Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 - Augusta Hills during CMS and state inspections, most recent first.
An inaccurate MDS assessment failed to code a resident’s ordered CPAP use in Section O, even though the resident had diagnoses including OSA, COPD, asthma, and acute respiratory failure with hypercapnia. The resident was observed on supplemental O2 and reported using O2 daily and attempting to wear CPAP at night; the RN Case Mix Director and Administrator confirmed the respiratory treatments had not been coded on the MDS.
Improper Medication Administration by Two LPNs: An LPN prepared medications for a resident and handed them to another LPN to administer, and the second LPN gave the medications to the resident. The same process was observed again with another resident until the surveyor stopped it. The DON and CCC stated that the nurse who prepares the medication should administer it, and that the mentoring nurse should not hand prepared medications to the orientation nurse.
A resident with COPD, asthma, acute respiratory failure with hypercapnia, CHF, dyspnea, and other diagnoses had an active order for oxygen at 2 L/min via NC every shift, but staff did not consistently follow the order. Observations showed the resident receiving oxygen at varying rates in the facility, and for dialysis transport the resident was sent with oxygen for the first time after staff and the transport company confirmed this had not been done previously. The dialysis nurse reported the resident did not arrive with oxygen in place, and facility leadership acknowledged the order had not been followed.
A resident was found self-administering wound care without being assessed for safety, contrary to facility policy. The resident, with a gastrostomy and dermatitis, was observed using wound dressing supplies at her bedside, which she reported using due to nursing delays. The facility's Administrator and DHS confirmed the resident was not assessed for self-administration, and the supplies were to be confiscated.
The facility failed to maintain clean PTAC units and a homelike environment in certain rooms, with observations of stains, discolored substances, and debris on filters. Interviews revealed lapses in cleaning protocols, with the Maintenance Director admitting to not cleaning a filter and the Housekeeping Director acknowledging delays. The Administrator confirmed the need for regular filter cleaning to prevent respiratory issues.
A resident with moderate cognitive impairment and multiple diagnoses did not receive scheduled showers for extended periods, leading to poor hygiene and unkempt appearance. Despite a care plan indicating a preference for daytime showers, documentation and staff interviews confirmed the lack of ADL care, with the facility failing to follow through on shower audits.
A resident experienced a significant weight loss of 13.4% over 30 days due to the facility's failure to conduct weekly weight monitoring as recommended by the RD. Despite the resident's severe cognitive impairment and need for assistance with eating, staff did not provide adequate support during meals. The gap in weight monitoring was attributed to a CNA being pulled off the floor, and staff interviews revealed a lack of awareness regarding the resident's weight loss and monitoring needs.
MDS Did Not Reflect Ordered CPAP Use
Penalty
Summary
An inaccurate MDS assessment was completed for one resident with multiple respiratory diagnoses, including obstructive sleep apnea, COPD, asthma, acute respiratory failure with hypercapnia, dyspnea, and wheezing. The resident’s most recent quarterly MDS documented a BIMS score of 14 and showed no respiratory treatment indicators in Section O for CPAP use, despite the resident having an active physician order for CPAP during sleep with oxygen at 2 L/min, along with instructions to empty the reservoir each morning and allow it to air dry. The resident was observed sitting up in bed receiving supplemental oxygen at 1.5 LPM via nasal cannula and stated that he uses continuous oxygen every day and attempts to wear the CPAP at night. The CPAP empty reservoir was observed on the bedside table. During interview and record review, the RN Case Mix Director stated there were no respiratory indicators coded in Section O and said she would make corrections to reflect the current orders, and the Administrator confirmed that the resident’s respiratory treatments had not been coded on the MDS.
Improper Medication Administration by Two LPNs
Penalty
Summary
The facility failed to meet professional standards of quality during medication administration for one resident, R14. Review of the facility policy titled Medication Administration: General Guidelines stated that medications are to be administered as prescribed, in accordance with good nursing principles and practices, and only by persons legally authorized to do so. The policy also stated that only the licensed or legally authorized personnel that prepare a medication may administer it. During observation on 03/23/2026 at 1:47 PM, LPN SS prepared medications for R14, gave the medications to LPN TT, and instructed LPN TT to administer them to R14. LPN TT then administered the medications to R14. The observation continued and showed LPN SS preparing medication for another resident and giving it to LPN TT to administer, until the surveyor stopped LPN TT from administering the medication. In interviews, LPN SS stated she did not see anything wrong with preparing the medication and having LPN TT administer it. The DON stated that the nurse who prepares the medication should administer it and that a nurse should not place opened medications in a cup and pass the cup to another nurse to give. The CCC stated that the mentoring nurse should not set up medications and hand them to the orientation nurse to give, and that the nurse who prepared the medications should give them to the resident. The DON later stated that the trainee should prepare and administer the medications while the mentor observes.
