Deficiency Index

Pruitthealth - Virginia Park

Atlanta, Georgia · CCN 115531

17 surveys since 2010, 18 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
100
Surveys
17
Harm or worse
18
Immediate jeopardy
11
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
128
Ownership
For profit - Limited Liability company
Chain
PRUITTHEALTH
County
De Kalb
Medicare-certified since
1992

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 70 for-profit facilities with 128 or more beds in Georgia.

Last survey on record

Jun 12, 2025

515 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.723.38
Registered-nurse hours per resident day0.50—
Annual nurse turnover41.1%51.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$8,788 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L210.5%
Actual harmG210.5%H—I—
No harm, potential for more than minimalD1368.4%E15.3%F15.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 100 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5543×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6221×

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

In the surveyor’s words

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

  • Immediate jeopardy, widespreadF584Jun 16, 2022

    Based on observations and interviews, the facility failed to maintain the facility at a safe temperature range of 71 to 81 degrees Fahrenheit (F) on four of four hallways, during four out of five survey days. Additionally, the facility failed to maintain a homelike environment for 24 of 63 rooms in the facility. On 6/16/2022, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Health Services (DHS) were informed of the Immediate Jeopardy (IJ) on 6/16/2022 at 4:53 p.m. The noncompliance related to the immediate jeopardy was identified to have existed on 6/13/2022. […]

  • Immediate jeopardy, widespreadF867Jun 16, 2022

    Based on observations, record review, interviews, and review of the policy titled Quality Assurance and Performance Improvement (QAPI) Plan, the facility failed to have an effective Quality Assurance process to implement action plans for identified systemic quality deficiencies. Specifically, the facility failed to maintain a safe temperature range of 71 to 81°F, during four out of five survey days. The census was 116. On 6/16/2022, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]

  • Actual harm, isolatedF656Jun 12, 2025

    Based on observations, staff interviews, record review, and a review of the facility's policy titled, Care Plans, the facility failed to develop a care plan for one resident(R) (R51) related to wound care for one of 31 sampled residents. Actual Harm was identified on March 21, 2025, when R51 sustained a pressure ulcer to the left ankle due to the facility not conducting routine skin checks while wearing a wander guard. Findings included: Review of the policies titled, Care Plans, revised 7/27/2023, indicated under section, admission Comprehensive Plan of Care - 3. […]

  • Actual harm, isolatedF686Jun 12, 2025

    Based on observations, staff interviews, record reviews, and review of the facility policy titled, Wound Observation and Assessment Documentation, the facility failed to perform consistent weekly skin assessments and failed to follow up on identified skin issues for one resident (R) (R51) of thirteen residents. Actual Harm was identified to have occurred on March 21, 2025, when R51 sustained a pressure ulcer to the left ankle due to the facility not conducting routine skin checks while wearing a wander guard. Findings include: A review of the policies titled, Wound Observation and Assessment Documentation, revised 06/14/2024, revealed under section, 13. […]

  • No harm, potential for more than minimal, widespreadF880Jan 4, 2024

    Based on observations, staff interviews, record reviews, review of the facility's policy titled, Covid-19 Isolation and Cohorting Process, and review of the Centers for Disease Control and Prevention (CDC) Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic the facility failed to follow droplet transmission-based precautions procedures prior to entering and exiting Covid positive resident rooms on one of four halls. […]

Read 34 findings in full →The most serious and the most recent: 34 of 100 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 12, 2025Standard and complaint5 findings · 2 harm
  • Jan 4, 2024Standard and complaint6 findings
  • Jun 16, 2022Standard8 findings · 2 harm
  • Oct 15, 2021Complaint1 finding
  • Apr 11, 2019Standard and complaint2 findings
  • Mar 15, 2018Standard11 findings
  • Sep 9, 2017Complaint2 findings
  • Aug 24, 2016Complaint6 findings · 2 harm
Show the 9 earlier surveys
  • Oct 22, 2015Standard2 findings
  • Apr 16, 2015Standard1 finding
  • Oct 10, 2014Standard8 findings · 2 harm
  • Apr 4, 2014Standard12 findings
  • Jan 27, 2014—1 finding
  • Oct 18, 2013—14 findings · 10 harm
  • May 31, 2013—6 findings
  • Dec 15, 2011—5 findings
  • Apr 30, 2010—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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