at risk: 12
Census: 152
Total capacity: 152
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during the tour and testing of emergency lighting, exit signs, smoke compartment doors, uncovered junction boxes, smoking regulation noncompliance, and oxygen storage issues. |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 0
Apr 15, 2017
Visit Reason
A complaint survey was conducted at Pruitt Swainsboro on April 15, 2017, in response to complaints #GA00169326, GA00168956, and GA00163373.
Findings
The complaints investigated were unsubstantiated and no deficiencies were found during the survey.
Complaint Details
Complaints #GA00169326, GA00168956, and GA00163373 were investigated and found to be unsubstantiated with no deficiencies.
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