Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 - Scenic View during CMS and state inspections, most recent first.
An LPN/Wound Nurse failed to maintain infection control during wound care for a resident with a coccyx pressure ulcer by using a soiled gloved hand during dressing changes and glove changes. An LPN also failed to perform hand hygiene before and after medication administration for a resident with COPD and respiratory failure while giving oral meds, an inhaler, and a nebulizer treatment. The IP and DON confirmed the expected infection control practices for these procedures.
A resident with a history of falls and impaired cognition was care planned to have anti-rollback bars on the wheelchair and to use non-skid socks or shoes, but was observed without these interventions in place. Staff interviews confirmed a lack of awareness and implementation of the care plan approaches, resulting in the facility's failure to follow its own policy for continuity of care.
A resident with a history of falls and impaired cognition experienced multiple falls due to the facility's failure to consistently implement care plan interventions such as anti-rollback bars on the wheelchair and non-skid socks. Despite documented requirements, staff did not ensure these safety measures were in place, and some were unaware of the care plan details, resulting in an environment with accident hazards and inadequate supervision.
Infection Control Lapses During Wound Care and Medication Administration
Penalty
Summary
The facility failed to maintain infection control during wound care for a resident with a coccyx pressure ulcer and during medication administration for a resident with chronic respiratory conditions. Review of the facility’s wound dressing document showed steps for removing the old dressing, performing hand hygiene, and applying clean gloves. The resident with the wound had diagnoses including traumatic amputation, a sacral pressure ulcer, and local infection of the skin and subcutaneous tissue. The resident’s care plan addressed the pressure ulcer and included treatments ordered for cleansing the coccyx ulcer, applying Lotrisone to the peri-wound, and covering it with calcium alginate and a foam dressing. During observation of the wound care procedure, the LPN/Wound Nurse donned and removed gloves and a gown multiple times, but also used a soiled gloved hand during the procedure. After removing the soiled dressing, the nurse sprayed wound cleanser into gauze held by the soiled gloved hand, applied wound cream to the back of the left gloved hand, used the soiled gloved hand to assist with donning a clean glove, and used the soiled gloved hand to pat the dressing on the adhesive dressing before applying it to the wound. The nurse later removed gloves and washed hands. In interview, the nurse acknowledged that she should not have changed one glove during the wound care process and confirmed using the soiled gloved hand to assist with donning the clean glove and applying the clean dressing. During observation of medication administration, an LPN did not wash hands or use hand sanitizer before preparing medications or upon entering the resident’s room. After giving oral medications, the LPN gave the resident an inhaler to self-administer, assessed breath sounds, prepared a nebulizer treatment, and assisted the resident with the mask. The LPN then exited the room without performing hand hygiene, returned the inhaler to the medication cart drawer, picked up a pen to document, and only then used hand sanitizer. The Infection Preventionist and DON both confirmed expectations for hand hygiene and glove use during wound care and medication administration, including hand hygiene upon leaving the room.
Failure to Implement Fall Prevention Interventions as Care Planned
Penalty
Summary
The facility failed to implement care plan interventions for a resident identified as being at risk for falls. The resident, who had a history of hypokalemia, lumbar vertebra fracture, gait abnormality, and recent falls, was care planned to have anti-rollback bars on the wheelchair and to use non-skid socks or shoes. Observations revealed that the resident was repeatedly seen sitting in a wheelchair without the required anti-rollback bar and was wearing regular socks instead of non-skid socks or shoes, as specified in the care plan. Interviews with staff, including a physical therapist assistant and a CNA, confirmed that the resident did not have the anti-rollback bar attached to the wheelchair and was not wearing the appropriate footwear. Staff were unaware that these interventions were part of the resident's care plan. The facility's policy requires that care plan approaches serve as instructions for care and provide continuity, but these interventions were not implemented as documented.
Failure to Implement Fall Prevention Interventions for At-Risk Resident
Penalty
Summary
A deficiency was identified when a resident with a history of falls and multiple risk factors, including hypokalemia, lumbar fracture, gait abnormality, and moderately impaired cognition, experienced several falls over a period of months. The facility's policies required that residents be assessed for risk and that appropriate interventions be implemented and included in the care plan. Despite this, the resident continued to have multiple falls, both witnessed and unwitnessed, in various locations such as the bathroom, hallway, and room. Review of the resident's care plan showed that specific interventions were documented following each fall, including the use of anti-rollback bars on the wheelchair, encouraging the use of non-skid socks or shoes, placing the bed in a low position, and providing reminders to call for assistance. However, observations revealed that these interventions were not consistently implemented. On multiple occasions, the resident was observed without anti-rollback bars on the wheelchair and wearing socks that were not non-skid, contrary to the care plan directives. Staff interviews confirmed that the required safety devices were not in place and that some staff were unaware of the care plan requirements. The failure to implement and maintain the prescribed safety interventions, as outlined in the resident's care plan and facility policy, resulted in an environment that was not free from accident hazards and did not provide adequate supervision or assistance devices to prevent accidents. This lack of adherence to the care plan and policy requirements contributed to the resident's repeated falls.
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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 Baldwin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| New Horizons Habersham | 6.7 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Toccoa | 12.9 mi | ★★★★★ | 5 | 0 |
| Gateway Health And Rehab | 13 mi | ★★★★★ | 3 | 0 |
| Friendship Health And Rehab | 17.6 mi | ★★★★★ | 5 | 0 |
| Bell Minor Home, The | 18.8 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.