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 - Fitzgerald during CMS and state inspections, most recent first.
Food Storage and Kitchen Sanitation Deficiencies: Surveyors found spoiled cucumbers and tomatoes, expired chocolate milk, moldy hamburger buns, and frozen foods stored open to air in the kitchen. Two ovens, two frying pans, and a microwave were also observed with dried food buildup, and the DM confirmed the food and equipment were not handled or cleaned as required by facility policy.
Delayed MDS Transmission and Completion: The facility failed to transmit multiple MDS assessments within required timeframes for several residents, including assessments that remained In Process after discharge and others that were signed as complete but not sent to CMS until much later. Residents involved had diagnoses including altered mental status, repeated falls, AKI, ESRD on dialysis, MI, diabetes, COPD, Alzheimer’s disease, and heart failure. MDS staff stated some assessments should have been submitted in November, while the DON said assessments were expected to be submitted on or before the due date.
The facility failed to complete PASRR Level II screenings for three residents with mental disorders, despite having policies in place requiring such screenings prior to admission. These residents, with diagnoses including bipolar disorder and major depressive disorder, were admitted without the necessary screenings, leading to a deficiency in their care. The Social Service Director and Admission Coordinator confirmed the oversight, acknowledging that the process was not followed as required.
A resident with respiratory issues was not receiving the prescribed oxygen therapy as per their care plan, with observations showing discrepancies in the oxygen levels administered. The care plan required continuous oxygen at five LPM, but the resident was observed receiving lower levels. The Director of Health Services expected staff to follow the care plan as written.
The facility failed to administer oxygen therapy as ordered for two residents. One resident received oxygen at incorrect flow rates without a humidifier bottle, contrary to physician orders. Another resident's humidifier bottle was empty despite orders for oxygen at 4 LPM. Staff interviews revealed inconsistencies in oxygen settings and humidifier use, with the Director of Nursing confirming the need for filled humidifier bottles to prevent dry oxygen intake.
Food Storage and Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to discard food items that showed signs of spoilage or had expired sell by dates, including cucumbers with mold growth, tomatoes with mold growth, 31 half-pint cartons of chocolate milk with expired sell by dates of 12/31/2025, and a package of hamburger buns with mold growth. During the kitchen inspection, surveyors also observed an undated package of hamburger buns and several frozen food items, including a 29.7-pound box of biscuit dough, two 20-pound boxes of okra, and a bag of hush puppies, stored open to air and unprotected from possible contamination. The Dietary Manager was present and confirmed the food storage concerns, stating that food with signs of spoilage or expired dates should be discarded and that food should be closed when stored. The facility also failed to keep kitchen equipment clean for use. Surveyors observed two kitchen ovens and two frying pans with blackened dried food substances on them, and on follow-up inspection the kitchen microwave oven was found with a heavy accumulation of splattered dried food substances in the interior cooking compartment. The Dietary Manager confirmed the equipment was not clean and stated the ovens had last been cleaned three weeks earlier, while the microwave should have been cleaned each day and as needed. Facility policy required foods to be used before expiration dates, food to be discarded when past those dates, and hands, equipment, utensils, and work areas to be dismantled, cleaned, and sanitized between uses.
Delayed MDS Transmission and Completion
Penalty
Summary
The facility failed to ensure Minimum Data Set (MDS) assessments were transmitted to the State within the required timeframe for five sampled residents. Review of the Resident Assessment Instrument (RAI) Manual 3.0 and the facility’s electronic records showed that several assessments remained in an In Process status long after the assessment reference dates, while others were completed and signed but not transmitted to CMS until well after completion. The Administrator stated the facility did not have MDS policies and used the RAI Manual for MDS procedures, and the DON stated assessments were expected to be submitted in a timely manner on or before the due date. For one resident admitted with altered mental status, repeated falls, and acute kidney injury, a discharge return not anticipated assessment with an ARD of 10/09/2025 was still In Process on 01/11/2026 after the resident had already been discharged. For another resident with ESRD on dialysis, diabetes, hypertension, depression, a left below-knee amputation, and COPD, the admission assessment with an ARD of 10/31/2025 was still In Process, while other assessments showed Production Accepted status. MDS staff stated that this resident’s admission MDS had been completed and signed in November and should have been submitted then. For a third resident with MI, diabetes, hypertension, and dyspnea with lung abnormalities, both the admission assessment and discharge return not anticipated assessment remained In Process after discharge, and MDS staff stated they were submitted only on the day of the interview and should have been submitted in November. For a resident with Alzheimer’s disease and type 2 diabetes, a significant change MDS with an ARD of 11/03/2025 was not signed as completed until 01/12/2026, when MDS staff signed the CAA Summary and assessment and transmitted the data to CMS. For another resident with hypertensive heart disease with heart failure, the quarterly MDS was signed as completed on 11/11/2025 but was not electronically transmitted to CMS until 01/08/2026.
