Pruitthealth - Forsyth

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 17, 2026

  Based on observations, staff interviews, and a review of the facility's documents and policy titled, Receipt and Storage of Food and Supplies, the facility failed to discard expired food items. The deficient practices had the potential to place 61 of 62 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include:Review of facility's policy titled, Receipt and Storage of Food and Supplies review dated 10/20/2025, documented in Procedure 6. Supplies removed from shipping boxes should be placed on shelves or in proper bins/ containers the day of delivery. All supplies should be labeled and dated with delivery date. 7. The first in, first out (FIFO) method must be used to ensure proper rotation of all food items to help prevent spoilage. 9. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2025

  Based on observations, staff interviews, and review of the facility's policy titled Emergency Water Requirements, the facility failed to ensure that chemical test strips for the low-temperature dishwasher and three-compartment sink were not expired. In addition, the facility failed to ensure the emergency drinking water supply was stored in a sanitary manner. Additionally, the facility failed to ensure that cold foods were held at proper temperatures during meal preparation and that dietary staff performed proper hand hygiene. […]

• No harm, potential for more than minimal, widespreadF812Dec 17, 2023

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure steam table pans were not stacked together while wet to prevent bacteria growth; failed to ensure food items stored in the resident nourishment refrigerator were properly labeled and dated; failed to ensure dietary staff properly used the three-compartment sink for sanitation to prevent cross contamination; and failed to ensure cold food items served to residents were maintained below 41 degrees Fahrenheit (F). The deficient practices had the potential to adversely affect 127 of 138 residents receiving an oral diet. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF761May 17, 2026

  Based on observations, staff interviews, and a review of the facility policy titled, Medication Storage in Healthcare Center, the facility failed to properly lock and secure one of two medication carts (A -Hall and C-Hall.) The deficient practice increased the risk of unauthorized access and potential medication diversion.Review of the facility policy titled, Medication Storage in Healthcare Center with a revision date of 03/12/2026 revealed under the section Policy Statement documented medications and biologicals are stored safely, and securely. During an interview and observation on 05/15/2026 at 7:31 AM with LPN FF revealed medication cart for A-hall was unsecured and unattended in the resident care area. […]

• No harm, potential for more than minimal, isolatedF580Mar 18, 2026

  Based on resident representative interviews and record review, the facility failed to provide notification of change to the resident representative for one resident (R) 2. The sample size was four.Findings include:Review of the electronic medical record (EMR) revealed resident (R) 2 was admitted to the facility on [DATE] and with diagnoses including but not limited to acute respiratory failure with hypoxia, thrombocytopenia unspecified, unspecified dementia with unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, or anxiety, and encephalopathy unspecified.MDS: Review of R2 discharge Minimum Data Set (MDS) assessment dated [DATE] section C staff assessment revealed a memory problem; severely impaired cognitive skills for daily decision making. […]