Pruitthealth - Richmond, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF881Sep 10, 2025

  Based on observations, staff interviews, records review, and review of the facility's policy titled, Antibiotic Stewardship Program, the facility failed to ensure the antibiotic stewardship program promotes and monitors the appropriate use of antibiotics using evidence-based criteria with tracking. The deficient practice had the potential to decrease the probability that antibiotics are given for the correct indication and increase the development of antibiotic-resistant organisms. […]

• No harm, potential for more than minimal, widespreadF887Sep 10, 2025

  Based on observations, staff interviews, records review, and review of the facility's policy titled, Covid-19 Infection Prevention and Control Practices, the facility failed to implement procedures to ensure Covid-19 vaccines were offered to residents and staff. The deficient practice had the potential to increase the probability of an outbreak within the facility. Facility census was 82.Findings include:Review of the facility's policy titled, Covid-19 Infection Prevention and Control Practices, revised 9/2/2025, revealed that, under the Policy Statement The organization will initiate the appropriate measures to protect our patients/ residents, partners and families to include all residents who have no medical contraindications to the vaccine will be offered the COVID-19 vaccine. […]

• No harm, potential for more than minimal, widespreadF641Apr 28, 2024

  Based on staff interviews, record review, and review of the facility's policy titled, MDS Assessment Accuracy, facility failed to ensure the Minimum Data Set (MDS) assessments were completed and transmitted timely for 13 of 34 Residents (R), (R25, R63, R5, R57, R66, R53, R24, R59, R44, R8, R276, R279, and R22). Findings include: Review of the facility's policy titled, MDS Assessment Accuracy, dated 1/11/2024 Policy Statement revealed, It is the policy of this healthcare center that each Minimum Data Set (MDS) reflect the acuity and the medical status of each patient/resident in accordance with acceptable professional standards and practices. The assessment will be scheduled to accurately account for the acuity and complexity of the patient/resident. 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2024

  Based on observations, staff interviews, and review of the facility's policies titled, Labeling, Dating, and Storage and Cleaning schedule, the facility failed to ensure food items were properly labeled and dated. Specifically, the facility failed to ensure opened food items in the dry storage room were properly labeled and dated and to ensure that kitchen equipment used for food preparation was kept clean and sanitary. The deficient practice had the potential to affect 77 of 79 residents receiving an oral diet from the kitchen. […]

• No harm, potential for more than minimal, widespreadF851Apr 28, 2024

  Based on record review, staff interviews, and review of the Payroll Based Journal (PBJ) [NAME] Report for the first quarter (Q1) of Fiscal Year 2024, the facility failed to accurately report direct care staffing data to the Centers for Medicare and Medicaid (CMS). The facility census was 79 residents. Findings include: Review of the PBJ [NAME] Report for October 1 through December 31, indicated as Q1, documented the following triggered metrics: One-Star Staffing Rating Excessively Low Weekend Staffing Interview on 4/27/2024 at 8:15 am with the Administrator revealed the facility recently had a change in management. She stated the Director of Partner Services at the corporate office submitted the staffing data that was retrieved from the time clock system. […]