Failure to Complete PASRR Level II Screenings for Residents
Penalty
Summary
The facility failed to ensure that a PASRR Level II referral was made for three residents, which is necessary to provide individualized care and services for residents with mental disorders. The facility's PASRR Management Process and policy on the Collection of Pre-Admission Information require that a Level II screening be completed prior to admission for residents with qualifying diagnoses. However, this process was not followed for three residents, leading to a deficiency in their care. Resident 22 was admitted with multiple diagnoses, including bipolar disorder and major depressive disorder, and was receiving antipsychotic and antidepressant medications. Despite these qualifying diagnoses, there was no PASRR Level II screening completed, and the resident was not receiving psychiatric services. Similarly, Resident 46, who had diagnoses such as bipolar disorder and generalized anxiety disorder, was also admitted without a PASRR Level II screening, although they were receiving psychiatric services for psychotherapy. The Social Service Director confirmed that a Level II screening application had not been submitted for these residents, despite their qualifying diagnoses. Resident 13, admitted with major depressive disorder and anxiety disorder, also did not have a PASRR Level II screening completed. The Admission Coordinator confirmed that the process to ensure a PASRR Level II was in place prior to admission was not followed. The Social Service Director acknowledged that the last screening for PASRR Level II was conducted months prior, indicating a lapse in the facility's adherence to its own policies and procedures.
Failure to Implement Resident's Oxygen Care Plan
Penalty
Summary
The facility failed to implement the care plan for a resident, identified as R48, who was admitted with multiple diagnoses including acute and chronic respiratory failure with hypercapnia, chronic systolic heart failure, morbid obesity, and COPD. The care plan required the administration of oxygen at five liters per minute (LPM) via nasal cannula (NC) continuously, as per physician orders dated 8/5/2024. However, observations revealed discrepancies in the oxygen administration, with the resident receiving only three liters of oxygen without a humidifier bottle on one occasion and 4.5 LPM on another occasion. The deficiency was identified through staff interviews, record reviews, and observations, which highlighted the failure to adhere to the care plan as written. The Director of Health Services confirmed that the expectation was for staff to follow the care plan precisely. This inconsistency in following the prescribed oxygen therapy had the potential to affect the care and services provided to the resident.
Oxygen Therapy Administration Deficiencies
Penalty
Summary
The facility failed to administer oxygen therapy as ordered for two residents, R48 and R19. For R48, the physician's order specified oxygen at five liters per minute (LPM) via nasal cannula continuously. However, observations revealed that R48 was receiving oxygen at varying rates of 3 LPM and 4.5 LPM, without the use of a humidifier bottle as required for flows higher than 2 LPM. Interviews with staff indicated that oxygen settings were sometimes changed accidentally during care, and the use of humidifier bottles was inconsistent, depending on resident preference. The Director of Health Services confirmed that the oxygen was not set at the correct flow rate as ordered. For R19, the facility failed to ensure the humidifier bottle was changed and contained the required humidifying solution. R19 was observed receiving oxygen at 4 LPM with an empty humidifier bottle. The physician's order required oxygen at 4 LPM as needed for shortness of breath, with instructions to change respiratory supplies weekly. An LPN acknowledged the empty humidifier bottle and intended to replace it, while the Director of Nursing confirmed that the humidifier bottle should be filled to prevent the intake of dry oxygen. These deficiencies indicate a failure to adhere to physician orders and facility policies regarding oxygen administration.
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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 Fitzgerald
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmony Health And Rehabilitation | 2 mi | ★★★★★ | 12 | 0 |
| Palemon Gaskins Mem Nsg Home | 8.7 mi | ★★★★★ | 16 | 0 |
| Pruitthealth - Ocilla | 9 mi | ★★★★★ | 7 | 0 |
| Abbeville Crossing Of Journey Llc | 18.5 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Ashburn | 23.2 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.