Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 - Valdosta, Llc during CMS and state inspections, most recent first.
The DON was repeatedly scheduled to serve as charge nurse and perform direct nursing duties, including medication administration, due to staff shortages, even though the facility's census consistently exceeded 60 residents. Both the DON and Administrator confirmed this practice, and the Administrator was unaware of the regulatory requirement prohibiting the DON from acting as charge nurse under these conditions.
Three residents with severe cognitive impairment and upper extremity contractures did not consistently receive prescribed splint and brace applications as recommended by OT and outlined in care plans. Staff failed to apply splints for the recommended duration, documentation was incomplete or missing, and some staff were unaware of the splint protocols. Physician orders lacked clarity on wear time, contributing to inconsistent care.
A resident with a history of mental health diagnoses, who was cognitively intact, reported verbal abuse by a CNA to the Administrator. The complaint was documented, but the exact date of the incident was unclear, and the Administrator, serving as the abuse coordinator, did not report the allegation to the state agency before starting an internal investigation, contrary to facility policy requiring prompt reporting.
A resident with a history of mental health diagnoses, but who was cognitively intact, reported verbal abuse by a CNA. The facility's only documentation was a grievance form lacking key details, and the Administrator was unable to provide evidence of a thorough or timely investigation as required by policy.
The facility did not post daily nurse staffing information in an accessible location or before the start of each shift, as required by policy. During interviews, residents stated they could not locate the staffing posting, and the DON confirmed the information was not posted on time and was not easily accessible. This affected all residents' ability to know staffing levels.
The facility failed to ensure that medications for six residents were not pre-set on one of the medication carts, contrary to the facility's policy. Observations revealed that two LPNs had several unlabeled plastic cups with medications in the medication cart drawer and administered these pre-set medications to six residents. Interviews with the DHS and the Administrator confirmed that pre-setting medications is a safety issue and should not occur.
DON Inappropriately Assigned as Charge Nurse Despite Occupancy Above Regulatory Threshold
Penalty
Summary
The facility failed to ensure that the Director of Nursing (DON) did not serve as the charge nurse except when the average daily occupancy was 60 or fewer residents. Review of the DON's position description confirmed that the role is intended to oversee the Nursing Services Department in accordance with regulations. However, multiple daily nursing assignment records showed that the DON was scheduled to work as a nurse or charge nurse on several occasions, including both day and night shifts, to cover for staff shortages. These assignments occurred despite the facility's occupancy consistently ranging from 72 to 91 residents over the past two years, exceeding the regulatory threshold. Interviews with the DON and the Administrator confirmed that the DON regularly served as the charge nurse, sometimes twice a week, due to ongoing staffing shortages. The DON reported actively working on the medication cart during these shifts. The Administrator acknowledged awareness of staffing shortages but was not aware of the regulatory requirement restricting the DON from serving as charge nurse under these circumstances and stated there was no policy addressing this issue.
Failure to Follow OT Recommendations and Physician Orders for Splint Application
Penalty
Summary
The facility failed to ensure that occupational therapy (OT) recommendations and care plan interventions regarding the application of splints and braces were followed for three residents with contractures. Physician orders for these residents included the application of specific orthoses to affected limbs daily as tolerated, with skin inspections after removal. However, the orders did not specify the duration for which the splints should be worn, despite OT recommendations and care plans indicating a wear time of four to five hours daily between 7:00 am and 7:00 pm. Observations revealed that the residents were frequently not wearing their prescribed splints or braces during multiple checks throughout the day. Documentation by certified nursing assistants (CNAs) showed inconsistent or minimal application of the splints, with some days showing no application at all and other days showing wear times significantly less than recommended. There was no documentation indicating that the residents refused the splints, and interviews with staff revealed a lack of awareness or training regarding the splint application protocols. Some CNAs and medication aides were unaware of the need for splints, and restorative nursing documentation was either missing or incomplete. The residents involved had significant medical histories, including severe cognitive impairment, contractures of the upper extremities, muscle weakness, and abnormal posture. Despite clear OT discharge instructions and care plan goals to maintain range of motion and prevent further contractures, the facility did not ensure that staff consistently applied the splints as ordered or documented the care provided. The lack of clear physician orders regarding the duration of splint use and the failure to follow OT recommendations contributed to the deficiency.
