PruittHealth - Holly Hill, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 27, 2026

  Based on observations, record review, interviews, and facility policy review, the facility failed to protect residents from smoking related accident hazards for two of four residents reviewed for smoking (Residents (R) 86 and R38) out of 24 sampled residents. The facility failed to accurately complete smoking assessments, had inadequate supervision during smoking, failed to secure the residents' smoking materials, allowed residents to smoke in proximity to others with portable oxygen tanks, and failed to enforce its smoking policy. These failures had the potential to cause accidents/hazards during smoking times that could result in bodily injury to those smoking and those near the smoking area. […]

• Immediate jeopardy, isolatedF926Feb 27, 2026

  Based on observations, record review, interviews, and facility policy review, the facility failed to enforce its smoking policy by allowing residents to smoke near others using portable oxygen for two of four residents (Residents (R) 38 and R86) reviewed for smoking out of a total sample of 24 residents. This noncompliance created conditions that posed a risk of serious injury for the residents. The facility's failure to implement their smoking policy by staff allowing residents to smoke near residents with portable oxygen tanks caused or was likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy was identified on 02/26/26 and was determined to exist on 02/23/26, for 483.90 Smoking Policies at a Scope and Severity (S/S) of a J. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2022

  Based on observation, interview, policy review, and document review failed to ensure proper handwashing, and failed to ensure proper glove use when handling ready-to-eat food. This failed practice had the potential to affect 76 of 81 residents who received a meal tray from the kitchen. Findings include: 1. The facility policy titled, Food Temperatures, reviewed 01/06/2021, revealed, It is the policy of PruittHealth that the Dietary Manager or designee be responsible for ensuring that all food has reached and continues to maintain proper temperature prior to tray assembly. Procedure: 2. All potentially hazardous cold foods must be held at 41 degrees or less. 3. Food temperatures will be taken before and after serving, temperatures will be logged directly on the Food Temperature Log Form. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, Dietary Partner Hygiene and Dress Code, the facility failed to ensure hair nets were worn by dietary staff. Specifically, beard guards were not used by male dietary staff during preparation of meals. This had the potential to affect 80 out of 83 residents who received an oral diet. Findings included: 1. Review of the facility's policy titled Dietary Partner Hygiene and Dress Code dated 11/10/2020 revealed, Scope: This applies to all dietary partners, and any person (s) who handles and serves food employed by [NAME] Health. Hygiene: 2. Hair is covered with hair net and or cap. Facial hair is completely covered with a hair net or beard guard. […]

• No harm, potential for more than minimal, patternF880Nov 20, 2024

  Based on observations and staff interviews, the facility failed to ensure that staff's personal food items were not stored in one of one medication storage rooms. The deficient practice had the potential to increase the probability of contamination of medication and storage supplies located in the storage room area. Findings included: Review of facility's documents revealed no evidence of policy regarding medication room and storage. The policy was requested from the facility, and none was provided. Observation on 11/18/2024 at 4:30 pm during review of the medication room revealed personal food items in the medication room. Foods observed on a shelf in a cupboard next to medical supplies included a pack of hot dog buns, mustard and ketchup. […]