PruittHealth-Trent

In the surveyor’s words

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

• Immediate jeopardy, patternF580Nov 3, 2021

  Based on staff, physician, nurse practitioner, and police officer interviews, and record review the facility failed to notify the physician of an open wound that progressively deteriorated from [DATE] through [DATE]. This failure resulted in the resident receiving no physician evaluation of the wound and no physician ordered treatments to the wound. Resident #200 was identified by Emergency Medical Services (EMS) and police on [DATE] to have a large tunneling wound under his left arm at the time of death with no observed dressing present. This was for 1 of 3 residents reviewed for wound care (Resident #200). Immediate Jeopardy began on [DATE] when Resident #200's wound to his left axillary (armpit) opened and the Wound Care Nurse failed to notify the physician or nurse practitioner. […]

• Immediate jeopardy, patternF600Nov 3, 2021

  Based on staff, physician, nurse practitioner, police officer and emergency medical technician (EMT) interviews, and record review the facility neglected to provide necessary care and services to a resident by failing to effectively assess and monitor an open wound, failing to obtain physician's orders prior to treating the wound, and failing to notify the physician of an open wound that progressively deteriorated from [DATE] through [DATE]. Resident #200 was observed by Emergency Medical Services (EMS) on [DATE] with a large tunneling wound under his left arm at the time of death. […]

• Immediate jeopardy, patternF684Nov 3, 2021

  Based on staff, physician, nurse practitioner, police officer and emergency medical technicians (EMT) interviews, and record review the facility failed to obtain physician's orders prior to treating a wound and failed to identify, assess, and monitor a wound to determine the need for medical treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #200 was identified by Emergency Medical Technicians (EMT) and police on [DATE] to have a large tunneling wound under his left arm at the time of death with no observed dressing present. This was for 1 of 3 residents reviewed for wound care (Resident #200). […]

• Immediate jeopardy, patternF726Nov 3, 2021

  Based on staff, physician, nurse practitioner, police officer and emergency medical technician (EMT) interviews, and record review the facility nursing staff failed to demonstrate competency and skill sets to effectively manage a resident ' s wound and to report a change in wound condition to the physician for evaluation of a wound that progressively deteriorated for more than a 3-month period of time. Resident #200 was identified by Emergency Medical Technicians (EMT) and police on [DATE] to have a large tunneling wound under his left arm at the time of death with no observed dressing present. […]

• Immediate jeopardy, isolatedF580Feb 6, 2026

  Based on record review, and interviews with staff, Nurse Practitioner, and Physician for Resident # 1, who had a critical blood glucose level the week prior to 1/21/26 without a documented long term plan to address the resident's diabetes after that date, the facility failed to notify the physician regarding all changes in condition observed on 1/21/26 and consult with the physician to determine if an alternate plan of treatment needed to commence to address all the resident's symptoms so that nursing staff would receive physician orders for monitoring the resident's change in condition, monitoring blood glucose, monitoring oxygen saturations, monitoring vital signs and other orders to treat her condition. […]