Pruitthealth - Swainsboro

In the surveyor’s words

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

• Actual harm, isolatedF603Apr 23, 2026

  Based on resident and staff interviews, record review, and review of the facility policy titled Freedom from Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, Mission Statement, the facility failed to ensure that one of 26 sampled residents (R) (R22) was free from involuntary seclusion when staff placed R22 in a locked shower room, unattended, for 30 minutes to one hour, without the ability to exit. As a result, R22 experienced psychosocial harm on April 11, 2026, as evidenced by expressing anger about the incident. Findings include: Review of the facility policy titled Freedom from Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, Mission Statement, revised 11/21/2016, included, . […]

• No harm, potential for more than minimal, patternF761Mar 6, 2025

  Based on observation, record reviews, staff interviews, and review of the facility's policies titled Expired Medication and Medication Storage in the Healthcare Centers, the facility failed to ensure expired medications were not stored in one of two medication storage rooms. This deficient practice had the potential to place the residents at risk of receiving medications with altered effectiveness. The facility's census was 72. Findings include: Review of the facility's policy titled Expired Medication, reviewed 6/18/2024, revealed the Policy Statement included . […]

• No harm, potential for more than minimal, isolatedF656Apr 23, 2026

  Based on observations, staff interviews, record review, and review of the facility's policy titled Care Plans, the facility failed to develop or implement a comprehensive person-centered care plan for one of 26 sampled residents (R) (R84). This deficient practice had the potential to place R84 at risk of unmet needs, medical complications, and diminished quality of life.Findings include:Review of the facility's policy titled Care Plans, revised 10/21/2025, revealed the admission Comprehensive Care Plan of Care section included, . 3. […]

• No harm, potential for more than minimal, isolatedF693Apr 23, 2026

  Based on observations, resident representative and staff interviews, record review, and review of the facility policy titled Enteral Nutrition (Tube Feeding), the facility failed to follow the prescribed enteral feeding order for one of five residents (R) (R84) with prescribed enteral feedings. This deficient practice had the potential to place R84 at risk of enteral feeding complications. Findings include:Review of facility policy titled Enteral Nutrition (Tube Feeding), reviewed 10/21/2025, revealed the Procedure section included, . 2. The physician will write orders prescribing the formula rate, route of administration, and flush orders for the individual patient/resident.Review of the Face Sheet for R84 revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF554Mar 6, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility's policy titled Self-Administration of Medications by Patients/Residents, the facility failed to assess one of 37 sampled residents (R) (R35) for the ability to safely self-administer medications prior to leaving medications at the bedside. This deficient practice had the potential to place R35 at risk of unsafe medication use. Findings include: Review of the facility's policy titled Self-Administration of Medications by Patients/Residents, reviewed 1/6/2025, revealed the Policy Statement stated, Each patient/resident who desires to self-administer medication is permitted to do so if the healthcare center's Licensed Nurse and physician have determined that the practice would be safe for the… […]