Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pruitthealth - Lanier during CMS and state inspections, most recent first.
Wet-Nested Steam Pans and Unclean Ice Machine: The facility failed to air dry and properly store steam table pans, as stacked pans were observed wet inside, and the DM confirmed they had been stacked while wet. The facility also failed to keep the ice machine clean; a brown/black substance was observed on the ice slide/shoot in the main dining room ice machine, and the DM confirmed it was removable and that the area was not clean.
The facility failed to maintain a clean and homelike environment in 12 resident rooms, with issues such as broken window screens, trash on floors, damaged bathroom doors, and peeling paint. Observations also noted water leakage, missing caulking, and malfunctioning light fixtures. Housekeeping staff faced resource limitations, potentially contributing to these deficiencies.
The facility failed to administer medications timely for a resident with multiple conditions, despite having an Emergency Medication Cabinet with the necessary medications. Additionally, a nurse did not follow proper enteral medication administration procedures for another resident, failing to flush the g-tube with water before administering baclofen and using the syringe plunger to push the medication through the tube.
A facility failed to follow infection control practices for a resident on Enhanced Barrier Precautions. Staff did not wear gowns during incontinence care and G-tube medication administration, and improper wiping techniques were used. The resident had multiple health issues and was dependent on staff for care.
Wet-Nested Steam Pans and Unclean Ice Machine
Penalty
Summary
The facility failed to prevent wet-nesting of stored steam table pans. During observation of the pot/pan rack, a stack of six medium-sized square steam table pans was found with the top two pans pulled apart and wet inside, and a stack of three small square steam table pans was also found pulled apart with the top two pans wet inside. The facility policy for Pot/Pan Washing and Sanitation stated that pots and pans are to be air dried on the drain board, inspected for cleanliness, and stored inverted in a clean, dry, protected area. During interview, the Dietary Manager confirmed the pans were stacked together while wet and stated dietary staff were expected to air dry pans completely before stacking so bacteria would not develop. The facility also failed to ensure that the ice machine was properly cleaned. Observation of the ice machine in the main dining room showed it was locked and accessible only to staff, and the inside of the machine had a white plastic ice slide/shoot with a brown/black substance along the entire bottom edge. A white paper napkin used to wipe the area removed the substance. The Dietary Manager confirmed the substance was removable and therefore the ice slide/shoot was not clean. The facility policy for Ice Machines (Handling/Scoops) stated it is the policy to maintain safe and sanitary conditions when serving ice to prevent cross contamination and the spread of bacteria. The Dietary Manager stated the inside of the ice machine and filters were cleaned monthly by maintenance and that she had assigned herself the task of checking the machine weekly, but she did not notice any substance on the ice slide/shoot when she last viewed it.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment for residents in 12 of 49 rooms, as observed during a survey. The facility's policy on Infection Control - Housekeeping Services, revised in October 2023, mandates routine cleaning of non-carpeted floors and other horizontal surfaces daily, or more frequently if soiling occurs. However, observations revealed numerous deficiencies, including broken window screens, trash on floors, damaged bathroom doors, and peeling paint. Additionally, issues such as water leakage under sinks, missing caulking around toilets, and malfunctioning light fixtures were noted. Further observations highlighted unsanitary conditions, such as dirt and debris accumulation, brown substances on various surfaces, and missing or damaged floor tiles. The facility's housekeeping staff, as reported by Housekeeper OO, were limited in resources, with only two housekeeping carts available, which they had to share. This lack of resources may have contributed to the inadequate maintenance of the residents' living environment, potentially placing them at risk for an unsanitary and unsafe living environment.
Medication Administration Deficiencies
Penalty
Summary
The facility failed to provide care and services according to accepted standards of practice for two residents regarding medication administration. For one resident, medications were not administered in a timely manner. The resident, who had a history of malignant neoplasm of the brain, glioblastoma multiforme, and other conditions, was admitted from the hospital with specific medication orders. However, the resident did not receive several prescribed medications, including dexamethasone, famotidine, levetiracetam, mirtazapine, trazodone, and dabigatran etexilate, at the scheduled times. The facility had an Emergency Medication Cabinet containing these medications, but staff did not utilize it to administer the medications as ordered by the physician. For another resident, the facility failed to follow the procedure for enteral medication administration. The resident had an order for baclofen to be administered via a g-tube, with specific instructions to flush the tube with water before and after medication administration. During a medication pass, a registered nurse did not flush the g-tube with the ordered water before administering the medication and used the syringe plunger to push the medication through the tube, contrary to the facility's policy. The nurse confirmed the failure to flush the g-tube prior to giving the medication.
Infection Control Lapses in Resident Care
Penalty
Summary
The facility failed to adhere to its infection control practices during direct contact care for a resident on Enhanced Barrier Precautions (EBP). The facility's policy required staff to wear gowns and gloves during high-contact care activities, such as incontinence care and gastrostomy tube (G-tube) medication administration. However, observations revealed that a Certified Nursing Assistant (CNA) did not wear a gown while providing incontinence care to a resident with a G-tube. Additionally, the CNA did not change the position of the wipe with each swipe during the cleaning process. Similarly, a Registered Nurse (RN) did not wear a gown while administering medications through the resident's G-tube. The resident involved had multiple diagnoses, including pneumonia, vascular dementia, quadriplegia, cerebral infarction, and major depressive disorder, and was dependent on staff for activities of daily living. The resident was always incontinent of bowel and bladder and received a significant portion of their nutrition through a feeding tube. Interviews with staff, including the Director of Health Services, confirmed that the staff should have worn gowns and gloves during these care activities and should have changed the position of the wipe with each swipe during incontinence care.
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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 Buford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crossroads Of Flowery Branch Of Journey Llc, The | 6.3 mi | ★★★★★ | 15 | 0 |
| D Scott Hudgens Center For Skilled Nursing, The | 7.7 mi | ★★★★★ | 0 | 0 |
| Salude - The Art Of Recovery | 7.8 mi | ★★★★★ | 0 | 0 |
| Cumming Operating Company Llc | 9.7 mi | ★★★★★ | 5 | 0 |
| Chestnut Ridge Nsg & Rehab Ctr | 9.7 mi | ★★★★★ | 17 | 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 August 2026) and official state health department websites.