Above average — CMS composite of the measures below.
The next survey window likely opens 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 - Eastside during CMS and state inspections, most recent first.
Failure to Follow Sliding Scale Insulin Orders: A resident with type 2 DM had a Humalog sliding scale order before meals and at bedtime, but the MAR showed multiple missing blood sugar and insulin documentation entries. Two documented blood sugar results met the order’s range for 2 units of insulin, yet zero units were given. The UM stated staff were not following the scale and that if insulin was not documented, it was not done.
Unlocked Medication Carts Left Unattended: Two medication carts were observed unlocked and unattended, with medications and supplies left accessible on the carts. An LPN/Unit Manager stated she walked away from the cart and left it unlocked, and an RN was later observed inside a resident room while her cart remained unlocked. The DON confirmed facility policy required carts to stay locked when unattended.
Hand Hygiene and Peri Care Deficiency: A CNA failed to perform hand hygiene before re-entering a resident's room and again after removing gloves, then used the same gloves during peri care after the resident had a BM. The CNA touched bed covers, removed the resident's brief and pants, wiped the rectal area with the same soiled wipes, did not spread the labia during care, and applied a clean brief and pants without hand hygiene. The ADON/ICP stated staff were expected to perform hand hygiene before and after glove use and after removal of soiled adult protectors.
A resident experiencing increased psychosis and behavioral changes was transferred to the hospital, but the facility failed to notify the correct responsible party as required. Instead, staff contacted the resident's daughter, who was listed as the emergency contact, rather than the Department of Human Services representative documented as the responsible party. The actual responsible party only learned of the hospital transfer days later through the resident's daughter.
The facility failed to follow food safety protocols, including improper thawing of meat, lack of labeling and dating of food items, and inadequate sanitation practices. A floor fan with dust and lint was observed blowing into the food prep area, and dishware was not properly sanitized. Additionally, food on the steam table was not maintained at the required temperature, posing a risk of foodborne illness to residents.
A facility failed to follow infection control practices during wound care for a resident with venous insufficiency and a cutaneous abscess. The LPN did not perform hand hygiene between glove changes, contrary to facility policy. The LPN was trained by a contracted wound care company, which advised that hand hygiene between glove changes was unnecessary. The DHS confirmed that hand hygiene should be performed between glove changes to prevent infection.
A facility failed to complete an annual nutritional assessment for a resident with Alzheimer's, dysphagia, feeding difficulties, and a stage 3 pressure ulcer. The last assessment was done in June 2023, and the oversight occurred during a transition to a new Dietitian. The facility's policy mandates annual assessments, which were not adhered to in this case.
The facility failed to maintain respiratory equipment in a sanitary manner for three residents receiving oxygen therapy. Observations showed that the oxygen concentrators were covered with dust and debris, contrary to the facility's policy requiring weekly cleaning. The deficiency was confirmed by the Administrator and ICP, who acknowledged the oversight and the potential risk of respiratory complications and infection.
A resident with moderate cognitive impairment was found to have a non-functioning call light in their room, which was not triggering when plugged in. The Assistant Maintenance Director admitted to not checking the call light recently, and the facility lacked a policy for monitoring the call system. This placed the resident at risk of unmet needs.
Failure to Follow Sliding Scale Insulin Orders
Penalty
Summary
The facility failed to ensure insulin was administered according to the blood sugar parameters on the sliding scale order for one resident with type 2 diabetes mellitus. The resident’s EMR showed an order for Humalog U-100 insulin before meals and at bedtime, with instructions to call the MD if blood sugar was less than 65 and to give 2 units if blood sugar was 150 to 200. Review of the medication administration history for 12/1/2025 through 12/31/2025 showed multiple instances of missing documentation for blood sugar results or insulin administration, including several scheduled doses on 12/9, 12/10, 12/14, 12/15, 12/18, 12/27, 12/28, and 12/29. The medication administration history for 1/1/2026 through 1/12/2026 also showed missing documentation for blood sugar results or insulin administration on 1/2, 1/3, 1/10, and 1/11. In addition, blood sugar results were documented as 155 on 12/19/2025 at 6:30 AM and 188 on 1/6/2026 at 9:00 PM, with zero units of insulin provided on both occasions. During interview, the Unit Manager stated staff were not following the scale and confirmed the resident should have received 2 units of insulin on those two occasions; she also stated that if insulin was not documented, then it was not done. The Corporate Consultant stated the expectation was to follow the policy.