Failure to Follow Active Oxygen Order During Dialysis Transport
Penalty
Summary
The facility failed to follow the physician’s order for continuous oxygen administration for a resident with multiple respiratory and medical diagnoses, including COPD, asthma, acute respiratory failure with hypercapnia, CHF, dyspnea, and wheezing. The resident’s EMR showed an active order dated 03/09/2026 for oxygen at 2 L/min via nasal cannula every shift, and the resident had a BIMS score of 14 on the most recent quarterly MDS, indicating little to no cognitive impairment. Observations and interviews showed the resident receiving oxygen at 1.5 LPM on one occasion and at 2 LPM on another while in the facility, and later receiving 2 LPM via nasal cannula from an oxygen cylinder during transport to dialysis. The resident stated this was the first time he had been sent to dialysis with oxygen, and the transport staff confirmed it was the first time they had accommodated this need. Review of progress notes showed no documentation of supplemental oxygen being sent with the resident to or from the dialysis center, and the dialysis nurse stated the resident did not arrive with oxygen in place. The transportation company stated it normally does not permit transporting patients with oxygen, and facility staff and the Administrator acknowledged that the active oxygen order had not been followed.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to assess and determine if a resident, identified as R732, was clinically appropriate to self-administer medications. The facility's policy requires that a licensed nurse and physician must determine the safety of self-administration for each resident. However, there was no evidence in the electronic medical record (EMR) or the resident's care plan that R732 was assessed for self-administration of wound care medications or treatments. Despite this, the resident was observed applying wound dressing around her gastrostomy tube (g-tube) stoma site, and she reported doing so multiple times a day due to delays in nursing care. The resident had been admitted with diagnoses including irritant contact dermatitis and complications related to a gastrostomy. Observations revealed wound dressing supplies at the resident's bedside, which she used for self-care. Interviews with the facility's Administrator and Director of Health Services confirmed that the resident should not have had these supplies at her bedside and that she had not been assessed for self-administration. The supplies were to be confiscated immediately, as the facility's policy was not followed, leading to this deficiency.
Failure to Maintain Clean PTAC Units and Environment
Penalty
Summary
The facility failed to maintain clean 'Packaged Terminal Air Conditioner' (PTAC) units and ensure a clean, homelike environment in one of the halls, specifically in rooms 115, 116, and 117. Observations revealed brown stains on the bathroom door and adjacent wall in one room, a black discolored substance on the PTAC unit grill in another, and a PTAC filter with grey, fuzzy debris in a third room. The facility's policy requires air filters to be cleaned or replaced every three months and detailed cleaning of resident rooms weekly, but these procedures were not followed. Interviews with the Maintenance Director and Housekeeping Director confirmed lapses in cleaning protocols. The Maintenance Director admitted that the filters are cleaned monthly, but the filter in one room had not been attended to, and the black substance on the PTAC unit was not cleaned, potentially affecting air quality. The Housekeeping Director acknowledged delays in cleaning and emphasized the expectation for aides to maintain room cleanliness. The Administrator confirmed that filters should be cleaned monthly and more frequently during extreme temperatures, acknowledging the risk of respiratory issues due to poor air quality.
Failure to Provide Adequate ADL Care for Resident
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care for a resident, identified as R44, specifically concerning showers and facial hair grooming. R44 was admitted with multiple diagnoses, including unsteadiness on feet, muscle weakness, and moderate cognitive impairment, requiring moderate to partial assistance with ADL care. The resident's care plan indicated a preference for showers during the day, with a goal to honor these preferences. However, documentation revealed that R44 did not receive a bath or shower for extended periods, specifically 15 days and 13 days in two separate intervals. Observations and interviews confirmed the deficiency, with R44 appearing unkempt and expressing concern over not receiving a shower in over 11 days. A family member also reported the issue to the administration, noting the resident's poor hygiene. Interviews with facility staff, including an LPN and the Administrator, verified the lack of documentation and follow-through on shower audits, indicating a failure in the facility's process to ensure the resident's ADL needs were met.
Failure to Conduct Weekly Weight Monitoring for Resident
Penalty
Summary
The facility failed to conduct weekly weight monitoring for a resident, R74, as recommended by the Registered Dietician (RD). R74, who was admitted with diagnoses including dysphagia and gastro-esophageal reflux disease, experienced a significant weight loss of 13.4% over a 30-day period. The facility's policy required weekly weights for new admissions and residents with significant weight loss, but there was a gap in weight measurements between January 7, 2025, and February 6, 2025. This lapse in monitoring was attributed to the responsible Certified Nursing Assistant (CNA) being pulled off the floor, leading to a failure in implementing the RD's recommendations. Observations revealed that R74 was not receiving adequate assistance with meals, which may have contributed to her weight loss. During meal observations, staff did not assist R74 with eating, despite her severe cognitive impairment and dependency on assistance for eating. Interviews with staff indicated a lack of awareness regarding R74's need for weekly weights and her significant weight loss. The Registered Dietician had communicated the need for increased oral supplements and weekly weights, but these recommendations were not fully implemented by the nursing staff. The Director of Health Services confirmed the deficiency, acknowledging the gap in weight monitoring and the resident's continued weight loss. The facility's failure to adhere to its weight monitoring policy and the RD's recommendations potentially compromised R74's nutritional health. The deficiency was identified through a combination of record reviews, staff interviews, and direct observations, highlighting a breakdown in communication and execution of care plans within the facility.
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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 Augusta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Azalea Health Center By Harborview | 1 mi | ★★★★★ | 10 | 0 |
| Pruitthealth - Augusta | 2.2 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Creekside | 3.2 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- North Augusta | 3.9 mi | ★★★★★ | 2 | 0 |
| Stevens Park Health And Rehabilitation | 4 mi | ★★★★★ | 5 | 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.