Inspection Reports for Pruitthealth – Toccoa

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

Complaints GA00255183, GA00254808, GA00253763, and GA00253760 were substantiated, while complaints GA00255108 and GA00253822 were unsubstantiated. No deficiencies were cited related to any of the complaints.

Complaints GA00255183, GA00254808, GA00253763, and GA00253760 were substantiated. Complaints GA00255108 and GA00253822 were unsubstantiated. No deficiencies were cited for any complaints.

An Abbreviated Partial/Extended Survey was conducted to investigate complaints GA00250013 and GA00245056.

No deficiencies were cited for the complaints investigated, and the complaints were found to be unsubstantiated.

Complaints GA00250013 and GA00245056 were investigated and found to be unsubstantiated.

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

The report contains initial comments but does not provide specific details on deficiencies or findings within the visible content.

A Revisit Survey was conducted to verify correction of deficiencies cited during the 3/21/2024 Recertification Survey.

All deficiencies cited in the prior 3/21/2024 Recertification Survey were found to be corrected during this revisit survey.

The inspection was a State Licensure survey conducted to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including dietary service preparation, medication management and administration, infection control, care plan adherence for assistance with ADLs, safety hazards in resident rooms, physical plant standards related to food storage and sanitation, and call light functionality.

A standard survey was conducted from March 19, 2024 through March 21, 2024, including investigation of Complaint Intake Number GA00244527, which was unsubstantiated.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including unsafe environment due to damaged bathroom door, failure to follow care plans for assistance with showers and ADLs, medication storage and administration issues, improper food preparation and storage, infection control lapses, and a nonfunctional resident call light system.

Complaint Intake Number GA00244527 was investigated in conjunction with the standard survey and was found to be unsubstantiated.

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

The facility was found to be in substantial compliance with the Life Safety Code requirements and the Emergency Preparedness Program was also in substantial compliance with regulatory requirements.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint allegations identified by codes GA00242119, GA00241617, GA00238892, GA00238830, GA00238599, and GA00238216.

No deficiencies were cited related to the complaints investigated during this survey.

The survey investigated complaints GA00242119, GA00241617, GA00238892, GA00238830, GA00238599, and GA00238216. No deficiencies were found related to these complaints.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00241936.

No deficiencies were cited related to complaint #GA00241936 during the survey.

Investigation of complaint #GA00241936; no deficiencies were found related to the complaint.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00240111.

The complaint was substantiated but no deficiencies were cited during the survey.

Complaint #GA00240111 was substantiated with no deficiencies cited.

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 standard survey conducted on January 26, 2023.

All deficiencies cited in the prior standard survey were found to be corrected during the revisit survey.

The inspection was a Licensure Survey conducted from January 24, 2023 through January 26, 2023 to assess compliance with licensure requirements and facility regulations.

The facility failed to provide required RN coverage for at least eight consecutive hours on two days, failed to secure medication and treatment carts properly, had missing controlled substance count signatures, failed to maintain effective infection control practices including PPE use and hand hygiene, improperly stored CPAP equipment, failed to conduct pre and post dialysis assessments and maintain communication with the dialysis center, and did not maintain a clean and homelike environment in multiple resident rooms with clogged sinks, dust buildup, and dirty air conditioner/heater units.

A recertification survey was conducted from January 24 through January 26, 2023, including investigation of multiple complaint intakes, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with regulations, with deficiencies including failure to maintain a clean environment, neglect in responding to a resident's call light, delayed reporting of resident-to-resident abuse, incomplete dialysis assessments and communication, lack of required RN coverage, unsecured medication and treatment carts, failure to count narcotics properly, and infection control lapses including improper PPE use and wound care.

The survey included investigation of complaint intake numbers GA00219548, GA00220424, GA00220547, GA00223891, and GA00228630. Findings included substantiated neglect related to call light response, delayed reporting of resident abuse, and infection control failures.

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 to be in compliance with the Emergency Preparedness Program requirements and Life Safety Code standards at the time of the survey.