Unlocked Medication Carts Left Unattended
Penalty
Summary
The facility failed to ensure medications were stored securely and inaccessible to unauthorized individuals in two of four medication carts. Review of the facility policy titled Medication Delivery, dated 2022, stated that medications are to be secured at all times and in the presence of licensed staff qualified to administer medications. During an observation on 1/12/2026 at 9:37 am, a medication cart in the East Hallway outside residents' rooms 117-116 was observed unlocked and unattended, with the key present and medications placed on top of the cart. The cart contained multiple labeled prescription medications and medication administration supplies, and no licensed staff were observed in the immediate area for approximately five minutes. During an interview on 1/12/2026 at 9:45 am, LPN 3, who was the Unit Manager on East Hall, stated she had walked away from the medication cart to take care of something and left it unattended and unlocked. During another observation on 1/13/2026 at 9:18 am, a medication cart in the [NAME] Hallway outside resident room [ROOM NUMBER] was observed unlocked and unattended for three minutes while RN 2 was inside a resident room with the door closed. The cart contained scheduled and non-scheduled medications. When RN 2 returned and saw the surveyor beside the cart, she reached for the lock and stated, "Oh, I was not supposed to do that," referring to leaving the cart unlocked. On 1/14/2026 at 4:05 pm, the DON confirmed that facility policy required all medication carts to remain locked when unattended and acknowledged that leaving medication carts unlocked is not an acceptable practice.
Hand Hygiene and Peri Care Deficiency
Penalty
Summary
The facility failed to ensure staff properly performed hand hygiene and peri care for one resident who was observed receiving care. Review of the facility's Hand Hygiene Policy stated that staff will perform hand hygiene when indicated, including between resident contacts, after handling contaminated objects, and before and after donning gloves. During observation, a CNA wearing gloves assisted with a dressing change for the resident, removed the gloves, briefly left the room to obtain supplies, and then re-entered and donned gloves without performing hand hygiene. The same CNA then observed that the resident had a bowel movement and was wearing an adult brief. While wearing the same gloves, the CNA touched the bed covers, removed the resident's pants and brief, and provided peri care. The CNA wiped the rectal area using three wipes bunched together, wiped four times without folding the wipes or obtaining clean wipes, did not spread the labia during peri care, and continued wiping with the same soiled wipes. After discarding the soiled brief, the CNA did not perform hand hygiene and used the same gloves to apply a clean brief and pants. During interview, the CNA stated, "This is the way we do care to clean up the residents." The Interim ADON/ICP stated that staff were expected to perform hand hygiene before entering a resident's room, before and after donning gloves, immediately after glove removal, and after removal of soiled adult protectors.
Failure to Notify Responsible Party of Resident's Change in Condition and Hospital Transfer
Penalty
Summary
The facility failed to notify the responsible party (RP) of a resident's change in condition and subsequent transfer to the hospital. According to the facility's Charge Nurse Workflow, the RP should be notified when a change in condition is identified. In this case, a resident with moderately impaired cognition, as indicated by a BIMS score of 12, exhibited increased psychosis, including threatening behavior and verbal outbursts. The progress note documented that the RP was notified of the situation and the decision to transport the resident, and that the nurse practitioner was also informed. However, interviews and record reviews revealed that the Director of Health Services (DHS) contacted the resident's daughter, listed as the emergency contact, rather than the Department of Human Services representative who was documented as the actual RP. The DHS stated she used the information from the resident's dashboard, which did not reflect the correct RP. The actual RP reported that she was not made aware of the resident's hospital transfer until contacted by the resident's daughter several days later. This failure to notify the correct RP was identified for one of three residents reviewed for notification of change.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to proper food safety protocols, as evidenced by several observations and staff interviews. The facility's policy on foodborne illnesses requires meats to be thawed under refrigeration or submerged in cold running water. However, pork chops were observed being thawed in a manner where not all pieces were submerged, which was confirmed by the Assistant Dietary Manager (ADM), who was unable to explain the proper procedure. Additionally, the facility's policy on labeling and dating food items was not followed, as several food items in storage were found without labels or dates, and leftover food was not discarded by the use-by date. Further deficiencies were noted in the cleanliness and maintenance of kitchen equipment. A large floor fan in the kitchen was observed with a layer of dust and lint, and it was positioned to blow air into the food preparation area, potentially contaminating food. The ADM acknowledged the fan's condition and stated that it should be cleaned weekly, but it had not been done. Moreover, the facility's policy on pot and pan sanitation was not followed, as a dietary staff member was observed not immersing dishware in the sanitizing solution for the required time, indicating a lack of training. The facility also failed to maintain proper food temperatures on the steam table, as required by their policy. During a temperature check, steamed beets were found to be at 126 degrees Fahrenheit, below the required 135 degrees Fahrenheit. This was confirmed by dietary staff, who acknowledged the temperature discrepancy. These deficiencies collectively posed a risk of foodborne illness to the 78 residents receiving oral diets from the kitchen, as the facility census was 79.
