PruittHealth - Augusta

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 26, 2025

  Based on staff interviews, record review, and review of the facility's policy titled Freedom from Patient Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Property Mission Statement, the facility failed to protect the residents' right to be free from physical and sexual abuse by other residents for two of two residents (R) (R96 and R92) reviewed for abuse out of a total of 31 sampled residents. Actual harm occurred when R96 was physically abused by R64, resulting in R96 receiving a fractured clavicle and head laceration. Additionally, R92 was sexually abused by R93. […]

• Actual harm, isolatedF686Jun 26, 2025

  Based on observation, staff interviews, record review, and review of the facility's policy titled Pressure Injury Prevention Program, the facility failed to monitor for changes and intervene when a pressure ulcer worsened for one of six residents (R) (R9) reviewed for pressure ulcers out of a total sample of 33. R9 was first identified with a pressure ulcer on 3/21/2025. There was no documented monitoring of the pressure ulcer from 3/21/2025 until 3/31/2025, when the pressure ulcer was noted to have worsened from excoriation to an unstageable pressure ulcer requiring debridement. This caused R9 actual harm when she was subsequently found to have a wound infection and osteomyelitis (infection in the bone). […]

• No harm, potential for more than minimal, widespreadF727Jun 26, 2025

  Based on record review and staff interviews, the facility failed to ensure that a Registered Nurse (RN) was on duty for at least eight consecutive hours a day, seven days a week. The failure created the potential for a negative impact on residents' quality of care and had the potential to affect 84 of 84 residents who resided at the facility. Findings include: Review of the Payroll Based Journal (PBJ) report, submitted by the facility, noted four days of non-coverage of Registered Nurses during the second quarter of 2025. The dates were identified as 2/8/2025 (Saturday), 2/9/2025 (Sunday), 3/15/2025 (Saturday), and 3/16/2025 (Sunday). Review of the staffing records, provided by the Staffing Coordinator (SC), revealed there was no RN coverage on the four identified dates as required. […]

• No harm, potential for more than minimal, widespreadF881Jun 26, 2025

  Based on staff interviews, record review, and review of the facility's policy titled Infection Prevention and Control Plan, the facility failed to have an effective antibiotic stewardship program. This had the potential to result in residents receiving unnecessary antibiotics, increase the risk of multi-drug-resistant organisms (MDROs), and could adversely affect 84 of 84 residents who resided at the facility Findings include: Review of the facility's policy titled Infection Prevention and Control Plan, revised 6/21/2024, revealed the Facility Administrator and Director of Health Service are responsible for supporting the Infection Preventionist . […]

• No harm, potential for more than minimal, widespreadF880Aug 12, 2022

  Based on observations, interviews, and review of the policy titled COVID-19 Isolation and Cohorting Process and job descriptions titled LPN (Licensed Practical Nurse) Skin Integrity Coordinator, and Registered Nurse Skin Integrity Coordinator, the facility failed to ensure that infection control measures were followed for standard precautions during the provision of wound care for one resident (R) R#87; in addition, the facility failed to ensure staff followed appropriate protocol for personal protective equipment (PPE) use. The sample size was 39. […]