PruittHealth- Ridgeway

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 16, 2022

  Based on record reviews, interviews, and review of the facility's policy titled, Good Faith Reporting of Patient Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Property, the facility failed to provide resident with adequate supervision and safe support for 1 of 3 resident's reviewed for neglect relating to wandering/ elopement. Resident (R)1 had a successful elopement from the facility on 02/13/22 and was found by local police at 3:18 AM, 4.2 miles away from facility on Longtime Road. R1 was taken to a nearby hospital emergency room and was returned to the facility on [DATE] with no injuries. Video surveillance review by the Administrator on 02/14/22 revealed R1 eloped from the 400 hall memory care unit on 02/13/22 at 5:36 PM . […]

• Immediate jeopardy, isolatedF689Feb 16, 2022

  Based on observation, record reviews, interviews and review of the facility's policy titled, Safe Support for someone at Risk for Elopement, the facility failed to provide resident with adequate supervision and safe support for 1 of 3 resident's reviewed for accidents related to wandering/ elopement. Resident (R)1 had a successful elopement from the facility and was found by local police at 3:18 AM, 4.2 miles away from facility on Longtime Road. R1 was taken to a nearby hospital emergency room and was returned to the facility on [DATE] with no injuries. Video surveillance review by the Administrator on 02/14/22 revealed R1 eloped from the 400 hall memory support unit (MSU) on 02/13/22 at 5:36 PM . […]

• Actual harm, isolatedF689Nov 17, 2022

  Based on review of the facility policy, record review, interviews, and observation, the facility failed to ensure 1 resident, (R)114 out of 1 reviewed for accidents related to falls did not sustain a major injury. Specifically, R114 had an unwitnessed fall in the shower room, was transferred, and admitted to a local hospital which resulted in laceration to the head and a fractured elbow. The lack of adequate supervision placed the resident at risk for physical and or psychosocial harm. […]

• No harm, potential for more than minimal, widespreadF812Jan 21, 2026

  Based on observation, interview, and facility policy review, the facility failed to keep the kitchen's slicer, walk-in refrigerator's floor and shelves, and two stove top spill pans clean. These failures had the potential to create an environment for food-borne illnesses which could affect 128 residents who consumed food prepared from the facility's kitchen.Findings include:Review of the facility's policy titled, Cleaning Procedures: Kitchen Area, with a review date of 10/23/25, indicated, It is the policy of [Name] to maintain a clean and sanitary environment to prepare patient/resident meals . All soiled, dirty, dusty, surfaces and/or areas within the kitchen should be cleaned and/or sanitized [as needed] immediately upon identification.1. […]

• No harm, potential for more than minimal, widespreadF812Jan 28, 2025

  Based on the facility policy, observations, interviews, and The 2017 FDA Food Code, the facility failed to ensure food was served under sanitary conditions during the 200 Hall meal service on 01/26/2025 for 1 of 3 halls observed during meal service. Findings include: Review of the facility policy titled, Meal Delivery, states as the policy statement: It is the policy of this facility that all food be transported under safe and sanitary conditions to prevent foodborne illness. […]