PruittHealth - Carrollton

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 14, 2024

  Based on observation, staff interviews, and review of the facility policy titled, Food Ordering, Receiving, and Storage, the facility failed to ensure opened food items were dated. This deficient practice had the potential to affect residents receiving an oral diet. The census was 34. Findings include: Review of the facility policy titled, Food Ordering, Receiving, and Storage, reviewed 8/3/2017, revealed the Storage and Rotation Guideline section stated the facility must date and store all food items received on delivery day. During the initial Kitchen tour on 11/12/2024 at 9:50 am with the Dietary Manager (DM), observation of the walk-in freezer revealed an unlabeled and undated opened bag of frozen sweet potatoes. […]

• No harm, potential for more than minimal, patternF880Nov 14, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, Medication Administration: Hand Hygiene, the facility failed to maintain infection control practices by not ensuring hand hygiene during two of three medication administration observations. This deficient practice had the potential to increase the potential for cross-contamination and spread of infection. The facility census was 34. Findings include: Review of the facility's policy titled, Medication Administration: Hand Hygiene, review date 10/14/2024, documented Policy Statement: It is the policy of (name of facility) Pharmacy Services that partners will use appropriate hand hygiene during medication administration. […]

• No harm, potential for more than minimal, patternF584Jun 4, 2023

  Based on observations, resident and staff interviews, the facility failed to maintain a homelike environment related to disrepair of a ceiling on one hall and peeling/dirty wallpaper on three of three hallways (100, 200, and 300 halls). Findings include: Observation on 6/2/2023 at 11:00 a.m. revealed wallpaper peeling from the walls of the 100 hall. Specifically in the following areas: 1. Wallpaper peeling outside room [ROOM NUMBER] and between the therapy office. 2. Wallpaper peeling over the door of the oxygen storage room, janitor closet, and between the health clinic doors. Additionally, wallpaper was seen peeling in front of the nurses' station by the soiled linen room. .Observations on 6/2/2023 at 10:19 a.m. […]

• No harm, potential for more than minimal, isolatedF554Jan 11, 2026

  Based on observations, staff and resident interviews, record reviews, and review of the facility's policy titled Self-Administration of Medications by Patients/Residents, the facility failed to assess two of 27 sampled residents (R) (R44 and R21) to determine whether it was clinically appropriate for them to safely self-administer medications. This deficient practice had the potential to place R44 and R21 at risk for unsafe medication administration. Findings include: Review of the facility's policy titled Self-Administration Protocol, revised 1/28/2020, revealed the Policy Statement stated, Each patient/resident who desires to self-administer medication is permitted to do so if the healthcare center's Licensed Nurse and physician have determined that the practice would be safe for the… […]

• No harm, potential for more than minimal, isolatedF655Nov 14, 2024

  Based on record reviews, staff interviews, and review of the facility's policy titled, Care Plans, the facility failed to develop a Baseline Care Plan (BCP) for one of 29 sampled residents (R) (R190). Specifically, the facility failed to develop a baseline care plan that included narcotic administration. The facility census was 34. Findings include: Review of the facility's policy titled Care Plan revised 7/27/2023 documented under Procedure: New Admission Baseline Plan of Care: 1. Upon a new admission, a baseline care plan will be developed by admitting nurse/nurses in conjunction with other IDT, the patient/resident and /or patient/resident representative. […]