Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 - Marietta during CMS and state inspections, most recent first.
Expired medications were found stored with active medications and available for administration in the first-floor medication room and medication carts. Surveyors observed one container of lidocaine oral solution and three IV bags of daptomycin past expiration, and an LPN confirmed they remained in the medication room. The acting DON stated expired medications were expected to be removed immediately upon expiration and returned to the pharmacy or disposed of per policy.
A resident with severe dementia, paraplegia, underweight/low BMI, dysphagia, and a Stage IV sacral pressure ulcer had a care plan that included infection-prevention measures such as ordered wound treatments, specialized mattress use, positioning devices, and enhanced barrier precautions. During an observed wound care procedure, an LPN removed a soiled dressing, changed gloves multiple times, and cleansed and redressed the wound but did not perform hand hygiene between glove removals and re-gloving. In interviews, the LPN reported being unaware that hand hygiene was required between glove changes, and the RN acting as DON confirmed that facility policy and infection control standards require hand hygiene between glove changes.
The facility failed to safely maintain and monitor oxygen equipment for two residents. One resident who was not ordered oxygen had an unsecured, unattended O2 tank in the room, while another resident receiving O2 via concentrator had a visibly dirty filter, an undated nasal cannula, and undated nebulizer supplies. Staff stated the first resident was not on O2 and confirmed the tank should not have been in the room; staff also stated the facility policy did not require cannulas to be dated.
A resident with severe cognitive impairment and mobility issues was injured during a transfer due to the facility's failure to update the care plan to specify the required assistance. The CNA attempted the transfer alone, resulting in the resident being hit on the head by a mechanical lift, causing bruising. The facility's policy mandates care plans to be updated to reflect changes in residents' needs, which was not adhered to in this case.
A resident with severe cognitive impairment was injured during a mechanical lift transfer when a CNA attempted the procedure alone, contrary to facility policy requiring two staff members. The lift swung out of control, hitting the resident on the head and causing bruising. The CNA was responsible for multiple residents needing lift assistance and could not find help for the transfer, leading to the incident.
The facility was found to have several environmental deficiencies, including wedged items in privacy curtains, dust buildup on PTAC units, and black substances in shower rooms and kitchen areas. The Maintenance Director was unaware of these issues, and the Administrator confirmed that regular cleaning protocols were not followed. A policy for maintaining the environment was requested but not provided.
A resident with a history of dysphagia and chronic pain syndrome received improperly administered medications, including crushed extended-release capsules and unmeasured Diclofenac ointment, during a medication pass. The LPN failed to follow the facility's medication administration policy, and interviews revealed a lack of awareness about proper procedures and available resources for medication administration.
The facility failed to maintain sanitary conditions for two residents, with one resident's oxygen equipment improperly stored and another resident not receiving appropriate PPE during care. The oxygen tubing was found touching the floor, and a resident on Enhanced Barrier Precautions did not have their room marked accordingly, nor was PPE used during feeding. These lapses in infection control could increase infection risks.
Expired Medications Left in Active Medication Storage
Penalty
Summary
Expired medications were found stored with active medications and available for administration in the first-floor medication room and medication carts. During observation, surveyors identified one container of lidocaine oral solution with a manufacturer expiration date of 02/23/2026 and three IV bags of daptomycin with manufacturer expiration dates of 02/21/2026. Review of the facility policy titled "Disposal of Medications" stated that medications which have expired, been discontinued, or remain in the healthcare center after discharge shall be removed from active stock and placed in disposal. An LPN confirmed the expired medications remained in the medication room at the time of observation, and the acting DON confirmed that expired medications were expected to be removed immediately upon expiration and either returned to the pharmacy or disposed of according to facility policy.
