Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 - Sylvester during CMS and state inspections, most recent first.
A resident with multiple medical conditions, including dementia and orthostatic hypotension, was repeatedly observed in bed without access to her call light, which was left coiled and hanging on the wall out of reach after housekeeping staff cleaned the room. The resident confirmed she could not reach the call light, and staff interviews indicated that while training on call light placement was provided, there was no written policy to ensure consistent accessibility.
A resident with significant physical disabilities was not provided with adequate bathing and personal hygiene assistance, as evidenced by repeated observations of poor grooming and unaddressed nail care. Despite being cognitively intact and requiring substantial help with ADLs, the resident's care refusals were not documented, and staff did not consistently follow or update the care plan to reflect the resident's needs and preferences. The facility also lacked a policy for ADL care or bathing.
A nurse did not check a resident's gastric residual before starting enteral nutrition through a G-tube, despite a physician order requiring this step. The resident, who received the majority of her nutrition via tube feeding, was observed to have her feeding started without the required residual check. The nurse later confirmed the omission, and another nurse described the correct procedure that should have been followed.
Staff did not consistently follow Enhanced Barrier Precautions and hand hygiene protocols for two residents with gastrostomy tubes. In both cases, staff provided care without donning the required gown and gloves, and in one instance, an LPN failed to perform hand hygiene between glove changes after touching her face. These lapses occurred despite clear signage and facility policy requiring PPE and proper hand hygiene during high-contact care activities.
Call Light Inaccessibility for Resident
Penalty
Summary
A deficiency was identified when a resident with diagnoses including diabetes, dementia with agitation, insomnia, dizziness, anxiety, lack of coordination, muscle weakness, and orthostatic hypotension was observed multiple times lying in bed without access to her call light. The call light cord was found coiled and hanging on the wall behind the head of her bed, approximately three feet away, and not within her reach. The resident, who had intact cognition and was independent with bed mobility and transfers, confirmed during an interview that she could not reach the call light and needed it to be accessible to call for help. She reported that housekeeping staff had moved the call light during cleaning and did not return it to her bed. Staff interviews revealed that the expectation was for the call light to be placed within the resident's reach, and that all staff, including housekeeping, received periodic in-service training on this requirement. However, the facility did not have a written policy addressing call light accessibility. The failure to ensure the call light was accessible for this resident was observed on several occasions, and staff acknowledged the lapse in practice.
Failure to Provide Bathing and Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide adequate bathing and personal hygiene assistance to a resident with bilateral above-the-knee amputations who required substantial to maximal assistance with activities of daily living (ADLs). Despite being cognitively intact and not exhibiting care-resistant behaviors, the resident was repeatedly observed over several days with matted, uncombed hair, an unshaven face, and long, discolored fingernails with brown matter underneath. The resident reported not having received a bath or shower since admission, being left in wet briefs for extended periods, and not having his fingernails properly cleaned or trimmed according to his preferences. Staff interviews revealed inconsistent documentation and communication regarding the resident's care refusals and preferences. The LPN stated that refusals for bed baths were not documented, and the care plan did not reflect the need for segmented care or the resident's specific nail care needs. The CNA confirmed that nail care was only fully addressed after several days and that refusals were verbally reported but not documented. The DON was unaware that the care plan and MDS did not reflect the resident's refusals and could not provide documentation of such refusals. Additionally, the facility lacked a policy for ADL care or shower/bath procedures.
Failure to Check Gastric Residual Prior to G-Tube Feeding
Penalty
Summary
A deficiency occurred when a nurse failed to check a resident's gastric residual prior to administering enteral nutrition via a gastrostomy tube (G-tube), as required by the resident's physician order. The facility's policy on enteral nutrition specifies that the physician prescribes the formula, rate, route, and flush orders for each resident. The resident in question had a physician order dated 4/9/2025 to check for gastric residual before feeding, with instructions to hold feeding and notify the physician if the residual exceeded 100 mL. During observation, the LPN initiated the G-tube feeding by flushing the tube and starting the nutritional supplement without checking the gastric residual. The LPN later confirmed in an interview that the gastric residual was not checked as ordered. A registered nurse described the correct procedure for checking gastric residual, which was not followed in this instance. The resident was assessed as having a feeding tube and received more than half of her calories via tube feeding during the assessment period.
Failure to Follow Enhanced Barrier Precautions and Hand Hygiene Protocols
Penalty
Summary
Staff failed to adhere to the facility's Enhanced Barrier Precautions (EBP) and hand hygiene protocols for two residents with gastrostomy tubes. For one resident with a history of cerebral infarct, right-sided hemiplegia, hemiparesis, dysphagia, and post-gastrostomy, observations showed that an LPN entered the resident's room multiple times to provide tube feeding care without donning the required gown and gloves, despite clear signage and physician orders indicating EBP. The LPN acknowledged not following the EBP protocol during an interview, and the facility's Infection Preventionist was made aware of the lapse. For another resident with a feeding tube who received the majority of her nutrition via enteral feeding, staff were observed not following proper PPE and hand hygiene procedures. An RN disconnected the feeding tube without wearing the required gown and gloves. On a separate occasion, an LPN donned a gown and gloves, but after removing her gloves to adjust her eyeglasses and rub her eye, she put on new gloves without performing hand hygiene in between. The LPN acknowledged that hand hygiene should have occurred between glove changes. These actions were not in accordance with the facility's EBP policy and procedures.
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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 Sylvester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Ashburn | 16.3 mi | ★★★★★ | 5 | 0 |
| Rehabilitation Center Of South Georgia | 19.3 mi | ★★★★★ | 7 | 0 |
| Wynfield Park Health And Rehabilitation | 19.9 mi | ★★★★★ | 0 | 0 |
| Harborview Tifton | 20.4 mi | ★★★★★ | 22 | 0 |
| Pruitthealth - Palmyra | 20.9 mi | ★★★★★ | 8 | 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.