PruittHealth - Moultrie

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 7, 2023

  Based on observations, staff interviews, and a review of the facility's policies titled Labeling, Dating and Storing and Foodborne Illnesses the facility failed to ensure food items in the pantry, cooler, refrigerator, and freezer were properly labeled and dated, opened food items were securely wrapped and sealed and foods were discarded when expired. The facility failed to practice safe and sanitary methods when preparing foods to prevent cross contamination and the spread of bacteria. […]

• No harm, potential for more than minimal, isolatedF695Sep 7, 2023

  Based on observations, staff interview, review of the clinical record, and review of facility policy titled, Oxygen Administration, the facility failed to obtain a physician's order with a specific rate/setting for liters per minute (LPM) for oxygen therapy for, one of 12 residents (R) R #15 and failed to ensure the water humidification bottle was adequately filled for R #15. Findings include: Review of the facility policy titled, Oxygen Administration with a revision date of 8/2/2023 revealed the following: 1. Procedure: Regulate liter flow to ordered flow rate. 2. Infection Control Policy of O2 Humidifier Bottles: (1) O2 humidifier bottles should be used on all patients/residents receiving higher than 2 liters/minute of oxygen flow. […]

• No harm, potential for more than minimal, isolatedF761Sep 7, 2023

  Based on observations, staff interviews and review of the facility policy titled, Medication Administration: General Guidelines, the facility failed to properly secure medications for one of two medication carts. Specifically, the facility left an insulin pen and four individually wrapped medication packages on top of the medication cart unattended. Findings include: Review of the facility policy Medication Administration: General Guidelines last revised on 4/10/2019, revealed: 16. During routine administration of medications, the medication cart is kept in the doorway of the patient/resident's room, with open drawers facing inward and all other sides closed and locked. […]

• No harm, potential for more than minimal, isolatedF842Feb 10, 2022

  Based on observations, record review, interviews, and review of facility policy 'Pressure Injury Prevention Program', the facility failed to enter wound care orders in the electronic medical record for one of one resident (R#47) reviewed for pressure ulcers. Findings include: Review of facility policy 'Pressure Injury Prevention Program' last revised 3/18/21 revealed: 'Procedure: B. Documentation 3. Documentation of the pressure injuries should be completed in the resident's EHR (electronic health record). Record review revealed R#47 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Further review record review revealed R#47 had pressure ulcers to the left elbow, right foot, and sacrum. R#47 also has arterial ulcer to the left foot. […]