Average — CMS composite of the measures below.
The next survey window likely opens around April 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 - Peake during CMS and state inspections, most recent first.
Failure to provide medically-related social services after a sexual assault allegation. A resident with a BIMS of 13 and a hx of major depressive disorder reported that a CNA had sexually violated her, became tearful when discussing the incident, and stated that no one believed her and that she did not want to live there anymore. The SW said she normally offers BH counseling and completes a psychosocial assessment, but she did not offer counseling or document the resident’s and family’s request for discharge to another facility until later.
Expired and unlabeled food items were found in kitchen storage, including open cereal, thickened orange juice, hot sauce, turkey breast slices, and multiple products past their expiration dates. The ADM and DM acknowledged that items were left open without dates, expired bread was not discarded, and expired tortilla chips were not verified before being stored. The RD stated that unlabeled, undated, and expired items could lead to residents becoming ill.
Incomplete labeling of tube feeding formula and flush containers was observed for two residents receiving G-tube nutrition. Both residents had orders for enteral feeds and flushes, and one LPN confirmed the labels were missing required date and time information. The DHS stated tube-feeding containers should be labeled with the date and time hung and the nurse’s initials.
The facility failed to ensure a clean environment by not maintaining PTAC unit filters, leading to dust buildup in multiple rooms across four halls. Observations and staff interviews confirmed that the maintenance department did not clean the units monthly as required, potentially risking residents' breathing.
A resident did not receive scheduled showers/baths as required by the facility's policy, which mandates documentation of ADL care by CNAs. Despite being scheduled for showers/baths twice a week, the resident received significantly fewer over several months. Interviews with the resident, DON, RNC, and UM/LPN confirmed the deficiency, with no documentation of care refusal found.
A resident with COPD and thrombotic pulmonary emboli was receiving oxygen therapy at a rate higher than the physician's order of 2 LPM. The discrepancy was observed during a survey, and staff interviews revealed that the oxygen flow rates were not regularly checked, leading to the oversight.
Failure to Provide Psychosocial Counseling and Document Discharge Planning After Sexual Assault Allegation
Penalty
Summary
Medically-related social services were not provided to R133 after she reported an allegation of sexual assault by a CNA. R133 had a BIMS score of 13 and a diagnosis that included major depressive disorder. The facility incident report stated that on 04/04/2026, R133 reported that CNA FF had inserted his fingers into her vagina while bathing her the previous evening, and that she had complained about him before and did not want him taking care of her any longer. The facility investigated the allegation and found it was not substantiated. During an interview on 05/02/2026, R133 was observed coloring alone and was tearful, avoided eye contact, and spoke in a low monotone voice when discussing the facility and the allegation. She stated that she did not want to live there anymore, identified CNA FF as the person who violated her, said it had happened more than once, and stated that he told her no one would believe her over him. She became tearful and stated, No one believes me, but he did violate me. At the end of the interview, she again stated that she just did not want to live there anymore and that no one believed her. The SW stated that she usually talks with residents who make allegations, offers behavioral health counseling, completes a psychosocial assessment, and follows up, but she did not offer counseling to R133 because the resident went to the hospital shortly after the allegation and she was unable to follow up from 04/09/2026 through 05/02/2026 due to other duties and family visits. She also stated that discharge planning was at a standstill and that she had not documented the resident's and family’s request for another facility. The Administrator stated that R133 should have been offered mental health services if needed and that the information should have been documented in the clinical record. Later, the SW stated that she spoke with R133 about psychosocial counseling and that the resident wanted to proceed, and an assessment completed by Administrative Assistant KK documented discharge planning and the resident’s goal for discharge as discharge to another facility.
Expired and Unlabeled Food Items in Kitchen Storage
Penalty
Summary
The facility failed to discard expired food items and failed to properly label and date food items in accordance with its policy titled "Labeling, Dating, and Storage." During the initial kitchen tour, surveyors observed an open 2-pound bag of cereal, an open 46-ounce container of thickened orange juice, and an open 1-gallon container of hot sauce in the dry storage area without open dates. Surveyors also found a 60-ounce bottle of cranberry juice with an expiration date of 04/28/2026, a 10-gallon white rubber mini trash bag labeled rice with an expiration date of 04/23/2026, an open 2-pound container of turkey breast slices in the walk-in refrigerator without an open date, and five whole wheat bread loaves in the main kitchen with an expiration date of 04/29/2026. On a later observation, surveyors found five 2-pound bags of tortilla chips in the dry storage area with an expiration date of 03/22/2026. The Assistant Dietary Manager confirmed that the bread had been seen nearing expiration but was not discarded, and stated that the turkey breast sandwich meat had been left open overnight and not labeled by Dietary Aid BB. The Dietary Manager stated that she was responsible for labeling food items, but all staff were tasked with verifying dates and disposing of expired items. She also stated that the rice containers had a date error, that the expired tortilla chips had been brought to the kitchen by the Activities Director, and that she did not verify the date. The Registered Dietitian stated that the leadership meeting on labeling and dating had included clarification on whether an item is open and that unlabeled, undated, and expired items could lead to residents becoming ill.
