PruittHealth-Raleigh

In the surveyor’s words

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

• Immediate jeopardy, patternF600Feb 10, 2021

  Based on physician interview, nurse practitioner interview, staff interview, and record review the facility neglected 1 of 2 sampled residents (Resident #6) reviewed for pressure ulcers when the facility failed to assess excoriation to the sacrum for eight days after it was identified, failed to obtain treatment orders for ten days after the skin impairment was identified, and failed to enter and initiate the treatment orders provided by the Wound Nurse Practitioner (NP) for eleven days in response to deterioration of the sacral wound. […]

• Immediate jeopardy, patternF880Jan 11, 2021

  Based on observation, record reviews, staff interviews, the facility failed to implement their COVID-19 Infection Prevention and Control policies and The Centers for Disease Control and Prevention Center (CDC) COVID-19 guidelines when a nurse exited a resident ' s room who was COVID positive and failed to remove her Personal Protective Equipment (PPE) and disinfect her face mask before immediately entering the room of a resident who was COVID negative, the facility failed to have enough PPE available for staff to ensure the CDC recommended maximum number of uses of five donnings/doffings of N95 and KN95 masks were being followed, staff failed to store N95 and KN95 masks in a paper bag at the end of the work shift and the facility failed to post required enhanced droplet isolation… […]

• Immediate jeopardy, isolatedF600May 8, 2025

  Based on record review and interviews with staff, resident, Contracted Transportation Company, and the Physician, the facility failed to protect Resident #1's right to be free of neglect for 1 of 3 residents reviewed for accidents. On 4/25/25 at approximately 4:30 PM during transportation back to the facility from a medical appointment in the contracted transport van the resident's wheelchair flipped backwards landing horizontal on the floor of the van. Resident #1's head hit the van floor and her back sustained impact when the wheelchair backrest (the support structure for the user's back) hit the floor. The Contracted Transport Driver was not qualified to complete a clinical assessment of injury. […]

• Immediate jeopardy, isolatedF684May 8, 2025

  Based on record review, interviews with staff, resident, Contracted Transportation Company, and the Physician, the Contracted Transport Driver failed to have Resident #1 assessed for injury by a qualified professional prior to moving the resident following a fall in the transportation van and to notify the facility nursing staff of the fall in order for the resident to be clinically assessed for injuries from the fall. Resident #1 returned to the facility on [DATE] at approximately 5:30 pm and notified staff that her wheelchair had flipped backwards while being transported back to the facility and the Contracted Transport Driver lifted her and her wheelchair up from the floor and returned her to the facility. […]

• Immediate jeopardy, isolatedF689May 8, 2025

  Based on record review and interviews with staff, resident, Contracted Transportation Company, and the Physician, the facility failed to ensure a resident was safely secured in the contracted transport van during the return trip from an appointment back to the facility. On 4/25/25 the Contracted Transport Driver failed to secure Resident #1's wheelchair in accordance with the manufacturer's instructions prior to departing with the resident from the dialysis clinic. During travel, Resident #1's wheelchair flipped backwards landing with the backrest of wheelchair (the support structure for the user's back) on the floor of the van. […]