Pruitthealth - Covington

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF641Apr 9, 2026

  Based on interviews and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurately coded to reflect a significant weight loss for one of five residents (R) (R46) reviewed for nutrition. This had the potential to result in unmet care needs due to the facility not recognizing weight loss and the need for interventions.Findings include:Record review revealed that resident (R)46 was admitted to the facility with the diagnosis included, but limited to encephalopathy, pneumonia, severe sepsis with septic shock, malignant neoplasm of oropharynx.Record review revealed that Resident R46 experienced a significant, unplanned downward weight trend. […]

• No harm, potential for more than minimal, isolatedF656Apr 9, 2026

  Based on record review, staff interviews, and review of the policy titled Care Plan, revision date 10/21/2025, the facility failed to develop and to implement a care plan to address significant weight loss for one of five residents reviewed for nutrition. This had the potential to result in unmet care needs due to the facility not recognizing weight loss and the need for interventions.Findings include:Review of the facility policy titled Care Plan revealed: Care Plan Review and Update:4. […]

• No harm, potential for more than minimal, isolatedF689Apr 9, 2026

  Based on observation, record review, policy review and interviews, the facility failed to ensure safe smoking for one of one resident (R) reviewed for smoking. The sample size was 47. Findings include:Review of the facility policy titled Smoke Free Policy with a revised date of 02/10/2026, revealed the policy statement to be as of January 1, 2015, smoking is not allowed on the Healthcare center premises by visitors, partners or patients/residents. Smoking will only be allowed in outdoor designated areas for those residents grandfathered in prior to January 1, 2015. Assessment and Care Planning section, 2. Each patient/resident will be assessed, utilizing the Smoking Observation Form, by a licensed nurse upon admission, re-admission, and/or with a Significant Change. […]

• No harm, potential for more than minimal, isolatedF695Apr 9, 2026

  Based on observations, staff and resident interviews, record review, and review of the facility policies titled Oxygen Administration, the facility failed to obtain an oxygen order for one resident (R) out of 14 sampled residents that were on continuous oxygen. This deficient practice had the potential to cause hospitalization related to the resident potentially not being on a therapeutic oxygen setting.Findings include:Review of the policy titled Oxygen Administration revised 8/2/2023 and reviewed on 11/17/2025 policy statement revealed it is the policy of Pruitthealth Hospice and Healthcare Centers/Veteran Homes to provide oxygen safely and accurately to appropriate patients/residents. The scope states this policy is for nurses and respiratory therapists. […]

• No harm, potential for more than minimal, isolatedF554Mar 1, 2025

  Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Medication Administration; General Guidelines, the facility failed to ensure that one of 30 sampled residents (R) (R36) did not have unauthorized and unsecured medications at the bedside. This failure created the potential for medication errors and unauthorized access to medications by other residents. Findings include: A review of the policy titled, Medication Administration: Guidelines review date 7/22/2024 under the section titled Procedure revealed, 3. Patients/residents are allowed to self-administer medications when specifically authorized by the attending physician and in accordance with procedures for self-administration of medications. 5. […]