Infection Control Lapse During Wound Care
Penalty
Summary
The facility failed to adhere to infection control practices during wound care for a resident with a diagnosis of venous insufficiency and a cutaneous abscess. The resident, who had a BIMS score indicating little to no cognitive impairment, was observed receiving wound care for an unstable deep tissue injury on the left heel. The procedure involved cleaning the heel with normal saline, applying skin prep, and covering it with an antimicrobial foam dressing. During the wound care process, the Skin Integrity Coordinator (SIC) LPN did not perform hand hygiene between changing gloves, which is a requirement according to the facility's infection control policies. The SIC LPN, who had received training from a contracted wound care company, acknowledged not washing or sanitizing hands between glove changes, as she was informed during training that it was unnecessary. This practice was contrary to the facility's policy, which mandates hand hygiene after contact with wound dressings and when moving from a contaminated to a clean body site. The Director of Health Services confirmed that hand hygiene should be performed between glove changes to prevent infection, highlighting a lapse in adherence to infection control protocols.
Missed Annual Nutritional Assessment for Resident
Penalty
Summary
The facility failed to ensure that a Registered Dietitian completed an annual nutritional assessment for one of the sampled residents, identified as R53. The facility's policy requires that a Nutrition Assessment be completed at least annually for each resident. However, a review of R53's medical record showed that the last nutritional assessment was conducted on June 23, 2023. R53's medical conditions include Alzheimer's disease, dysphagia, feeding difficulties, and a stage 3 pressure ulcer, with a diet order for regular mechanical soft, no red sauce. Interviews with the facility's Corporate Nurse Consultant and Administrator confirmed that the annual nutritional assessment for R53 was missed due to a transition to a new Dietitian, who had been with the facility for only one month. The previous Registered Dietitian was expected to complete the assessment before leaving.
Failure to Maintain Sanitary Respiratory Equipment
Penalty
Summary
The facility failed to maintain respiratory equipment in a sanitary manner for three residents who received oxygen therapy. Observations revealed that the oxygen concentrators for these residents were covered with visible dust and debris, including the interior filter, exterior, and air intake cover. The facility's policy on oxygen administration required that the internal filters be changed by a contracted company and the exteriors of the concentrators be cleaned weekly. However, interviews with residents and staff indicated that these maintenance tasks had not been performed as required, with one resident noting that it had been at least 30 days since the equipment was last cleaned. The deficiency was confirmed during observations by the Administrator and Infection Control Preventionist (ICP), who acknowledged the presence of dust and debris on the equipment. The ICP admitted to not knowing the frequency with which the filters and concentrators needed to be cleaned, despite it being part of infection control responsibilities. The Administrator also confirmed that the equipment should have been cleaned according to the manufacturer's instructions and facility policy, as well as when visibly dirty. This oversight had the potential to increase the risk of respiratory complications and infection for the affected residents.
Failure to Ensure Functioning Call System for Resident
Penalty
Summary
The facility failed to ensure a functioning call system for one of the sampled residents, identified as R39. Observations on two consecutive days revealed that the call light in R39's room was not working when plugged in, although it triggered outside the room when unplugged. R39, who has moderate cognitive impairment, was unaware of the malfunction and could not recall when the call light was last checked by staff. This deficiency placed R39 at risk of accident, injury, and/or unmet needs due to the inability to call for staff assistance. Interviews with the Assistant Maintenance Director (AMD) and the Administrator confirmed the malfunction of the call light. The AMD admitted to checking call lights every other day but had not recently checked R39's due to being occupied with other tasks. The Administrator acknowledged that call lights should be regularly checked and repaired if found non-functional. However, the facility lacked a policy or written procedure specifying responsibility for monitoring the call light system or assessing its functionality.
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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 Macon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Lakeside, Llc | 1.3 mi | ★★★★★ | 5 | 0 |
| Macon Rehabilitation And Healthcare | 2.4 mi | ★★★★★ | 8 | 0 |
| Medical Management Health And Rehab Center | 5.3 mi | ★★★★★ | 6 | 0 |
| Pruitthealth - Macon | 6.4 mi | ★★★★★ | 0 | 0 |
| Archway Transitional Care Center | 6.9 mi | ★★★★★ | 5 | 2 |
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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.