Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pruitthealth - Southwood during CMS and state inspections, most recent first.
A resident was incorrectly billed for services that were covered by insurance after a successful appeal of a Medicare Non-Coverage notice. Due to failures in communication and documentation review, the facility changed the payer status to private pay/Medicaid pending and charged the resident's account, resulting in a significant outstanding balance despite insurance coverage being in place.
A resident with end stage renal disease who required regular dialysis was discharged without the facility notifying the dialysis center of the discharge or the need to transfer services, resulting in a missed dialysis session. Staff interviews revealed confusion about responsibility for this communication, despite facility policy assigning this duty to social services.
Two residents did not receive prescribed physical, occupational, and speech therapy services as ordered in their care plans, with multiple therapy sessions missed due to staffing shortages and scheduling conflicts. Staff interviews confirmed that therapy visits were not consistently provided, and facility policy requiring timely therapy services was not followed.
A resident was found with unexplained bruising under the eye, which was observed and documented by staff but not reported as required. The nurse did not submit a federal report, believing the injury was not abuse, and the DON was not notified until the next day. The incident was only reported to authorities after the resident's representative contacted law enforcement, in violation of facility policy requiring immediate reporting of injuries of unknown source.
A plan to meet a resident's most immediate needs was not created or implemented within 48 hours of admission, as required. The facility did not provide documentation or evidence that such a plan was developed for the newly admitted individual.
The facility did not develop or document individualized care plans for the use of Hoyer lifts and Geri-chairs for three residents. One resident was transferred alone with a Hoyer lift without a care plan or proper staff assistance, while two other residents used Geri-chairs without physician orders, therapy evaluations, or care plans. Staff interviews confirmed the lack of required documentation and assessment for these interventions.
Resident Billed in Error for Covered Services After Successful Appeal
Penalty
Summary
The facility failed to ensure accurate billing practices by charging a resident's account for services that were covered by insurance after the resident successfully appealed a Notice of Medicare Non-Coverage (NOMNC). The resident was admitted under skilled nursing care following hospitalization and received a NOMNC, which was subsequently appealed. The appeal was successful, with the Quality Improvement Organization (QIO) determining that ending services was not appropriate due to the facility's failure to provide required documentation in a timely manner. Despite this, the facility transitioned the resident to Private Pay/Medicaid Pending status and began billing at a private pay rate, resulting in a significant outstanding balance. The error occurred because the facility did not properly communicate the appeal outcome or update the payer source accordingly. Staff failed to read and act on the QIO documentation, and the change in payer status was not relayed to the corporate Care Management Team. As a result, the resident was incorrectly billed for services that should have remained covered by insurance, leading to confusion and distress for the resident's representative, who was informed of a large outstanding balance and the need to remove the resident from the facility. The deficiency was attributed to corporate oversight and lack of communication between facility and corporate staff.
Failure to Notify Dialysis Center of Resident Discharge Resulting in Missed Treatment
Penalty
Summary
The facility failed to communicate a resident's ongoing need for dialysis treatment to the receiving provider upon discharge, resulting in the resident missing a scheduled dialysis session. The resident, who had a diagnosis of end stage renal disease and was dependent on renal dialysis, was discharged without the dialysis center being notified of the discharge date or the need to transfer dialysis services. As a result, the resident missed a scheduled dialysis appointment following discharge. Interviews with facility staff revealed inconsistent understanding of responsibility for notifying the dialysis center, with some staff indicating it was the responsibility of the dialysis center or the resident's family, while others acknowledged that the facility's discharge planning policy required social services to coordinate necessary post-discharge care, including contacting community resource providers. Review of the facility's discharge planning policy confirmed that social services or their designee are responsible for scheduling needed care and services at the time of discharge. The lack of communication led to a missed dialysis treatment for the resident.
Failure to Provide Ordered Rehabilitative Services Due to Staffing Shortages
Penalty
Summary
The facility failed to provide specialized rehabilitative services as ordered by physicians and outlined in the comprehensive care plans for two residents. One resident with a history of cerebral infarction and muscle weakness had physician orders and a care plan for daily physical therapy six times per week for six weeks. However, therapy session documentation revealed multiple missed visits due to staffing shortages and scheduling conflicts, such as the resident eating during therapy times. Another resident, who had experienced a recent cerebrovascular accident and was at risk for nutrition issues, had orders for daily occupational therapy and speech therapy. This resident also missed several therapy sessions due to staffing shortages. Interviews with facility staff confirmed that therapy visits were missed because of ongoing staffing shortages, with reliance on as-needed therapists who often arrived during residents' mealtimes, further contributing to missed sessions. The facility's policy required timely provision of therapy services as ordered, but this was not consistently followed, resulting in the failure to deliver prescribed rehabilitative care to the affected residents.