A revisit survey was conducted to verify correction of deficiencies cited during the complaint survey conducted on September 2, 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 September 2, 2021. All cited deficiencies were corrected.

A Complaint/Abbreviated Survey was conducted on behalf of the Georgia Department of Community Health from 8/31/21 through 9/2/21 to investigate multiple complaint investigations regarding alleged abuse and neglect at PruittHealth - Toccoa.

The facility was found not in substantial compliance with Medicare/Medicaid regulations due to failure to protect a resident (R#3) from physical and verbal abuse by a Licensed Practical Nurse (LPN CC) on 6/15/21. The facility also failed to immediately report the abuse incident to the Administrator and other officials as required. The investigation concluded no abuse occurred, but the survey found otherwise and cited the facility.

Multiple complaint investigations were conducted; some were substantiated with citations (GA00216523 and GA00216506), others were substantiated with no citations or unsubstantiated. The abuse incident involving R#3 was substantiated and cited.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00212248.

The complaint #GA00212248 was unsubstantiated with no regulatory violations found during the survey.

Complaint #GA00212248 was investigated and found to be unsubstantiated with no regulatory violations.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00208790.

The complaint GA00208790 was unsubstantiated and no deficiencies were cited during the survey.

Complaint GA00208790 was investigated and found to be unsubstantiated with no deficiencies cited.

An abbreviated/partial extended survey was conducted to investigate complaints #GA00204740 and GA00204278 at Pruitthealth Toccoa Nursing Home.

The complaints were found to be unsubstantiated and no regulatory violations were cited during the investigation.

Complaints #GA00204740 and GA00204278 were investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the July 17, 2020 COVID-19 Infection Control Focus Survey.

All deficiencies cited in the prior COVID-19 Infection Control Focus Survey were found to be corrected during this revisit survey.

A COVID-19 Focused Infection Control Survey was initiated on August 24, 2020 by Healthcare Management Solutions, LLC on behalf of the Georgia Department of Community Health (DCH). The survey was scheduled as a CMS Strike Team survey for the week and was determinated.

The document provides initial comments about the COVID-19 focused infection control survey initiation and scheduling. No specific findings or deficiencies are detailed in the provided page.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted on August 4, 2020, by Healthcare Management Solutions, LLC on behalf of the Georgia Department of Community Health.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and infection control. No deficiencies were cited as a result of this survey.

A COVID-19 Focused Infection Control Survey was conducted on July 16 and 17, 2020 to assess the facility's compliance with infection control regulations related to COVID-19.

The facility was found not in substantial compliance with infection control regulations due to failure to ensure a resident (Resident #4) wore a mask during transport outside the isolation unit, contrary to facility policy. The resident was transported in a shower chair without a mask in an area with other residents and staff present.

A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted by the Centers for Medicare & Medicaid Services (CMS) to assess compliance with emergency preparedness and infection control regulations related to COVID-19.

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 CMS and CDC recommended practices to prepare for COVID-19.

An abbreviated/partial extended survey was conducted to investigate complaints GA00202407, GA00201172, and GA00200691.

The complaints were found to be unsubstantiated and no regulatory violations were cited during the survey.

The complaints investigated were unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the standard survey conducted in July 2019.

The revisit survey found that all previously cited deficiencies were corrected and the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B.

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

The Emergency Preparedness plan for Pruitt Health - Toccoa was reviewed and found to be in substantial compliance with the requirements set forth in Appendix Z. All previously cited deficiencies have been corrected.

Routine inspection to assess compliance with healthcare facility regulations including dietary services, infection control, nursing care, and other resident care standards.

The inspection identified multiple deficiencies including lack of a qualified dietitian providing required hours, failure to properly clean blood glucose monitoring equipment, failure to implement care plans for nail care, failure to follow physician orders regarding adaptive eating devices, failure to secure urinary catheters properly, and inadequate communication with dialysis providers.

