Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 - Ashburn during CMS and state inspections, most recent first.
Unlabeled and Undated Food in Residents’ Refrigerator Surveyors found multiple unlabeled and undated food and drink items in the residents’ nourishment refrigerator and freezer, including beverages, yogurt, deviled eggs, grits, pickles, frozen dinners, and dessert items. The facility policy required all refrigerated food to be labeled and dated, and staff interviews showed mixed understanding of who was responsible for maintaining the refrigerator and removing unlabeled items.
Failure to use EBP PPE during tube feeding care. An LPN entered a resident’s room to administer meds and a bolus tube feeding for a resident with dysphagia and gastrostomy status without wearing a gown, despite EBP signage posted at the door. The resident was cognitively intact, dependent for eating, and receiving tube feedings as ordered. The LPN stated she thought a gown was only needed for a wound or infected G-tube site, while the IP and Administrator stated a gown and gloves were required for direct care.
The facility failed to develop a care plan for a resident prescribed clopidogrel for a stroke and did not implement care plan interventions for a resident who was a victim of sexual abuse. Despite severe cognitive impairments and significant medical histories, the necessary care plans were not created or updated, as confirmed by facility staff.
The facility failed to obtain a physician's order for a resident receiving hospice services after readmission from a hospital stay. The resident had severe cognitive impairment and multiple diagnoses, and the facility's policy required a physician's order for hospice services, which was not documented.
Unlabeled and Undated Food Stored in Residents’ Refrigerator
Penalty
Summary
The facility failed to label and date food items stored in the residents’ nourishment refrigerator. During a tour of the nourishment refrigerator, surveyors found multiple unlabeled and undated items, including a half-full bottle of water, a can of nacho cheese, a half bottle of soda, a tray of deviled eggs, six snack-size cups of yogurt, a half-full plastic cup of juice, a Styrofoam container of grits, an unlabeled lunch bag, a half-full opened bottle of Gatorade, and a half-full jar of pickles. In the freezer, surveyors also found an unlabeled and undated single-size cup of vanilla caramel covered sundae, four unlabeled and undated frozen television dinners, and an unlabeled and undated opened package of frozen chocolate candies. The facility policy titled Patients/Resident's Personal Food stated that all food items requiring refrigeration must be labeled and dated and that opened non-condiment foods would be discarded after 48 hours. During interviews, the Dietary Manager stated that everything in the refrigerator should be dated and labeled and that she would throw all the food items out. A CNA, another CNA, and an LPN stated that food stored in the residents’ refrigerator required a name and date, and that housekeeping was responsible for maintaining the refrigerator and removing unlabeled or undated items. The Housekeeping/Floor Technician Supervisor stated she did not believe it was housekeeping’s responsibility to maintain the residents’ refrigerator. The Administrator later confirmed that all food stored in the resident’s refrigerator should be labeled and dated and that he expected staff to follow the facility’s policy.
Failure to Use EBP PPE During Tube Feeding Care
Penalty
Summary
The facility failed to ensure staff wore PPE during care for one resident with a gastrostomy tube. The resident had diagnoses including dysphagia and gastrostomy status, was cognitively intact with a BIMS score of 13, was dependent on staff for eating, and received tube feeding for greater than 51% of calories and 501 cc or more of fluids per day. The resident’s care plan identified tube feeding risks and directed staff to observe enhanced barrier precautions with care, and the physician order required Jevity 1.5 bolus tube feeding with a 100 mL flush five times per day. During medication observation, an LPN entered the resident’s room to administer medications, including the bolus tube feeding, without putting on a gown. The resident’s door had signage indicating enhanced barrier precautions for the gastrostomy tube and that staff were to wash hands before and after and wear the proper PPE, including a mask, gloves, and a gown, when caring for the resident. In interview, the LPN stated she believed a gown was only required for residents with a wound or if the gastrostomy tube site was infected. The IP stated residents with gastrostomy tubes were to be on EBP and staff were to wear a gown and gloves during direct care, and the Administrator stated the LPN should have worn a gown during the provision of care.
Failure to Develop and Implement Care Plans for Medications and Abuse
Penalty
Summary
The facility failed to develop a care plan for a resident (R19) who was prescribed clopidogrel, an anti-platelet medication, for a stroke. Despite the resident's severe cognitive impairment and significant medical history, including a recent re-admission under hospice care, the care plan did not address the stroke or the prescribed medication. The Registered Nurse Case Mix Director confirmed that care plans should be created for new medications that could cause complications, but this was not done for R19. Additionally, the facility failed to implement care plan interventions for a resident (R55) who was a victim of sexual abuse by two other residents. Despite the incidents being reported to law enforcement and documented in the resident's Electronic Medical Record, no care plan was created to address the abuse and ensure prevention of future incidents. The Director of Health Services and the RN Case Mix Director both acknowledged the oversight and confirmed that care plans should have been created in a timely manner to address the abuse.
Failure to Obtain Physician's Order for Hospice Services
Penalty
Summary
The facility failed to obtain a physician's order for a resident receiving hospice services. The resident, who had severe cognitive impairment and multiple diagnoses including vascular dementia, was readmitted to the facility under hospice care after a brief hospital stay. The facility's policy required a physician's order for hospice services, but no such order was found in the resident's clinical records. The Director of Health Services (DHS) confirmed that the resident came back from the hospital with hospice care but without a specific hospice order written by the facility or the hospital. The deficiency was identified through staff interviews, record reviews, and a review of the facility's policy on hospice services. The DHS revealed that all standing orders from the facility were discontinued when a resident was sent to the hospital, and new orders were supposed to be completed upon re-entry. However, in this case, the hospice order was not documented as required. The DHS acknowledged that there should have been an order written for hospice services and that orders should be entered promptly and accurately.
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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 Ashburn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Sylvester | 16.3 mi | ★★★★★ | 0 | 0 |
| Rehabilitation Center Of South Georgia | 18 mi | ★★★★★ | 7 | 0 |
| Harborview Tifton | 19.3 mi | ★★★★★ | 22 | 0 |
| Crisp Regional Nsg & Rehab Ctr | 20.3 mi | ★★★★★ | 14 | 0 |
| Cordele Health And Rehabilitation | 20.6 mi | ★★★★★ | 0 | 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.