Deficiency Index

PruittHealth - Lithonia, LLC

Lithonia, Georgia · CCN 115473

17 surveys since 2010. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
56
Surveys
17
Harm or worse
5
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
150
Ownership
Non profit - Corporation
Chain
Independent
County
De Kalb
Medicare-certified since
1989

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Mar 19, 2026

235 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.543.54
Registered-nurse hours per resident day0.45—
Annual nurse turnover38.8%37.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD964.3%E17.1%F428.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 56 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Mar 19, 2026

    Based on observation, staff interview, record review and review of the facility's policies titled, Foodborne Illness and Labeling, Dating, and Storage facility failed to adequately uphold food safety practices, which could lead to potential foodborne illnesses. Opened food products in the walk-in refrigerator were not appropriately labeled, dated, and discarded. The deficient practices had the potential to place 135 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include:Review of facility's policy titled, Foodborne Illnesses reviewed dated 01/8/2021, revealed in Procedure 2. Foods will be used before the expiration date, use by date, and sell by date, indicated on the food item. […]

  • No harm, potential for more than minimal, widespreadF814Mar 19, 2026

    Based on observations, staff interviews, and review of the facility policy titled, Waste Disposal: Dietary Services, the facility failed to ensure the outdoor garbage and refuse area was free of litter by being maintained in a sanitary manner. Findings include:Review of the facility policy titled Waste Disposal: Dietary Services reviewed dated 10/20/2025 revealed under Procedure: 6. Dumpster lids, doors, and plugs should be kept closed at all times. 7. Dumpster and surrounding areas should be kept clean and free of debris. During the initial observation of the dumpster on 03/18/2026 at 11:58 AM the Dietary Manager (DM)PP confirmed the presence of two dumpsters. […]

  • No harm, potential for more than minimal, widespreadF812Mar 12, 2026

    Based on observation, interview, and review of the policy titled Food Temperatures the facility failed to ensure that the temperature for cold food (orange juice) was maintained at a temperature of 41 degrees ( ) Fahrenheit (F) or less; This deficient practice had the potential to promote the growth of pathogens that cause foodborne illness. This had the potential to effect 134 of the 141 residents receiving an oral diet.Findings include: Review of the policy titled Food Temperatures revised date of 10/21/2025. Policy: It is the policy of __ 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. 12. […]

  • No harm, potential for more than minimal, widespreadF812Sep 5, 2024

    Based on observation, staff interview, and review of the facility's policies titled, Skilled Nursing Services Storage Areas and Skilled Nursing Services Cleaning and Sanitizing, the facility failed to ensure opened food items in the dry storage and the walk-in refrigerator area were securely wrapped, labeled, dated, and discarded by the expiration date. In addition, the facility failed to maintain sanitary cleanliness of the ice maker and prevent wet nesting by ensuring clean pots, pans and baking trays were properly stacked and stored to dry. […]

  • No harm, potential for more than minimal, patternF585Apr 3, 2024

    Based on interviews, record review and review of the facility's policies Skilled Nursing Services Grievance/Concern Guidelines for Patients and Missing Items, the facility failed to appropriately resolve grievances and provide a reasonable expected time frame for completing the review of the grievances related to lost personal items for three of 13 sampled residents (R) (R1, R2, and R8). Findings include: Review of facility's policy titled, Skilled Nursing Services Grievance/Concern Guidelines for Patients dated 12/29/2023, under the Policy Statement revealed, It is also the intent of the center to support each patient's right to voice concerns and to assure that after receiving a concern/grievance, we will actively seek a resolution and keep the patient (or representative) apprised of… […]

Read 22 findings in full →The most serious and the most recent: 22 of 56 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 19, 2026Standard4 findings
  • Mar 12, 2026Complaint1 finding
  • Sep 5, 2024Standard and complaint4 findings
  • Apr 3, 2024Complaint4 findings
  • Jun 10, 2022Standard1 finding
  • Nov 12, 2020Infection control4 findings · 3 harm
  • Aug 15, 2019Standard2 findings
  • Jan 30, 2019Complaint1 finding
Show the 9 earlier surveys
  • Aug 30, 2018Standard and complaint4 findings
  • Dec 6, 2017Complaint2 findings · 2 harm
  • Oct 21, 2016Standard13 findings
  • Aug 20, 2015Standard1 finding
  • Jan 7, 2015Complaint1 finding
  • Oct 9, 2014Standard4 findings
  • Dec 20, 2012—2 findings
  • Jul 8, 2011—6 findings
  • Jan 13, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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