PruittHealth- Dillon

In the surveyor’s words

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

• Immediate jeopardy, isolatedF605Jun 21, 2024

  Based on interview, record review, and facility policy the facility failed to ensure Resident (R)369 was free from chemical restraints when it was identified that R369 was administered Haloperidol (An antipsychotic used to treat certain types of mental disorders (eg, schizophrenia). It can also control symptoms of Tourette syndrome) for 'exit-seeking behaviors, for 1 of 5 residents reviewed for unnecessary medications. On 06/20/24 at 2:09 PM, the survey team notified the Administrator and DON that the failure to ensure residents are free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the residents medical symptoms constituted IJ at F605. […]

• Immediate jeopardy, isolatedF624Jun 21, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to provide Resident (R)369 and her Resident Representative with sufficient preparation and presentation to ensure an orderly and safe discharge from the facility, for 1 of 6 residents reviewed for transfer/discharge. On 06/19/24 at 9:09 PM, the Administrator and Director of Nursing (DON) were notified that the failure to provide and document sufficient preparation and orientation to ensure residents have a safe and orderly discharge from the facility constituted Immediate Jeopardy (IJ) at F624. On 06/19/24 at 9:09 PM, the survey team provided the Administrator and DON with a copy of the CMS IJ Template and informed the facility the IJ existed as of 06/19/24. […]

• No harm, potential for more than minimal, widespreadF812Jun 23, 2026

  Based on observation, interview, and policy review, the facility failed to ensure proper thawing practices were in place; ensure food was covered, labeled, and dated; ensure the kitchen was clean; ensure proper glove use and hand hygiene; and ensure the thermometer was sanitized between use for one of one kitchen. These failures created the potential for foodborne illness, cross-contamination, and unsafe food handling practices affecting all residents who received food services from the facility.Findings include: During an observation on 06/21/26 at 10:10 AM, a large plastic storage bin containing coffee and tea supplies was observed on the floor with the lid open. Cook-Dietary Aide (CDA) 1 stated the container should have been closed. […]

• No harm, potential for more than minimal, widespreadF812Jun 21, 2024

  Based on review of facility policy, observation, interview, and record review, the facility failed to ensure: accurate labeling and dating of foods and removal of expired foods from 1 of 1 main kitchen. Findings include: Review of the facility policy title Labeling, Dating, and Storage dated 2014, revealed, Policy Statement: It is the policy of PruittHealth for all partners who assist in handling, preparing, serving, and storing food and beverage items to follow the proper procedures for labeling, dating, and storage to ensure proper food safety. […]

• No harm, potential for more than minimal, patternF550Jun 23, 2026

  Based on observations, record review, interviews, and facility policy review, the facility failed to refrain from arguing in a raised voice with one of 24 sample residents (Resident (R) 59) when the resident was engaged in a conversation with the Activity Director (AD) and failed to provide a dignified dining experience for four of 24 sample residents (R12, R12, R14, and R26) who required encouragement to maintain independent eating. This failure had the potential to create a delay in consuming meals.Findings include:1.Review of R59's Face Sheet located under the Resident Dashboard tab in the electronic medical record (EMR) noted R59 was admitted to the facility on [DATE] with diagnoses that included alcoholic cirrhosis of liver without ascites; diabetes mellitus type II; severe… […]