PruittHealth - Lanier

In the surveyor’s words

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

• Actual harm, isolatedF580Jan 29, 2021

  Based on record review, interviews and review of facility policies titled Occurrences, Lippincott Procedures - Fall Management, and SBAR Communication, the facility failed to notify the Responsible Party and the Physician of a fall for one of nine residents ((R) #4) resulting in a delay in treatment of [REDACTED].#4 fell on [DATE] and suffered a right femur/[MEDICAL CONDITION] resulting in hospitalization on [DATE] and surgical intervention on 4/8/2020. Findings include: Review of facility policy titled Occurrences reviewed 9/9/2019 revealed Reporting Occurrences: 1. Occurrences are to be reported to the Charge Nurse immediately, no matter how minor they may appear. 2. Patient/resident care software incident entry must be completed on the shift the occurrence took place. 4. […]

• Actual harm, isolatedF658Jan 29, 2021

  Based on record review, interviews and review of the Georgia Board of Nursing, Rule 410-10-.01 Standards of Practice for Registered Nurses, facility policies titled Occurrences, Lippincott Procedures - Fall Management, Lippincott Procedures - SBAR Communication, Competency: Baseline, Annual, and Ongoing, the facility failed to properly assess, provide services, or notify the Physician for a fall for one of nine residents (Resident (R) #4,). Actual harm identified on 4/4/2020 when the resident fell and suffered a fractured femur/hip which was not identified until 4/7/2020, resulting in a delay in treatment of [REDACTED]. Findings include: Review of the Georgia Board of Nursing Rule 410-10-.01 Standards of Practice for Registered Nurses, 2. (a) 1. […]

• Actual harm, isolatedF689Jan 29, 2021

  Based on record review, interviews and review of facility policies titled Occurrences, Lippincott Procedures - Fall Management, Lippincott Procedures - SBAR Communication, the facility failed timely assess and document a fall one of nine residents (R) ( #4). Actual harm was identified when R#4 fell on [DATE] and suffered a right femur/[MEDICAL CONDITION] resulting in hospitalization on [DATE] and surgery on 4/8/2020. Findings include: Review of facility policy titled Occurrences reviewed 9/9/2019 revealed Reporting Occurrences: 1. Occurrences are to be reported to the Charge Nurse immediately, no matter how minor they may appear. 2. Patient/resident care software incident entry must be completed on the shift the occurrence took place. 4. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2026

  Based on observations, staff interviews, and review of the facility's policies titled, Pot/Pan Washing and Sanitation and Ice Machines (Handling/Scoops), the facility failed to prevent wet-nesting in stored steam pans to avoid the potential for bacterial growth and the facility failed to ensure that the ice machine was properly cleaned to prevent bacteria growth. The facility census was 97 and 92 residents received an oral diet.Findings include: 1. Review of the facility policy titled, Pot/Pan Washing and Sanitation revealed under Procedure: 1. Air dry pots and pans on the drain board. […]

• No harm, potential for more than minimal, widespreadF924Mar 30, 2023

  Based on observations and staff interviews, the facility failed to ensure that ten hollow plastic handrails were maintained for safe use on two of the three halls (200 Hall and 300 Hall). The deficient practice had the potential to affect residents and visitors utilizing rails for assistance with ambulation. Findings include: Observation on 3/28/2023 at 9:00 a.m. revealed six handrails on the 300 halls, that had busted and cracked areas with sharp points sticking out and holes that had jagged, sharp edges. The rails were located between the soiled utility room and medication room, as well as between residents' rooms 304-306, 306-308, 310-312, 312-314, and 314-316. Observation on 3/28/2023 at 10:20 a.m. […]