Pruitthealth - Fitzgerald

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on observation, interview, and facility policy review, the facility failed to discard cucumbers, tomatoes, and hamburger buns that had signs of spoilage, chocolate milk with expired sell by dates, and failed to cover food that was stored in the kitchen's walk-in freezer. The facility also failed to keep two kitchen ovens, two frying pans, and microwave oven clean for one of one kitchen. These failures had the potential to create an environment for food-borne illnesses which could affect 67 residents who consumed food prepared from the facility's kitchen. Findings include:1. Observation during the initial kitchen inspection on 01/11/2026 from 8:45 AM to 9:25 AM, with the Dietary Manager (DM) present, revealed the following concerns with food storage:a. […]

• No harm, potential for more than minimal, patternF640Jan 14, 2026

  Based on record review, interviews, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to ensure Minimum Data Set (MDS) assessments were transmitted within the required timeframes specified for five of 20 sampled residents (R) (R26, R48, R72, R56, and R46) reviewed for MDS. This failure had the potential for inaccurate or incomplete care planning and/or provision to the residents, and/or a lack of appropriate payment for services to the facility.Findings include: 1. Review of the facility census on 01/11/2026 revealed that R26 was not in the facility. […]

• No harm, potential for more than minimal, isolatedF645Sep 1, 2024

  Based on staff interviews, record review, review of the facility-provided document titled, PASRR (Preadmission Screening and Resident Review) Management Process, and review of the facility's policy titled, Collection of Pre-Admission Information, facility failed to ensure a PASRR Level II referral was made to ensure that individualized care and services were offered to meet resident needs for three of 25 sampled residents (R) (R22, R46, and R13) that were reviewed for PASARR. This failure had the potential for residents with mental disorders not to receive identified specialized services. […]

• No harm, potential for more than minimal, isolatedF656Sep 1, 2024

  Based on staff interviews, record review, and review of the facility policy titled, Care Plan the facility failed to ensure the care plan was implemented for one of five residents (R) (R48). The deficient practice had the potential to affect the care and services provided to R48. Findings include: Review of the facility policy titled, Care Plan revised date of 7/27/2023 revealed under policy statement: It is the policy of the health care center for each patient/resident to have a person-centered baseline care plan followed by a comprehensive care plan developed following completion of the Minimum Data set (MDS) and Care Area Assessment (CAA) portions of the comprehensive assessment according to the resident Assessment Instrument (RAI) Manual and the patient/resident choice. […]

• No harm, potential for more than minimal, isolatedF695Sep 1, 2024

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Oxygen Administration the facility failed to ensure oxygen therapy was administered as ordered for two of eight Residents (R) (R48 and R19). Specifically, the facility failed to ensure oxygen was administered at five litters per minute (LPM) as ordered and a humidifier bottle was utilized during oxygen administration for R48; and failed to ensure R19's humidifier bottle was changed and contained the required humidifying solution. […]