A standard survey was conducted from 7/15/19 to 7/19/19, including investigation of multiple complaints, to assess compliance with Medicare/Medicaid regulations for Long Term Care Facilities.

The facility was found not in substantial compliance with multiple regulatory requirements including failure to obtain required physician signatures on DNR orders, failure to implement care plans for dependent residents, failure to follow physician orders for adaptive devices, failure to secure urinary catheters properly, failure to communicate with dialysis centers, lack of qualified dietary staff, and improper infection control practices related to blood glucose monitoring.

Complaint investigations #GA00197522, #GA00194057, #GA00192187, and #GA00194367 were included in the survey.

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) standards.

The facility was found not in substantial compliance with fire safety requirements, including failure to maintain the kitchen hood extinguishing system, fire alarm system batteries, fire sprinkler system maintenance, and improper storage of oxygen cylinders. These deficiencies could place residents and staff at risk in the event of a fire.

An abbreviated/partial extended survey was conducted to investigate complaints GA00191951, GA00191945, GA00191857, and GA00190800.

The complaint investigation was concluded and found to be not substantiated.

The complaint investigation was not substantiated.

A revisit survey was conducted from October 9, 2018 to October 11, 2018 to verify correction of deficiencies cited during the complaint investigation survey completed on July 16, 2018 to July 24, 2018.

All deficiencies cited during the prior complaint investigation survey were found to be corrected.

An Abbreviated Survey investigating complaint intake GA00189372 was initiated on July 16, 2018 and concluded on July 24, 2018. The complaint was substantiated and it was determined that the facility was not in substantial compliance with Medicare/Medicaid regulations related to scabies treatment and infection control.

The facility failed to revise care plans and document treatment and follow-up assessments for residents treated for scabies. The facility failed to follow physician orders for scabies treatment, including timely administration and documentation of Permethrine 5% Cream. Infection control practices were inadequate, including lack of isolation signage, incomplete cleaning checklists, and failure to track and report infections and antibiotic use. The facility also failed to maintain an effective Quality Assurance program to address the scabies outbreak and infection control deficiencies.

Complaint intake GA00189372 was substantiated related to scabies treatment and infection control deficiencies.

Routine inspection of PruittHealth - Toccoa nursing facility to assess infection control practices, treatment of scabies outbreaks, and compliance with medical record documentation requirements.

The facility failed to properly post isolation signage for residents on transmission-based precautions, inadequately tracked and documented infections and antibiotic use, and did not fully implement infection control policies. There was a significant scabies outbreak with inadequate treatment documentation, delayed medication administration, and incomplete care plans. The facility also failed to report the outbreak to public health authorities and did not maintain complete medical records for residents treated for scabies.

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

The surveyor noted that all previously cited survey tags have been corrected.

A standard survey was conducted at PuittHealth - Toccoa from May 7, 2018 through May 10, 2018 to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The standard survey revealed that the facility was in substantial compliance with the Healthcare Portion of the Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B.

A Life Safety Code Survey was conducted to assess compliance with fire safety requirements for participation in Medicare/Medicaid at Pruitt Health-Toccoa.

The facility was found not in substantial compliance due to the absence of a fire alarm strobe in the staff/public restroom by the main entrance, as confirmed by staff during the inspection.

An unannounced abbreviated survey was conducted on 4/3/18 by a Licensed Practical Nurse following an anonymous complaint.

The survey was completed on the same day with a phone call made to the Ombudsmen and a voicemail left. No specific deficiencies or findings are detailed in the report.

The complaint was anonymous; no substantiation status is provided.

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

The survey noted that all previously cited deficiencies had been corrected.

A follow-up visit was conducted to the recertification survey to verify correction of previous deficiencies.

The deficiencies identified in the prior recertification survey were corrected at the time of the follow-up visit.

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.

The facility was found not in substantial compliance with fire safety requirements, including issues with sprinkler system maintenance, corridor door smoke resistance and latching, and improper sealing of smoke barriers with flammable foam. These deficiencies posed risks to staff and residents in the event of a fire.