Failure to Timely Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to ensure timely reporting of an allegation of abuse to the state agency as required by its own policy. According to the facility's policy, any allegations of abuse must be reported to the state survey agency and adult protective services within two hours of the allegation being made. In this case, a resident with diagnoses including schizophrenia, depression, bipolar disorder, and altered mental status, who was assessed as cognitively intact, reported verbal abuse by a CNA to the Administrator. The resident stated that the CNA was rude and told her to get off the phone while attempting to provide care, and the resident felt this could be considered abuse. The grievance form documenting the resident's complaint was dated and reported to the Administrator, but the exact date of the incident was unclear, with the Administrator later stating she believed it may have occurred earlier than the date recorded. The Administrator, who also served as the abuse coordinator, confirmed that the allegation was not reported to the state agency before she initiated an internal investigation. This failure to report the abuse allegation in a timely manner was confirmed through interviews and review of facility records.
Failure to Thoroughly Investigate Allegation of Verbal Abuse
Penalty
Summary
The facility failed to ensure that an allegation of verbal abuse was thoroughly investigated for one resident. The facility's policy requires a comprehensive investigation into abuse allegations, including documentation of the date and time of the alleged occurrence, details of the incident, interviews with all pertinent parties, and collection of relevant evidence. In this case, a resident with diagnoses including schizophrenia, depression, bipolar disorder, and altered mental status, but who was cognitively intact, reported that a CNA was verbally abusive, telling her to "get my ass off the phone" while attempting to provide care. The resident stated she reported the incident to the Administrator and was told the CNA would be written up, but was not informed of the resolution. The only documentation of the incident was a grievance complaint form, which lacked key details such as the exact date of the incident. The Administrator confirmed that she spoke with the resident, the roommate, and the CNA, but there was no documented evidence of additional interviews or a thorough investigation as required by policy. The Administrator also acknowledged uncertainty about the date of the incident and that the investigation was not initiated until after the incident was reported to the State Agency. This lack of timely and complete investigation documentation constituted a failure to respond appropriately to the alleged violation.
Failure to Post Nurse Staffing Information in Accessible Location and Timely Manner
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted in an accessible location and before the beginning of each shift, as required by its policy. During interviews, a group of five residents reported they did not know where the staffing information was posted but expressed interest in having access to it. Observation and interview with the DON confirmed that the staffing information was not posted in the designated area at the time of review and that it was typically posted after morning meetings, not before the shift began. The DON also acknowledged that the posting location was not easily accessible to residents. This deficiency had the potential to affect all residents in the facility, as it limited their or their representatives' ability to access staffing information.
Failure to Adhere to Medication Administration Policy
Penalty
Summary
The facility failed to ensure that medications for six residents were not pre-set on one of the medication carts, contrary to the facility's policy on medication administration. During observations, it was noted that two LPNs had several unlabeled plastic cups with medications in the medication cart drawer. These medications had been removed from their original pharmacy delivery packages. The LPNs were observed administering these pre-set medications to six residents, including one resident who experienced a blockage in their gastrostomy tube due to the administration of a crushed pill with cold water. Interviews with the Director of Health Services and the Administrator confirmed that pre-setting medications is a safety issue and should not occur. The observations revealed that the LPNs did not follow the facility's policy, which states that medications should be administered at the time they are prepared and should not be pre-poured, pre-set, or pre-crushed. The policy also specifies that only one resident's medications should be prepared and administered at a time. The failure to adhere to these guidelines resulted in the administration of pre-set medications to six residents, posing a potential safety hazard. The Director of Health Services and the Administrator acknowledged the issue and confirmed that the practice of pre-setting medications is not acceptable.
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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 Valdosta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Crestwood, Llc | 0.1 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Holly Hill, Llc | 0.1 mi | ★★★★★ | 10 | 2 |
| Pruitthealth - Lakehaven, Llc | 0.5 mi | ★★★★★ | 0 | 0 |
| Sgmc Health Villa | 17.1 mi | ★★★★★ | 0 | 0 |
| Hospital Authority Of Brooks County, Georgia, The | 18.2 mi | ★★★★★ | 9 | 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.