Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 - Macon during CMS and state inspections, most recent first.
A resident who was dependent on staff for toileting assistance was assisted by an Activities Assistant with her briefs while the door was open and no privacy curtain was used, contrary to facility policy requiring full visual privacy during care. Both the staff member and the DHS acknowledged that doors should be closed during care, but this was not consistently done.
Surveyors found that four resident rooms were not maintained in a clean and homelike condition, with thick dust on vent filters, sticky and stained floors, and food residue on a television. Facility staff confirmed that vents and filters had not been cleaned or changed in years, and that extra cleaning was needed but not always performed.
Two residents with significant mental health diagnoses, including bipolar disorder and schizoaffective disorder, were not referred for required PASRR Level II evaluations despite documentation of psychiatric conditions and use of psychotropic medications. Facility staff confirmed the absence of these evaluations in both cases.
A resident with a history of impaired mobility, CVA with hemiparesis, and a recent major injury from a fall did not receive all care plan interventions for fall prevention. Observations showed the absence of fall mats and non-skid socks, despite these being listed in the care plan. Staff interviews confirmed the resident's high fall risk and revealed gaps in communication and understanding of required interventions among CNAs and nursing staff.
A resident with moderate hearing impairment, as documented in the MDS and care plan, did not receive an audiology referral or assessment. Despite the resident's ongoing difficulty hearing and requests for communication accommodations, no follow-up or audiology services were provided, and staff confirmed the lack of referral or evaluation.
A resident with a history of CVA, hemiplegia, and hemiparesis did not receive a physician-ordered left hand orthotic, as confirmed by multiple observations and staff interviews. The resident reported rarely wearing the brace, and staff were unsure if it was ever applied, despite an order for daily use. This failure to provide restorative nursing for the upper extremity was confirmed by the DHS.
Three residents who smoked did not have complete and accurate smoking assessments, and one lacked a care plan related to smoking. One resident with moderate cognitive impairment was observed smoking without any assessment or care plan, another with severe cognitive impairment had an incomplete assessment, and a third had an inaccurate quarterly assessment despite being seen smoking. The facility's required procedures for assessment and care planning were not followed, as confirmed by the DHS.
Two residents with respiratory conditions did not receive oxygen therapy as ordered by their physicians. One resident's oxygen flow was set below the prescribed rate, and she reported not feeling the oxygen flow. Another resident's nasal cannula was not consistently in place, and the oxygen flow meter was set below the ordered rate on several occasions. Nursing staff and leadership confirmed that oxygen settings were not consistently checked against physician orders.
Staff did not consistently perform hand hygiene between glove changes during wound care for a resident with multiple stage four pressure ulcers, and personal care supplies such as a wash basin and urinal were found unlabeled and uncovered in a restroom. The Director of Health Services confirmed these practices did not meet facility infection control policies.
Failure to Maintain Resident Privacy During Personal Care
Penalty
Summary
Staff failed to provide care in a manner that maintained or enhanced a resident's dignity by not ensuring privacy during personal care. Specifically, an Activities Assistant was observed assisting a resident with her briefs while the door to the room was open and no privacy curtain was pulled. This action was in direct contradiction to the facility's policy, which requires staff to provide full visual privacy during routine care and treatment by closing doors and using privacy curtains. The resident involved was dependent on staff for toileting assistance, as documented in her Annual Minimum Data Set (MDS) assessment. Her care plan also indicated the need for skilled assistance with toileting and transfers to reduce fall risk. During interviews, both the Activities Assistant and the Director of Health Services acknowledged that the expectation was to close doors during care, but this was not always maintained. The failure to provide privacy during care had the potential to diminish the resident's quality of life.
Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment in four resident rooms, as evidenced by observations of significant dust and particle buildup on ceiling and wall vent filters, sticky and discolored floors, and food residue on a television. Specifically, rooms F11, F13, F15, and F21 were found to have these deficiencies, with some vent filters having approximately two inches of thick dust and particle buildup, and floors in multiple rooms exhibiting sticky substances and discoloration. In one room, a television had food particles built up on the top and sides. Interviews with the Housekeeping Supervisor and Maintenance Director confirmed awareness of these issues. The Housekeeping Supervisor indicated that a calendar system was used to schedule deep cleaning, but acknowledged that extra cleaning was sometimes needed. The Maintenance Director admitted that vents and filters had not been cleaned or changed in years, and that these tasks were overdue. The Administrator stated that her expectation was for adequate staffing, training, and quality checks, but the observed conditions indicated these standards were not met in the affected rooms.
Failure to Complete PASRR Level II Evaluations for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that two sampled residents with mental health diagnoses were referred for a Preadmission Screening and Resident Review (PASRR) Level II evaluation as required. One resident was admitted with diagnoses including bipolar disorder, major depressive disorder, and anxiety, and their medical record and care plan documented ongoing psychiatric and mood disorders. Despite these diagnoses, there was no evidence in the electronic medical record of a completed PASRR Level II evaluation, and the Director of Health Services confirmed that this had not been done and could not provide an explanation for the omission. Another resident was documented as receiving antipsychotic, antianxiety, and antidepressant medications, with care plan problem areas including behavioral symptoms, psychotropic drug use, elopement risk, and cognitive loss/dementia. This resident's diagnoses included schizoaffective disorder and bipolar disorder, yet there was also no PASRR Level II evaluation present in the medical record. The Social Worker confirmed that, based on the resident's diagnoses, a PASRR Level II should have been submitted but was not.
Failure to Implement Fall Prevention Interventions for High-Risk Resident
Penalty
Summary
Staff failed to implement the individualized care plan for a resident identified as high risk for falls. The resident's care plan, last revised on 4/28/2025, included interventions such as placing frequently used items within reach, using a right leg knee immobilizer, assisting the resident when agitated, providing non-skid socks, placing fall mats, and encouraging the use of the call light. Despite these documented interventions, multiple observations revealed that fall mats were not present next to the resident's bed and non-skid socks were not on the resident during several checks. The resident was observed both lying in bed and sitting up without these safety measures in place. Staff interviews confirmed that the resident was at high risk for falls due to impaired mobility, a history of CVA with hemiparesis, behaviors, and a recent major injury from a fall. The LPN acknowledged the absence of fall mats and non-skid socks, and the Director of Health Services stated that interventions should be visible to CNAs via the care assist dashboard and communicated in reports. However, a CNA reported uncertainty about where to find intervention details and noted that no shift report was conducted, relying instead on nurses to communicate changes. These actions and inactions led to the failure to implement the care plan as written.
Failure to Provide Hearing Services for Resident with Documented Hearing Impairment
Penalty
Summary
A deficiency was identified when a resident with multiple medical diagnoses, including paraplegia and hearing impairment, was not provided with appropriate hearing services. The resident's Minimum Data Set (MDS) documented moderate difficulty with hearing, and the care plan acknowledged the hearing impairment, listing interventions such as facing the resident when speaking and providing written communication materials. However, there was no evidence in the physician's orders or medical record of a referral to audiology or further assessment for hearing services since admission. During interviews and observations, the resident reported not having a hearing aid, difficulty hearing, and needing staff to repeat questions or remove masks to facilitate lip reading. The Social Services Director confirmed that the resident was not on the audiology referral list and had not been seen by an audiologist, despite a note referencing a referral in January with no follow-up. The Director of Health Services also confirmed that no audiology referrals had been made for the resident, despite documentation of hearing difficulties in the care plan and MDS.
Failure to Provide Ordered Restorative Nursing for Upper Extremity
Penalty
Summary
A resident with a history of cerebrovascular accident (CVA), hemiplegia, and hemiparesis had a physician's order for a left upper extremity (LUE) hand orthotic to be worn three to four hours daily as tolerated. The resident's Minimum Data Set (MDS) assessment indicated upper extremity impairment on one side, but did not document receipt of restorative nursing or splint/brace assistance. Multiple observations over several days revealed that the resident did not have the prescribed hand brace on her left hand, and the resident reported rarely wearing the brace and not having worn it in a couple of weeks. Interviews with staff confirmed that the resident received restorative care for her lower body but not for her upper body, and that there was uncertainty among staff regarding whether the resident ever wore the splint. The Director of Health Services confirmed the existence of the physician's order for the left hand splint and stated that staff were expected to ensure the splint was applied as ordered. The failure to provide the ordered restorative nursing intervention had the potential to place the resident at risk for decreased range of motion in her left hand.
