Pruitthealth - Augusta Hills

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 15, 2023

  Based on observations, staff interviews, and review of the facility policy titled, Cleaning Procedures: Kitchen Area, the facility failed to ensure the main kitchen was kept clean and sanitary. Specifically, the facility failed to ensure routine cleaning of the ceiling, stainless steel surfaces, and refrigerators were conducted consistently in the main kitchen. The deficient practice had the potential to affect 73 of 81 residents receiving an oral diet. Findings include: Review of the facility policy titled, Cleaning Procedures: Kitchen area, dated September 2001, under Policy revealed: The policy applies to all dietary staff, housekeeping, and maintenance partners scheduled to assist in cleaning /sanitizing procedures. […]

• No harm, potential for more than minimal, patternF656Aug 18, 2021

  Based on record review and staff interview, the facility failed to implement the care plans to provide treatments as ordered and/or to perform weekly skin audits in order to identify skin breakdown timely for three residents (R) (R#6, R#8, R#9) from five residents reviewed for pressure ulcers. Findings include: 1. Record review for R#6 revealed the resident was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . He had COVID 19 infection in 1/2021. Review of the resident's care plan dated 8/22/2020 revealed that he was at risk for skin breakdown related to immobility with an intervention for treatments as ordered. review of the resident's medical record revealed [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF686Aug 18, 2021

  Based on observation, record review, review of the facility policy Wound Observation and Assessment Documentation (Lippincott's: 2015) and staff interview, the facility failed to provide pressure ulcer treatments as recommended by the Quality Surgical Management (QSM) Nurse Practitioner and failed to perform weekly skin audits to identify skin breakdown timely for three residents (R) (R#6, R#8 and R#9) of five residents reviewed for pressure ulcers. Findings include: Review of the policy Wound Observation and Assessment Documentation (Lippincott's 2015) provided by the Director of Health Services (DHS) as the facility's pressure sore management policy revealed directions on how staff should stage, measure, describe and document the status of a pressure ulcer. […]

• No harm, potential for more than minimal, isolatedF641Mar 25, 2026

  Based on observations, staff interviews, record review, and review of the facility policy titled, MDS Assessment Accuracy, the facility failed to complete an accurate Minimum Data Set (MDS) assessment that indicated the use of Continuous Positive Airway Pressure (CPAP) machine for one of 15 residents (R) with orders for respiratory therapy. The deficient practice had the potential to place R2 at risk for respiratory complications, unmet needs, and a diminished quality of life.Findings include:Review of the facility policy titled MDS Assessment Accuracy last revised 01/19/2026, revealed on page 1 under the Policy Statement section, It is the policy of this healthcare center that each Minimum Data Set (MDS) reflect the acuity and the medical status of each patient/resident in accordance with… […]

• No harm, potential for more than minimal, isolatedF658Mar 25, 2026

  Based on observations, staff interviews, and review of the facility policy titled Medication Administration: General Guidelines, the facility failed to meet professional standards of quality during medication administration for one resident (R) R14. This deficient practice had the potential to place residents at risk of receiving the wrong medications. The census was 85.Findings include:Review of the facility policy titled Medication Administration: General Guidelines, reviewed 07/28/2025, revealed the Policy Statement stated, Medications are administered as prescribed, in accordance with good nursing principles and practices and only by persons legally authorized to do so. […]