PruittHealth - Marietta

In the surveyor’s words

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

• Actual harm, isolatedF656Jan 16, 2025

  Based on staff interviews, record reviews, and review of the facility policy titled Care Plans, the facility failed to develop a care plan for one resident (R)(R715) of 49 sampled related to amount of assistance needed to provide care during a transfer. Actual harm occured on 11/5/2024 when R715 was hit on the head by the mechanical lift swing when Certified Nursing Assistant (CNA) KK attempted a transfer alone. This resulted in bruising to the left eye of R715. Findings include: Review of the facility's policy titled, Care Plan dated 7/27/2023 documented It is the policy of the health center for each resident to have a person-centered care plan. (2) Care plan will be updated to reflect changes to approaches, as necessary, that result from significant changes in conditions or needs. […]

• Actual harm, isolatedF689Jan 16, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility's policy titled, Occurrence Reduction Plan, the facility failed to provide adequate staff to prevent injuries while using a mechanical lift for one of 49 sampled residents (R) (R715). Actual harm occured on 11/5/2024 when R715 was hit on the head by the mechanical lift swing when Certified Nursing Assistant (CNA) KK attempted a transfer alone. This resulted in bruising to the left eye of R715. Findings included: A review of the facility's policy titled, Occurrence Reduction Plan, dated 1/29/2021 documented Reporting all occurrences of unknown origins to the Administrator or design immediately. […]

• No harm, potential for more than minimal, widespreadF921Jan 16, 2025

  Based on observations, resident interviews, and staff interviews, the facility failed to maintain a safe, functional, sanitary, and comfortable environment as evidenced by wedged items in privacy curtain and dust build up in PTAC in room [ROOM NUMBER], a loose PTAC unit in room [ROOM NUMBER], peeling trim near the second floor shower room, substances on the floor/tile in the A-Hall shower room, black and black/brown substances in the ceiling of kitchen dish washing room and dry storage area. This deficient practice had the potential to jeopardize the health and safety of all 106 residents in the facility in three resident rooms, two of four shower rooms, and the kitchen. […]

• No harm, potential for more than minimal, patternF755Feb 26, 2026

  Based on observations and staff interviews, and review of the facility policy titled, Disposal of Medications, the facility failed to ensure expired medications were removed from active medication storage areas and unavailable for use in one of two medication rooms (first floor medication room) reviewed. This deficient practice had the potential to affect 51 residents receiving medications on the unit.Findings include:Review of the facility policy titled Disposal of medications revised 12/15/2026 indicated under Policy Statement: It is the policy of 'company name' Pharmacy Services that medications which have expired, been discontinued, or remain in the healthcare center after a patient/resident's discharge shall be removed from active stock and placed in disposal.Observation on 02/25/2026… […]

• No harm, potential for more than minimal, patternF700Oct 7, 2022

  Based on observations, record review, interviews, and review of the facility's policy, it was determined that the facility failed to ensure bed/side rails had been assessed for the risk of entrapment and only used bed/side rails after trying other alternatives for three of three residents (R) (R#15, R#46, and R#249). The facility also failed to obtain informed consent for the use of bed/side rails for two of three residents (R#15 and R#46) reviewed for bed/side rail use. Finding included: A review of the facility's policy titled Bed Rails last revised 2/1/18 indicated, Bed Rails (also referred to as side rails) are adjustable metal or rigid plastic bars that attach along the side of a patient's bed for the purpose of preventing a patient from falling out of the bed or for assisting a… […]