Pruitthealth - Ashburn

In the surveyor’s words

From the most serious findings on record at Pruitthealth - Ashburn, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 6, 2025

  Based on observation, interview, and review of the facility's policy titled, Patients/Resident's Personal Food, the facility failed to label and date food items stored in the nourishment refrigerator. This deficient practice had to the potential to affect all residents who currently resided in the facility.Findings include:Review of the facility's policy titled, Patients/Resident's Personal Food revised 08/12/2024, revealed, It is the policy of [facility name] to allow the patients/resident's family to provide food items for patient/resident consumption. The patient/resident's personal food will be maintained in a clean environment to ensure sanitary storage, appropriate food handling and safe consumption of foods brought into the facility by resident's family and visitors. […]

• No harm, potential for more than minimal, isolatedF880Sep 6, 2025

  Based on observation, interview, record review, and review of the facility's policy titled, Enhanced Barrier Precaution (EBP), the facility failed to ensure staff wore personal protective equipment (PPE) during the provision of care for one of six sampled Residents (R) (R13) observed for medication administration.Findings include:Review of the facility's policy titled, Enhanced Barrier Precaution (EBP) revised 5/27/2025, revealed, It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. […]

• No harm, potential for more than minimal, isolatedF656May 2, 2024

  Based on record review and staff interview, and review of the facility policy titled, Care Plans, the facility failed to develop a care plan to address an anti-platelet medication prescribed for a stroke for one of five Residents (R)19 and failed to implement care plan interventions for one of four residents R55 related to abuse. The sample size was 31 residents. Findings include: Review of the facilities policy titled, Care Plans, dated 7/27/2023 revealed: Baseline Care Plan- Must include the minimum health care information necessary to properly care for each patient/resident immediately upon their admission, which would address patient/resident specific health and safety concerns to prevent decline or injury, and would identify needs for supervision, behavior interventions, and… […]

• No harm, potential for more than minimal, isolatedF849May 2, 2024

  Based on staff interview, record review, and review of the facility policy titled, Physician Narratives, Orders, and Services for Hospice, the facility failed to obtain a physician's order for one of nine residents, resident (R) R19 receiving hospice services. Findings included: Review of facility policy titled, Physician Narratives, Orders, and Services for Hospice dated 11/22/2021 revealed under physician orders: 2. The hospice receives a verbal or written order from a physician to admit the patient to hospice. 5. Documentation of receipt of verbal orders and written orders sent to physician for signature is maintained in the patient's clinical record. Stamped signatures are not accepted. Electronic signatures may be accepted if they meet the criteria established by the MAC. 6. […]

• No harm, potential for more than minimal, isolatedF553Jul 31, 2022

  Based on interviews, record review, and review of facility policy titled Care Plans the facility failed to ensure the family representative for one resident ((R) R#21) of five residents reviewed participated in scheduled care plan meetings. The sample size was 24. Findings include: Review of facility policy titled Care Plans, revised date 7/21/2021, Admission Comprehensive Plan of Care number 7. (fourth bullet point) revealed Care plan meetings should be documented in AHT/LTC using the Multidisciplinary Care Conference User Defined Assessment (UDA) as evidence that the care conference has taken place and occurred with the multidisciplinary team, the patient/resident, and the patient/resident representative. […]