PruittHealth-Farmville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 27, 2022

  Based on record review, staff and Physician interview, the facility neglected to protect a resident (Resident #5) who was severely cognitively impaired from sexual abuse from another resident (Resident #11) who was moderately cognitively impaired. The facility also failed to immediately intervene to protect Resident #5 when the sexual abuse was first observed. This occurred for 1 of 2 residents reviewed for abuse. On 10-30-21 Resident #11 was observed in Resident #5's room by Nursing Assistant (NA) #1 kissing Resident #5 with his hand down Resident #5's brief and again on 12-30-21 Resident #11 was observed by Nurse #1 in Resident #5's room touching Resident #5's breasts. […]

• Actual harm, isolatedF689May 22, 2025

  Based on record review and staff interviews, the facility failed to provide effective supervision to prevent avoidable falls for 2 of 3 residents reviewed for high risk of falls (Resident #1 and Resident #2). Resident #1, a severely cognitively impaired resident, sustained a collarbone fracture and a hematoma (a solid swelling of clotted blood within the tissues) on the left side of the forehead from a fall that occurred after staff monitoring her fell asleep (Nurse Aide #1) and ignored her attempt to stand (Nurse #1). Findings included: 1. Resident #1 was originally admitted to the facility on [DATE] and had multiple diagnoses, some of which included intellectual disabilities, dementia, and age-related osteoporosis. […]

• No harm, potential for more than minimal, widespreadF867May 11, 2023

  Based on observations, record review and resident and staff interviews the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the 2/23/21 focused infection control and complaint investigation survey, the 1/27/22 recertification and complaint investigation survey and the 11/30/22 complaint investigation survey. This was for one deficiency in the area of F880 Infection Prevention and Control that was cited on the 2/23/21 focused infection control and complaint investigation survey, 2 deficiencies in the areas of F656 Develop and Implement Comprehensive Care Plan and F880 Infection Prevention and Control that were cited on the 1/27/22 recertification and complaint… […]

• No harm, potential for more than minimal, widespreadF880May 11, 2023

  Based on record review and staff interviews the facility failed to implement an infection surveillance plan for monitoring and tracking infections in the facility. This practice had the potential to affect 49 of 49 residents in the facility. Findings included: The facility's Infection Prevention and Control Surveillance policy reviewed on 4-6-23 documented the Infection Preventionist (IP) conducts surveillance of all infections among residents and partners including tracking and analysis of outbreaks of infections. The Infection Preventionist (IP) nurse was interviewed on 5-11-23 at 11:12am. The IP nurse discussed tracking and analyzing infections in the facility by using an approved tracking form. She explained the form was computerized, so she did not have a paper copy for review. […]

• No harm, potential for more than minimal, widespreadF881May 11, 2023

  Based on record review and staff interviews the facility failed to develop an infection prevention and control program that established an antibiotic stewardship program with written protocols on antibiotic prescribing, documentation of the indication, dosage, and duration of use of antibiotics. This was evident in 3 of 3 monthly surveillance data reviewed (February 2023, March 2023, and April 2023). Findings included: The facility's Antibiotic Stewardship Program policy revised on 2-8-23 documented the antibiotic stewardship program will monitor and review infections and antibiotic usage patterns on a regular basis, antibiogram reports for trends of antibiotic resistance, antibiotic resistance pattern for multidrug resistant organisms, number of antibiotics prescribed, and the number of… […]