PruittHealth - Limestone

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 2, 2026

  Based on observations, staff interviews, and review of the facility policies titled Dietary Partner Hygiene and Dress Code, and Pot/Pan Washing and Sanitizing, the facility failed to ensure dietary staff completely covered facial hair to prevent contamination and failed to ensure dietary staff properly sanitized dishware to prevent the spread of bacteria. The deficient practice increased the risk of cross-contamination and foodborne illness for 91 residents who received an oral diet from the kitchen. Findings include:1. […]

• No harm, potential for more than minimal, widespreadF802Oct 13, 2023

  Based on observation, staff and resident interviews, record review, and review of the facility policies titled, Scheduling: Dietary Services and Mealtimes, the facility failed to ensure there was sufficient dietary staff to serve resident meals on time as scheduled for the facility for two of 24 Residents (R) 38 and R57 reviewed for timeliness of facility meals. The deficient practice had the potential to affect 87 of 87 residents that consumed an oral diet. Findings include: Review of the facility's policy titled, Scheduling: Dietary Services, dated 8/3/2017, indicated, It is the policy of [Company name] to provide a work schedule in a timely manner which is fair, consistent and ensures the accomplishment of all functions within the department. […]

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observation, staff interviews, and review of the facility policy titled, Cleaning Schedule, the facility failed to keep the kitchen's convection oven, stove top spill pan, and three shelf condiment cart clean. Additionally, the facility failed to date, and/or cover stored foods, and keep the North unit's microwave oven clean. This failure had the potential to affect all 87 of 87 residents receiving an oral diet. Findings include: Review of the facility's policy titled, Cleaning Schedule, dated 9/29/2023, indicated Policy Statement: It is the policy of [Company name] that the Dietary Manager prepares a list of all cleaning tasks and posts them in the Dietary Department. […]

• No harm, potential for more than minimal, patternF689Jun 12, 2025

  Based on observations, resident and staff interviews, record review, and review of the facility's policy titled Occurrences, the facility failed to thoroughly investigate falls that resulted in injuries for four of 10 residents (R) (R306, R43, R73, and R204) reviewed for accidents. This had the potential to fail to identify risk factors, prevent future falls, understand the circumstances of the incident, and improve safety measures. Findings included: Review of a facility policy titled Occurrences, revision date 1/11/2024, revealed, The healthcare center recognizes that due to the frailty of the patients/residents served, there is an increased risk of occurrences that may result in injury to the patient/resident and/or others. […]

• No harm, potential for more than minimal, patternF803Jun 12, 2025

  Based on observations, resident and staff interviews, and record review, the facility failed to follow the menus and/or provided varied menus for four (R) (R8, R4, R803, and R701) of six residents reviewed for food. This deficient practice had the potential to place R8, R4, R803, and R701at risk of weight loss and a decreased quality of life. Findings include: A facility policy for menus was requested, and the Administrator stated there was no menu policy. 1. Review of R8's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) dated 4/24/2025, located in the Resident Assessment Instrument (RAI) tab of the Electronic Medical Report (EMR), revealed an admission date of 10/28/2017, had a Brief Interview for Mental Status (BIMS) score of three out of 15, indicating severe… […]