PruittHealth-Carolina Point

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 13, 2025

  Based on facility video recording, record reviews, and interviews with staff, Nurse Practitioner, Medical Director and the resident's responsible party (RP), the facility failed to protect a cognitively impaired and vulnerable female resident's (Resident #2) right to be free from sexual abuse by a cognitively impaired male resident (Resident #1). On 3/2/25 at 2:50 AM, Nurse Aide (NA) #1 walked past Resident #1 in the hallway. Resident #1 was sitting in his wheelchair with no clothes on and only a towel covering his waist. NA #1 did not intervene and/or redirect the resident. On 3/2/25 at 3:18 AM, Nurse #1 observed Resident #1 on Resident #2's bed. […]

• Immediate jeopardy, isolatedF600Apr 18, 2024

  Based on record review and interview of the staff and Police Officer #1, the facility failed to protect a cognitively impaired dependent resident (Resident #1) from sexual abuse by a cognitively intact resident (Resident #2). On 3/19/24 Resident #2 was found in Resident #1's room by Nursing Assistant #1. Resident #2 was observed fondling Resident #1's penis with skin to skin contact from his hand. Resident #1 was unable to stop the sexual abuse due to his limited ability to move and he was non-verbal/unable to call for help. Resident #1 was incapable of consenting to the sexual act and could not express an adverse psychosocial outcome. A reasonable person expects to be protected from abuse in their home environment and sexual abuse would cause emotional trauma. […]

• Immediate jeopardy, isolatedF660Jul 13, 2022

  Based on record review, and interviews with family, home health, and staff, the facility failed to assess a resident's home environment to identify and evaluate barriers at the discharge location and arrange for home health services to commence the day after discharge. Upon arrival home, the transport driver assisted Resident #222 out of the vehicle and onto the sidewalk in front of her residence. The residence had 6 stairs leading to the front door and no wheelchair ramp. The resident's husband was present at the residence. The facility transporter left before the resident ascended the stairs into the residence. Resident #222 was unable to ascend all the stairs due to weakness and her husband was unable to assist her. […]

• Actual harm, isolatedF600Jul 13, 2022

  Based on record review, observation, Police, staff and resident interview, the facility failed to protect a resident's right to be free from mistreatment for 1 of 1 resident investigated for staff to resident abuse (Resident #14). Resident #14 sustained a scratch on her face and nose from the altercation with the staff and was crying stating that the altercation made her feel scared and anxious. Findings included: Resident #14 was admitted to the facility on [DATE] with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #14's care plan (initiated on 7/12/21) was reviewed. […]

• No harm, potential for more than minimal, patternF812Feb 11, 2026

  F812 -EBased on observations and staff interviews, the facility failed to label, date, seal and/or remove expired food items stored for use in 1 of 1 walk-in cooler, the dry goods storage room, and 1 of 1 of 1 walk-in freezer and failed to ensure food service equipment was clean. These practices had the potential to affect food being served to residents. The findings included:a. An initial tour was conducted with the Dietary Manager on 2/8/26 at 10:17 AM. Observations made at the time of the initial tour identified the following concerns in the walk-in cooler:- Two crates of chocolate milk cartons (48) with the expiration date 2/7/26 remained in the refrigerator to be served. One 5-pound plastic bag of partially used shredded cheddar cheese was observed left open to air (not sealed). […]