Pruitthealth - Southwood

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF887Jun 15, 2021

  Based on record review and staff interview, the facility failed to develop and implement a policy and procedure to ensure that residents and staff were offered the COVID vaccine, educated on the risk and benefits of the vaccine, informed regarding additional dose requirements and given the opportunity to refuse the COVID-19 vaccine which currently affects 95 staff members and 55 residents. The findings include: On 06/15/2021 the facility's policies and procedures regarding infection control, COVID-19 and vaccinations were requested for review. The facility did not have a policy and procedure regarding the offering; education; and refusal of the COVID-19 vaccine for staff and residents. […]

• No harm, potential for more than minimal, isolatedF571Dec 11, 2025

  Based on interviews and record reviews, the facility failed to assure accuracy of billing, by charging a resident's account for services covered by insurance after winning an appeal, for 1 out 3 records reviewed. (Resident #2) The findings include:A review of Resident #2's medical record revealed the resident was admitted on [DATE] to the facility under skilled nursing care after hospitalization. Resident #2's record had a Notice of Medicare Non-Coverage (NOMNC) dated [DATE], ending services on [DATE]. A review of Resident #2's medical record revealed an Expedited Appeal Documentation Request dated [DATE]. […]

• No harm, potential for more than minimal, isolatedF628Dec 11, 2025

  Based on record review, interviews and facility policy, the facility failed to communicate the need for dialysis to the receiving provider, resulting in the resident missing dialysis treatment, for 1 of 3 residents reviewed. (Resident #3)The findings include:Record reviews revealed Resident #3 was admitted on [DATE] with a diagnosis of Dependence of Renal Dialysis related to End Stage Renal Disease. The resident's medication orders revealed dialysis treatment on Tuesday and Saturday with next treatment after discharge being 11/1/25. However, this appointment was missed because there was no communication to the dialysis center that Resident #3 was discharged from the nursing home on [DATE]On 12/9/25 at approximately 2:55 PM, an interview was conducted with Director of Health Services (DHS). […]

• No harm, potential for more than minimal, isolatedF825Sep 16, 2025

  Based on record review, staff interview, and policy review, the facility failed to provide specialized rehabilitative services as indicated in the comprehensive plan of care and physician orders for 2 of 3 sampled residents reviewed for specialized rehabilitative services. (Resident #8 and #10) The findings include: Resident #8A review of Resident #8's medical record revealed a physician order dated 6/16/25 for physical therapy (PT) to be provided daily 6 times per week for 6 weeks for cerebral infarction due to embolism of the left posterior cerebral artery and muscle weakness. Treatment includes therapeutic exercise, therapeutic activities, neuromuscular reeducation, gait training to increase strength, balance and endurance in order to improve bed mobility, transfers and gait. […]

• No harm, potential for more than minimal, isolatedF609Jul 24, 2025

  Based on staff interviews, record review, and policy review, the facility failed to immediately identify and report allegations of abuse to the state survey agency for 1 of 1 sampled residents. (Resident #9)The findings include:On 7/22/25, a review of the facility's federal report incident on 9/2/24 concerning the allegation of assault made by Resident #9's representative on 9/2/24 was conducted. A summary of the facility's interview with the participants states bruising was noted on the day shift (7:00 am-3:00 pm). The bruising was noticed by the assigned Certified Nursing Assistant (CNA) K and documented by the day shift assigned Nurse J on 8/31/24.On 7/22/25 a review of the nurse's notes was conducted. No nurses' notes were documented on 8/31/24. […]