Pruitthealth - Savannah

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 18, 2024

  Based on observation, staff interviews, documentation review, review of the facility documents titled Hot Water Sanitizing Upright Door Dish Machine, and Installation and Operating Manual for ECOLAB Models: ES-2000HT INTL, and review of the facility policy titled Dishwashing, the facility failed to ensure the dishwasher rinse temperature was at the proper temperature to sanitize the dishes. The facility further failed to ensure staff performed hand hygiene between handling the soiled dishes and handling the clean dishes. This had the potential to affect 120 of 126 residents in the facility who consumed food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF880Jan 18, 2024

  Based on observations, staff interviews, and review of the facility policy titled Infection Control - Linen and Laundry, the facility failed to ensure one Laundry Aide (LA)1 donned (put on) proper personal protective equipment (PPE) while sorting soiled resident clothing and bed linens. This deficient practice had the potential to affect the staff and/or all residents which could potentially lead to the development of infectious diseases. Findings include: Review of a policy provided by the facility titled Infection Control - Linen and Laundry, dated 10/30/2023 indicated .Soiled laundry will be handled as contaminated, and all partners will practice standard precautions when handling or exposed to soiled laundry. […]

• No harm, potential for more than minimal, widespreadF812Oct 26, 2023

  Based on observation and staff interview, the facility failed to ensure that opened items were resealed and labeled with a date in the walk-in freezer. and reach-in refridgerator. One of one kitchen. Observation of kitchen on 10/17/2023 at 11:00 a.m. with the dietary manager, one open carton of milk in reach-in refrigerator opened with no date. Observation of walk-in freezer on 10/17/2023 at 11:04 a.m with the dietary manager., the following items were opened and exposed to air; pizza dough, hamburger patties, fish patties and corn on cob. None of these items were sealed and dated with an opened or use by date. […]

• No harm, potential for more than minimal, patternF628Jun 20, 2025

  Based on resident and staff interviews, record review, and review of the facility's policy titled Involuntary Transfer and Discharges, the facility failed to ensure written bed hold policy and transfers notices were provided to the resident or resident representative (RR) for seven of seven residents (R) (R7, R66, R76, R43, R26, R57 and R45) reviewed for emergent hospital transfer out of a total sample of 28 residents. This failure had the potential to affect the resident and/or their RR by not having the knowledge of where and why a resident was transferred and/or how to appeal the transfer, if desired, and had the potential to contribute to the possible denial of re-admission and loss of the resident's home following a hospitalization for residents transferred to the hospital. […]

• No harm, potential for more than minimal, patternF759Jun 20, 2025

  Based on observations, staff interviews, and review of the facility's policies titled Medication Administration - Insulin Injections and Medication Administration - General Guidelines, the facility failed to ensure insulin injection pens were used as recommended by the manufacturer and medications were administered according to physician's orders, resulting in a medication administration error rate of 13.64 percent with six errors for four residents (R) (R121, R43, R64, and R31) out of a possible 44 opportunities for error. […]