PruittHealth - Lakeside, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observations, staff interviews, and a review of the facility's policy titled Labeling, Dating, and Storage, the facility failed to ensure food items in the walk-in refrigerator, freezer, emergency water/food supply, and dry storage were properly dated and expired foods were disposed of. The deficient practices had the potential to place 53 of 55 residents(R) who receive food from the kitchen at risk of contracting a foodborne illness.Findings Include:Review of the facility's policy titled Label, Dating, and Storage, reviewed and dated 11/11/2022, documented in Procedure 1: Food and beverage items will have an identifying label as well as a received date and opened date, as applicable; for items prepared onsite, a use by date will also be indicated.During the initial tour on… […]

• No harm, potential for more than minimal, widespreadF880Nov 5, 2023

  Based on staff interviews, record reviews, and a review of the facility policy titled, Legionella Water Management, the facility failed to develop an updated water management program plan for the prevention of Legionella for 52 of 52 residents in the building. The deficient practice had the potential to promote growth of Legionella and other opportunistic waterborne pathogens in the building water systems. Findings included: A review of the facility policy titled, Legionella Water Management, revised 2017, revealed 3. The purposes of water management program are to identify areas in the water system where Legionella bacteria can grow and spread, and to reduce the risk of Legionnaire's disease. 4. […]

• No harm, potential for more than minimal, patternF584Nov 5, 2023

  Based on observations and staff interviews the facility failed to ensure that it was maintained in a clean, comfortable, and homelike environment in four of 16 resident rooms (A111, A112, A113, and A115) on A hall and two of 16 resident rooms (B202 and B204) on B hall (two of three halls) that included dust and grime buildup on packaged terminal air conditioners (PTAC) vents and rooms A109/A111 and A110/A112 shared bathroom air vents with dust buildup. The facility census was 50. Findings revealed: The facility does not have a maintenance or housekeeping policy. Observations made during initial rounds on 11/03/2023 between 8:00 AM and10:00 AM revealed: Room A9/A11 and A10/A12 shared bathroom vent to have dust buildup. […]

• No harm, potential for more than minimal, isolatedF645Apr 16, 2026

  Based on record review and staff interviews, the facility failed to ensure the need for a Level II Preadmission Screening/Resident Review (PASARR) for evaluation and determination for specialized services were offered to meet resident needs for one of 10 sampled residents (R) (R9) for PASARR Level II.Findings include:Review of Electronic Health Record (EHR) revealed R9 had diagnoses of but not limited to unspecified intellectual disabilities, schizoaffective disorder, degenerative disease of nervous system. Further review revealed R9 had a diagnosis of schizoaffective disorder upon admission on [DATE].Review of the Annual Minimum Data Set (MDS) dated [DATE] for R9 revealed she was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF640Mar 2, 2025

  Based on staff interview and record review, the facility failed to ensure the timely submission of the Minimum Data Set (MDS) assessment for one of five residents (R) (R49). The deficient practice had the potential to increase the probability for R49 not to receive care according to their care needs. Findings include: Record review for R49 revealed resident was admitted to the facility with the diagnoses of but not limited to chronic kidney disease stage 5, type 2 diabetes, chronic obstructive pulmonary disease, right upper quadrant abdominal mass, essential hypertension, syncope and collapse, hyperlipidemia, bradycardia, and generalized anxiety disorder. […]