Failure to Complete Smoking Assessments and Care Plans for Residents Who Smoke
Penalty
Summary
The facility failed to ensure that three residents who smoked had complete and accurate smoking assessments, and did not provide a care plan related to smoking for one of these residents. Specifically, one resident with moderate cognitive impairment and a history of tobacco use was observed smoking in the designated area but had no smoking assessment or care plan addressing smoking. Another resident with severe cognitive impairment and nicotine dependence was identified as a smoker, but their smoking assessment was incomplete and marked as in process. The third resident, also with severe cognitive impairment and a history of tobacco use, had a care plan indicating the need for supervised smoke breaks, but the quarterly assessment inaccurately documented their smoking status, despite observations of the resident smoking in the designated area. The facility's policy required that residents who smoke be assessed upon admission, re-admission, with significant change, and at least quarterly thereafter, with care plans developed based on these assessments. However, record reviews, staff interviews, and direct observations revealed that these procedures were not consistently followed. The Director of Health Services confirmed the lack of completed or accurate smoking assessments and care plan interventions for the affected residents, acknowledging that this failure could result in staff not knowing what to monitor regarding residents' smoking behaviors.
Failure to Administer Oxygen Therapy as Prescribed
Penalty
Summary
Staff failed to administer oxygen therapy as prescribed by physicians for two residents with respiratory conditions. One resident with diagnoses including sarcoidosis, shortness of breath, and eosinophilic asthma had a physician's order for oxygen at 3 liters per minute (LPM) via nasal cannula as needed. However, observation revealed the oxygen flow rate was set between 1.5 and 2 LPM, and the resident reported not feeling the oxygen flow, prompting her to call for a nurse. The resident's care plan and medical record confirmed the need for oxygen at the ordered rate. Another resident with a diagnosis of acute respiratory failure with hypoxia had a physician's order for continuous oxygen at 3 LPM. Observations showed the nasal cannula was not consistently in place, and the oxygen flow meter was set below the prescribed rate on multiple occasions, including 2.5 LPM and 1 LPM. Interviews with nursing staff and the Director of Health Services confirmed that the expectation was for staff to review and monitor oxygen orders and settings each shift, but this was not consistently done.
Failure to Follow Infection Control Practices During Wound Care and Improper Storage of Personal Care Supplies
Penalty
Summary
Staff failed to follow infection control practices during wound care for a resident with multiple stage four pressure ulcers. During wound care, an LPN was observed preparing supplies, washing hands, and donning gown and gloves, but did not perform hand hygiene between removing and donning new gloves at several points in the procedure. The LPN also assisted with removing fecal matter and again failed to perform hand hygiene before continuing wound care. The facility's policy required staff to implement infection prevention and control procedures, and the Director of Health Services confirmed that staff had been educated on these requirements. Additionally, personal care supplies, including a wash basin and urinal, were observed in a resident restroom unlabeled, uncovered, and exposed to the environment on multiple occasions. The Director of Health Services confirmed that these items should have been covered and labeled, and stated they would be discarded. These observations indicate lapses in infection control practices related to both direct resident care and the storage of personal care items.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Macon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medical Management Health And Rehab Center | 1.1 mi | ★★★★★ | 6 | 0 |
| Cherry Blossom Health And Rehabilitation | 2.1 mi | ★★★★★ | 8 | 0 |
| Archway Transitional Care Center | 2.9 mi | ★★★★★ | 5 | 2 |
| Macon Rehabilitation And Healthcare | 4 mi | ★★★★★ | 8 | 0 |
| Carlyle Place | 5.2 mi | ★★★★★ | 2 | 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.