Failure to Timely Report and Document Alleged Abuse and Injury of Unknown Source
Penalty
Summary
The facility failed to immediately identify and report an allegation of abuse involving a resident who was found with unexplained bruising under the right eye. The bruise was first noticed by a CNA and documented by a nurse during the day shift, but no nurse's notes were entered on the day the injury was observed. A late entry was made two days later, indicating the presence of the bruise and an order to monitor the area, but without documenting the cause, as the resident was unable to verbally express it. The Director of Nursing confirmed that the nurse did not submit a federal report at the time because she did not consider the injury to be abuse, instead following the physician's order to monitor the bruise. The facility's policies require that all alleged violations of abuse, neglect, exploitation, or mistreatment—including injuries of unknown source—be reported immediately, but not later than two hours, to the appropriate authorities. Despite this, the Director of Nursing was not notified until the following day, and the federal report was not filed until the resident's representative observed the bruise and contacted law enforcement. Staff interviews and policy reviews confirmed that the facility did not follow its own procedures for timely reporting and documentation of the incident.
Failure to Develop and Implement Immediate Needs Plan Within 48 Hours of Admission
Penalty
Summary
A plan to address a resident's most immediate needs within 48 hours of admission was not created or implemented. This deficiency was identified based on the absence of documentation or evidence that such a plan was developed and put into place for newly admitted residents. The lack of a timely plan meant that the facility did not ensure the resident's immediate needs were assessed and addressed promptly after admission.
Failure to Develop and Implement Care Plans for Specialized Equipment Use
Penalty
Summary
The facility failed to develop and implement individualized care plans for residents requiring specialized equipment, specifically for the use of Hoyer lifts and Geri-chairs. One resident, who had multiple complex medical diagnoses including metabolic encephalopathy, sepsis, chronic systolic heart failure, and cerebral palsy, required assistance with transfers and had been using a Hoyer lift since admission. Despite this, the resident’s care plan did not include the use of the Hoyer lift as an intervention. During observation, a CNA was seen transferring the resident alone with the Hoyer lift, contrary to facility policy requiring two staff members for such transfers. The CNA stated she was aware of the policy but proceeded alone due to lack of available assistance after multiple call light requests. Two other residents were observed using Geri-chairs without any documented care plan, physician order, or therapy evaluation supporting their use. One resident was found in a Geri-chair with a Hoyer lift sling underneath, and staff interviews revealed uncertainty about who authorized the use of the Geri-chair. The resident’s medical record lacked any therapy evaluation or physician order for the Geri-chair, and subsequent therapy assessment recommended a wheelchair instead. Another resident was observed in a Geri-chair and expressed discomfort, stating a preference for a different seating position. Staff indicated the Geri-chair was used for safety due to fall risk and behavioral concerns, but again, there was no care plan, physician order, or therapy evaluation documented for this intervention. Interviews with nursing and therapy staff confirmed the absence of required documentation and care planning for the use of both the Hoyer lift and Geri-chairs. The DON and Risk Manager were unaware that Geri-chairs could be considered physical restraints and acknowledged the lack of documentation or rationale for their use. The deficiencies were identified through direct observation, record review, and staff interviews, revealing a systemic failure to ensure that residents’ needs for specialized equipment were properly assessed, documented, and incorporated into individualized care plans.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Tallahassee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At The Gardens - Tallahassee | 3.2 mi | ★★★★★ | 10 | 0 |
| Tallahassee Memorial Hospital Extended Care | 3.7 mi | ★★★★★ | 0 | 0 |
| Aviata At Tallahassee | 4.1 mi | ★★★★★ | 26 | 0 |
| Seven Hills Health & Rehabilitation Center | 4.4 mi | ★★★★★ | 7 | 0 |
| Centre Pointe Health And Rehab Center | 4.4 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.