Failure to Perform Hand Hygiene Between Glove Changes During Wound Care
Penalty
Summary
The deficiency involves failure to follow appropriate hand hygiene practices during wound care for a resident with a Stage IV sacral pressure ulcer. The resident’s EMR showed multiple diagnoses including late-onset Alzheimer’s disease, severe dementia, paraplegia, peripheral vascular disease, underweight/low BMI, dysphagia, and a Stage IV sacral pressure ulcer. The care plan included interventions to reduce risk of complications and infection, such as weekly wound assessments, ordered treatments, use of a low-air-loss mattress, positioning/off-loading devices, maintaining cleanliness and dryness, enhanced barrier precautions, nutritional support, and coordination with hospice and the wound provider. Wound provider documentation shortly before the observation described the sacral pressure injury as Stage IV, with mild serous drainage, no odor, no peri-wound erythema, and noted the wound as improving. During an observed wound care procedure, the LPN wound care nurse donned gloves and removed the soiled dressing, then removed those gloves and put on a new pair without performing hand hygiene between glove removal and re-gloving. After cleansing the wound per treatment order, the LPN again removed and replaced gloves without performing hand hygiene between glove changes. The dressing was then applied, the resident was repositioned, and the soiled dressing was removed from the room. In an interview following the observation, the LPN stated she was unaware that hand hygiene was required between removing and donning new gloves during wound care. In a separate interview, the RN corporate nurse acting as DON confirmed that the expectation was for licensed nursing staff to perform hand hygiene between glove changes in accordance with infection control standards and facility policy.
Unsafe Oxygen Equipment and Poor Respiratory Supply Monitoring
Penalty
Summary
The facility failed to ensure oxygen equipment was safely maintained and monitored for two residents receiving respiratory-related care. One resident with diagnoses including Alzheimer's disease, unspecified dementia, type 2 diabetes mellitus, generalized anxiety disorder, gastro-esophageal reflux disease, dysphagia, lymphedema, and repeated falls had a BIMS score of 11 and was not ordered for oxygen therapy. Despite no physician order, no oxygen listed in the care plan, and no oxygen therapy indicated in the MDS, an unsecured and unattended oxygen tank was observed in the resident's room on two separate occasions. The resident stated, "No, take it with you," when asked about the tank. Staff interviews confirmed the resident was not on oxygen and that the tank should not have been in the room. A second resident with a BIMS score of 1 was observed receiving oxygen via nasal cannula at 3 liters per minute through an oxygen concentrator. During multiple observations, the concentrator's external filter was visibly soiled with accumulated dust and debris, and the nasal cannula was not dated. A nebulizer machine was also present in the room with no date observed on the nebulizer components or supplies. Staff interviews stated that nasal cannulas were typically stored in plastic bags and changed weekly, that the facility policy did not require cannulas to be dated, and that nursing staff were responsible for cleaning the oxygen concentrator filter; the acting DON confirmed the filter was dirty and stated the concentrator was the responsibility of the hospice provider.
Failure to Update Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to develop an adequate care plan for a resident, identified as R715, which resulted in actual harm. R715, who had severe cognitive impairment and required dependent care for Activities of Daily Living (ADLs) due to upper and lower extremity impairments, was involved in an incident where a mechanical lift was improperly used. The care plan did not specify the amount of assistance needed during transfers, leading to a Certified Nursing Assistant (CNA) attempting a transfer alone. This resulted in the resident being hit on the head by the lift swing, causing bruising to the left eye. The facility's policy required care plans to be person-centered and updated to reflect any changes in the resident's condition or needs. However, the care plan for R715 was not updated to include the necessary assistance for transfers. The incident was documented in a progress note, and a physician's order was issued to assess the resident's neurological status due to the bruise on the face. Interviews with the Director of Nursing and the Administrator confirmed that staff are responsible for updating care plans and following them, but this was not done in R715's case.
Inadequate Supervision During Mechanical Lift Transfer
Penalty
Summary
The facility failed to provide adequate staff supervision during the use of a mechanical lift, resulting in an injury to a resident. On 11/5/2024, a Certified Nursing Assistant (CNA) attempted to transfer a resident alone using a mechanical lift, contrary to the facility's policy that requires two staff members for such transfers. During the transfer, the lift swung out of control and hit the resident on the head, causing bruising to the left eye. The resident, who had severe cognitive impairment and was dependent on staff for activities of daily living, was later found with a large area of discoloration on the forehead and skin tears on the right arm and leg. The CNA involved reported that she was responsible for 11 residents, seven of whom required assistance with a mechanical lift. She managed to get help for six residents but was unable to find assistance for the seventh, leading her to perform the transfer alone. The facility's investigation confirmed the incident and the resulting injury. Interviews with facility staff revealed that all nursing staff are trained and checked off on the proper use of mechanical lifts, and the facility policy mandates two staff members for such transfers. However, the policy was not followed in this instance, leading to the resident's injury.
Environmental Deficiencies in Facility
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for its residents, staff, and the public. Observations revealed several deficiencies, including a wedged item in a privacy curtain rail, exposed insulating spray foam, and dust buildup on PTAC units in resident rooms. Additionally, a loose PTAC unit was found, and peeling trim was observed near the second-floor shower room. In the A-Hall first-floor shower room, orange substances were noted on the floor and ceiling vent, and clusters of black substances were found between the tiles. The kitchen dishwashing room and dry storage area also had black and brown substances on the ceiling and vents. Interviews with the resident council and the Maintenance Director confirmed these issues, with the Maintenance Director acknowledging he was unaware of the concerns and attributing the oversight to being the sole maintenance employee. The Administrator, who has been in the role since July 2024, stated that PTAC units should be checked and cleaned weekly, and ceiling vents should be cleaned monthly. However, a policy for the environment was requested but not provided, indicating a lack of formalized procedures to ensure the facility's environment is maintained appropriately.
Medication Administration Deficiency
Penalty
Summary
The facility failed to adhere to professional standards of quality care during a medication pass, as observed in one of the seven residents. The Licensed Practical Nurse (LPN) administered medications by crushing them, including extended-release potassium chloride capsules and rivastigmine tartrate capsules, which were not supposed to be opened or crushed according to the medication package and order instructions. The LPN acknowledged the error and admitted that she should have consulted with the pharmacist or doctor to explore alternative forms of the medications. Additionally, the LPN did not measure the correct dosage of Diclofenac ointment for the resident. Instead of using a measuring card to ensure the correct 4 grams dosage, the LPN squeezed an unmeasured amount into a small medicine cup. Interviews with the Unit Managers and the Director of Nursing revealed a lack of awareness and understanding of the correct procedures for measuring and administering the ointment, as well as the availability of a measuring card that comes with the medication. The resident involved had a history of conditions including old cerebral infarction, dysphagia, and chronic pain syndrome, which necessitated a mechanically altered diet and careful medication administration. The facility's policy on medication administration was not followed, leading to the potential for serious adverse effects due to improper administration techniques. The pharmacist confirmed that special instructions are provided on the Medication Administration Record (MAR) for medications that cannot be crushed, and alternative forms are explored when residents have difficulty swallowing.
Infection Control Deficiencies in Oxygen Equipment and PPE Use
Penalty
Summary
The facility failed to maintain sanitary conditions for two residents, R23 and R3, as observed during a survey. For R23, the deficiency involved improper storage of oxygen equipment. The nasal cannula tubing was observed to be draped over the oxygen concentrator and touching the floor when not in use, rather than being stored hygienically in a bag attached to the concentrator. This was confirmed by the Assistant Director of Nursing, who acknowledged that the tubing should not be placed on the floor or concentrator and should be bagged when not in use. For R3, the deficiency involved the failure to use appropriate Personal Protective Equipment (PPE) for a resident on Enhanced Barrier Precautions (EBP). R3 had a stage II pressure ulcer and was receiving gastrostomy tube feeding, which required EBP. However, during an observation, a Licensed Practical Nurse (LPN) was seen handling the resident's feeding without wearing any PPE, and the room was not marked for EBP. Supplies were left on the side table, and the formula bottle and syringe were unlabeled. The Assistant Director of Health Services later confirmed that the room was not properly marked for EBP, which was a requirement due to the resident's medical conditions. These deficiencies highlight lapses in infection prevention and control practices, specifically in maintaining sanitary conditions for medical equipment and adhering to PPE protocols for residents requiring enhanced precautions. The lack of proper storage for oxygen equipment and the failure to use PPE during high-contact care activities could increase the risk of infection and health complications for the residents involved.
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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 Marietta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Breeze Health And Rehab | 0.1 mi | ★★★★★ | 6 | 0 |
| A.g. Rhodes Home, Inc - Cobb | 2.9 mi | ★★★★★ | 4 | 0 |
| Roselane Health Center By Harborview | 3.7 mi | ★★★★★ | 14 | 0 |
| Tower Road Post Acute, Llc | 3.8 mi | ★★★★★ | 10 | 0 |
| Marietta Center For Nursing And Healing | 4.6 mi | ★★★★★ | 1 | 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.