Incomplete Labeling of Tube Feeding Formula and Flush Containers
Penalty
Summary
The facility failed to properly label the nutritional formula and flush containers for two residents who received nutrition through gastrostomy tubes. R139 was admitted with diagnoses including dysphagia and esophagitis, and had a physician order for Jevity 1.5 at 40 mL/hour overnight from 8:00 PM to 6:00 AM. The care plan identified tube feeding for aspiration risk and directed that tube feeding be given as ordered. Observations on 05/01/2026 and 05/02/2026 showed that R139’s formula and flush container labels were missing the dates and times of administration initiation. R88 was admitted with diagnoses of dysphagia, oropharyngeal phase, and gastroparesis. Her annual MDS documented tube feeding, and physician orders included Osmolite 1.2 by G-tube at 65 mL/hour for 16 hours and a tube flush order for 60 mL/hour for 16 hours. Her care plan stated she was at risk for altered nutrition and dehydration, had a feeding tube related to dysphagia, and was strictly NPO. Observations on 05/01/2026 showed that R88’s formula and flush containers were not labeled or dated with the administration initiation date and time. During interview, an LPN stated the labels should include the resident name, room number, written time, and date administered, and confirmed the labels for R139 and R88 were incomplete. The DHS stated tube-feeding formula and flush containers should be labeled with the date and time they were hung and the nurse’s initials.
Failure to Maintain Clean PTAC Filters
Penalty
Summary
The facility failed to maintain a clean and homelike environment by not ensuring that the Packaged Terminal Air Condition (PTAC) unit filters were free from buildup on four of eight halls. Observations revealed an excessive amount of dusty grayish buildup on the PTAC filters in multiple rooms across the 200, 300, 600, and 700 Halls. This deficiency was identified through observations conducted on March 8 and March 9, 2025, where specific rooms were noted to have significant dust accumulation on the filters. Interviews with the Maintenance Director (MD) and Maintenance Assistant (MA) revealed that the maintenance department was responsible for cleaning the PTAC units monthly, but this had not been done. The MD confirmed that the PTAC units had not been cleaned as required, and the MA acknowledged that the lack of cleaning could pose a risk to residents' breathing. During an observational tour, the MD verified the dust buildup on the filters in the identified rooms, confirming the deficiency.
Failure to Provide Scheduled ADL Care
Penalty
Summary
The facility failed to provide Activities of Daily Living (ADL) care, specifically showers and/or bed baths, according to the schedule for one resident, identified as R116. The facility's policy required Certified Nursing Assistants (CNAs) to document ADL care at the point of care, but a review of R116's Point of Care History revealed inconsistencies in the provision of scheduled showers/baths. R116 was scheduled to receive showers/baths twice a week, but records showed that the resident received significantly fewer showers/baths than scheduled over a period of several months. Interviews with the resident, the Director of Nursing (DON), the Regional Nurse Consultant (RNC), and the Unit Manager (UM)/Licensed Practical Nurse (LPN) confirmed the deficiency. R116, who had a BIMS score indicating little to no cognitive impairment, reported not receiving a bath the previous week. The DON and RNC acknowledged the lack of documentation for any refusal of care by R116, and the UM/LPN confirmed that refusals should be documented in the nurse's notes. The failure to provide scheduled ADL care had the potential to place R116 at risk of being unclean and could increase the potential for infections.
Oxygen Therapy Not Administered Per Physician's Orders
Penalty
Summary
The facility failed to administer oxygen therapy to a resident, identified as R19, in accordance with the physician's orders. R19 had a physician's order for oxygen at 2 liters per minute (LPM) via nasal cannula continuously, due to conditions including thrombotic pulmonary emboli and chronic obstructive pulmonary disease (COPD). However, during an observation, it was noted that R19's oxygen concentrator was set at 4 LPM, which was higher than the prescribed amount. Interviews with the facility staff revealed a lack of adherence to the physician's orders. Licensed Practical Nurse (LPN) AA admitted to not checking the oxygen flow rates during her rounds, assuming they were correct. Registered Nurse (RN) BB confirmed the discrepancy in the oxygen flow rate and acknowledged that administering oxygen at a higher rate than ordered could impact the resident's respiratory status. The Director of Nursing later confirmed that an audit was conducted to correct the flow rates, but this was after the deficiency was identified.
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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) |
|---|---|---|---|---|
| Zebulon Park Health And Rehabilitation | 1.3 mi | ★★★★★ | 3 | 0 |
| Carlyle Place | 1.4 mi | ★★★★★ | 2 | 0 |
| Bolingreen Health And Rehabilitation | 5.1 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Macon | 5.4 mi | ★★★★★ | 0 | 0 |
| Medical Management Health And Rehab Center | 6 mi | ★★★★★ | 6 | 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.