PruittHealth - Toomsboro

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 30, 2026

  Based on observation, staff and resident interviews, record review, and policy review, the facility failed to provide adequate supervision and implement appropriate safety measures to ensure residents remain free from preventable accidents and hazards for three residents (Resident (R) 49, R60, and R52) reviewed for accidents of 34 sample residents. Actual harm was identified to have occurred on July 26, 2026, when one Certified Nurse Aide (CNA) transferred R49 using a mechanical lift unassisted, resulting in the bar of the lift striking R49's forehead, causing a head laceration which required skin glue and wound closure strips. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure kitchen staff thoroughly cleaned and air-dried pots and pans and to ensure they were clean prior to storage for one of one kitchen. This failure increased the risk of foodborne illness by allowing wet pots and pans to be stored before fully drying. This had the potential to affect 50 of the 54 residents receiving dietary services. Findings include:Review of the facility's policy titled, Pot/Pan Washing and Sanitation, dated 10/20/25, revealed Policy Statement: It is the policy of [Name] that equipment and utensils are cleaned and sanitized appropriately after use to maintain a clean and sanitary environment for food preparation to maintain a clean and sanitary environment to prepare… […]

• No harm, potential for more than minimal, isolatedF628Jul 30, 2026

  Based on staff interview and record review, the facility failed to ensure that the resident and/or Resident Representative (RR) received a written notice of transfer and a written bed hold notice that included all the required information for one of two residents (Resident (R) 1) reviewed for an initiated emergent transfer to the hospital of 34 sample residents. This failure had the potential to affect the resident and their RR by not having knowledge of where and why the resident was transferred and/or how to appeal the transfer, if desired, and by contributing to the possibility of denial of readmission and loss of the resident's home following a hospitalization.Findings include:Review of R1's discharge return anticipated Minimum Data Set (MDS) located under the RAI [Resident Assessment… […]

• No harm, potential for more than minimal, isolatedF758Mar 5, 2023

  Based on staff interviews, record review, and review of the facility policy titled, Monitoring of Antipsychotics, the facility failed to ensure that psychotropic medications were not ordered as needed (PRN) beyond 14 days and failed to document the reason for the extension or the period during which the extended order should be in effect for one of six residents (R) (R#17) reviewed for unnecessary medications. This failure had the potential for residents to experience excessive use and duration of psychotropic medication. […]