Deficiency Index

Pruitthealth - Brookhaven

Atlanta, Georgia · CCN 115313

12 surveys since 2011. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
66
Surveys
12
Harm or worse
8
Immediate jeopardy
8
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
157
Ownership
For profit - Corporation
Chain
PRUITTHEALTH
County
De Kalb
Medicare-certified since
1984

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 70 for-profit facilities with 128 or more beds in Georgia.

Last survey on record

Jan 18, 2026

295 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.323.38
Registered-nurse hours per resident day0.65—
Annual nurse turnover51.5%51.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ612.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3676.6%E48.5%F12.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 47 of the 66 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6564×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6442×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Aug 6, 2023

    Based on record review, staff interviews, and review of the facility policy titled Abuse Prevention and Reporting, the facility failed to protect one of five sampled residents (R) (R#1) from neglect during Activities of Daily Living (ADL) care. Specifically, Certified Nursing Assistant (CNA) BB was providing ADL care to R#1 unassisted, when R#1 fell out of bed, landing on her abdomen and chest for approximately 15 minutes before staff could reposition her. R#1 expired in the facility one hour post fall. On [DATE], it was determined that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF609Aug 6, 2023

    Based on record review, interviews, and review of the policy titled Abuse Prevention and Reporting, the facility failed to report an incident to the State Survey Agency (SSA) in which R#1 fell out of bed resulting in her death in the facility. The sample size was five. On [DATE], it was determined that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and the Director of Nursing were informed of the Immediate Jeopardy on [DATE] at 3:07 p.m. The noncompliance related to the Immediate Jeopardy was determined to have existed on [DATE]. An Acceptable Removal Plan was received on [DATE]. […]

  • Immediate jeopardy, isolatedF656Aug 6, 2023

    Based on record review, staff interviews, and review of the policy titled Care Plan, the facility failed to develop and implement a person-centered comprehensive care plan for one resident (R) (R#1) that specified the need for two-person assistance with Activities of Daily Living (ADL) care. The sample size was five. On 8/1/2023, it was determined that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and the Director of Nursing were informed of the Immediate Jeopardy on 8/1/2023 at 3:07 p.m. […]

  • Immediate jeopardy, isolatedF689Aug 6, 2023

    Based on record review, interviews, and review of the policy titled Occurrences, the facility failed to provide adequate assistance for bed mobility for one of five residents (R) (R#1) reviewed for falls. Specifically, R#1 fell from the bed during ADL care on [DATE], resulting in death within one hour post fall. On [DATE], it was determined that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and the Director of Nursing were informed of the Immediate Jeopardy on [DATE] at 3:07 p.m. The noncompliance related to the Immediate Jeopardy was determined to have existed on [DATE]. An Acceptable Removal Plan was received on [DATE]. […]

  • Immediate jeopardy, isolatedF835Aug 6, 2023

    Based on record review, interviews, and review of the Administrator and Director of Health Services (DHS) job descriptions, the facility Administration failed to ensure one resident (R) (R#1) was free from neglect during Activities of Daily Living. This failure resulted in R#1 falling from the bed and expiring in the facility one hour post fall. The sample size was five. On 8/1/2023, it was determined that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and the Director of Nursing were informed of the Immediate Jeopardy on 8/1/2023 at 3:07 p.m. […]

Read 28 findings in full →The most serious and the most recent: 28 of 66 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 18, 2026Standard5 findings
  • Nov 7, 2024Standard and complaint14 findings
  • Jun 4, 2024Infection control19 findings
  • Aug 6, 2023Complaint6 findings · 6 harm
  • Jun 16, 2022Standard3 findings
  • Sep 30, 2021Complaint3 findings · 2 harm
  • Nov 21, 2019Standard and complaint6 findings
  • Sep 13, 2018Standard and complaint2 findings
Show the 4 earlier surveys
  • Feb 8, 2018Standard2 findings
  • Jun 28, 2012—2 findings
  • May 29, 2012—3 findings
  • Jul 21, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction