Below average — CMS composite of the measures below.
The next survey window likely opens around February 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 - Warner Robins Llc during CMS and state inspections, most recent first.
Food items in the kitchen storage areas and two nourishment rooms were found without required labels, open dates, received dates, or expiration/use-by dates. Surveyors observed opened juice, rice, thawing juice boxes, produce, snack cakes, thickened liquids, resident food bags, and crackers that were not properly dated, and staff confirmed several items should have been labeled and dated per policy.
The facility failed to ensure proper preparation of pureed fried fish, compromising its nutritional value. A dietary staff member was observed adding bread slices and vegetable broth to pureed fish without following any documented recipe or guidelines. The Dietary Manager confirmed that bread should not be added and acknowledged the lack of a recipe or documentation for pureed food preparation. This deficiency potentially affected eight residents on a pureed diet.
The facility failed to discard expired food, label leftovers, and maintain cleanliness in storage areas, leading to potential food safety risks. Observations revealed outdated food items, unlabeled cake, dented cans improperly stored, and unsanitary conditions in the kitchen. Moisture was found in stacked pans, indicating improper drying practices. These deficiencies could compromise food safety and increase the risk of foodborne illnesses.
The facility failed to provide transfer notices to two residents during hospital transfers, leaving them uninformed about their rights. One resident with acute upper respiratory infection and other conditions was transferred twice without documentation of a transfer notice. Another resident with hypertension and congestive heart failure was transferred due to difficulty breathing, and the Administrator confirmed the absence of transfer notices. This oversight created the potential for residents to be unaware of their rights regarding hospital transfers.
The facility failed to provide bed hold notices to two residents during their hospitalizations, as required by policy. One resident with multiple diagnoses, including vascular dementia, was transferred to the hospital twice without documentation of a bed hold notice. Another resident with conditions such as congestive heart failure was transferred due to difficulty breathing, and no bed hold notice was issued. Staff interviews revealed confusion about responsibility for issuing these notices, with the Administrator noting that the former company did not provide them.
A facility failed to develop a comprehensive care plan for a resident receiving psychotropic medications, as required by their policy. The resident, with diagnoses including major depressive disorder and dementia, was prescribed mirtazapine, but their care plan did not address this medication use. The MDS coordinator confirmed the oversight, which could risk the resident not receiving appropriate care.
The facility failed to conduct an annual review of its Infection Control and Prevention Program policies, potentially increasing the risk of exposure to infectious diseases for residents, staff, and visitors. The IP was unsure when the program or policies were last reviewed by the IDT, and the DON could not provide evidence or documentation of such a review.
Food Storage Items Not Properly Labeled or Dated
Penalty
Summary
The facility failed to ensure food items in the reach-in cooler, walk-in cooler, dry food storage area, and two nourishment rooms were labeled, dated, and within expiration or use-by dates. During the kitchen tour, surveyors observed three juice containers in the reach-in cooler without an open date, rice in the walk-in cooler without a date, two boxes of juice thawing without the date they were placed in the cooler, four potatoes and a bagged purple onion without labels or dates, red and green peppers with fuzzy white growth, three boxes and five loose fudge rounds without open or expiration dates, and a bag of sprinkles with a scoop stored in it and no in-date or expiration date. The Certified Food Manager acknowledged the juice had been opened that morning and should have been dated, and stated the rice had been made the day before and should have been dated. In the nourishment room at the corner of the 300/400 Hall, surveyors found two opened thickened liquid containers without open dates, loose snack cakes not labeled or dated, multiple boxes of fudge cakes and oatmeal cakes with received and use-by dates but no open date, and two plates of food in a bag labeled with a resident's name but without the date placed in the refrigerator. In the nourishment room at the corner of the 100/200 Hall, one package of cheddar cheese crackers did not have an expiration date. Staff interviews confirmed items in the refrigerator should have been labeled and dated, thawing juice boxes should have had the appropriate dates, and scoops should be stored separate from the product being scooped.
Improper Puree Preparation Compromises Nutritional Value
Penalty
Summary
The facility failed to ensure that dietary staff prepared pureed fried fish in a manner that maintained its nutritive value. During an observation, a dietary staff member was seen pureeing fried fish filets with added bread slices and vegetable broth, without following any documented recipe or guidelines. The dietary staff member stated that she was trained to add one slice of bread per serving of pureed food, but had never seen any recipe or documentation for this practice. The Dietary Manager confirmed that bread should not be added to pureed foods and acknowledged the absence of a recipe or documentation for pureed fried fish preparation. The deficiency had the potential to affect eight residents on a pureed diet, risking their nutritional intake.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to adhere to its policies regarding food storage and sanitation, leading to several deficiencies. Observations revealed that leftover and expired food items were not discarded, and containers were not properly labeled and dated. Specifically, potato wedges, peach slices, and chocolate pudding were found with outdated preparation dates, and yogurt cups were past their use-by dates. The Dietary Manager confirmed these oversights and acknowledged that the facility lacked a specific policy for handling leftover food items, relying instead on a general practice of discarding leftovers five days after preparation. Additionally, a spill of orange juice was not cleaned promptly, contributing to unsanitary conditions. In the walk-in freezer, a round chocolate cake layer was found without a label or date, and the Dietary Manager was unable to identify its origin, as round-shaped cakes were not typically served to residents. This lack of labeling and dating indicates a failure in tracking and managing food items, which could lead to potential food safety issues. Furthermore, in the dry storage area, dented cans of baby corn and green beans were improperly stored on shelves instead of being placed in a designated area for damaged goods. A white powdery substance was also observed on cans and the floor, which the Dietary Manager admitted should have been cleaned by the dietary staff. The facility also failed to maintain proper sanitation practices for kitchen equipment. Observations of the pot and pan rack revealed that steam table pans were stacked with moisture inside, indicating that they were not allowed to dry completely before storage. The Dietary Manager confirmed this oversight, acknowledging that dietary staff should ensure pans are fully dry to prevent bacterial growth. These deficiencies in food storage, labeling, and sanitation practices have the potential to compromise food safety and increase the risk of foodborne illnesses among residents.
Failure to Provide Transfer Notices for Hospital Transfers
Penalty
Summary
The facility failed to provide transfer notices to two residents, R50 and R62, during their hospital transfers, which is a requirement to ensure residents are informed about their rights. R50, who had diagnoses including acute upper respiratory infection, hemiplegia, and vascular dementia, was transferred to the hospital on two occasions, but there was no documentation in the electronic medical record (EMR) indicating that a transfer notice was provided. Interviews with the Agency LPN and the Assistant Director of Nursing (ADON) revealed that while other documents were sent to the hospital, the transfer notice for R50 was missing. Similarly, R62, who had conditions such as hypertension, congestive heart failure, and a hip fracture, was transferred to the hospital due to difficulty breathing. The EMR review showed no return to the facility after the transfer, and the Administrator confirmed that the former company did not provide transfer notices for hospital transfers. This lack of documentation and notification created the potential for both residents to be uninformed about their rights related to hospital transfers and their subsequent return to the facility.
Failure to Provide Bed Hold Notices During Hospital Transfers
Penalty
Summary
The facility failed to provide bed hold notices to two residents, R50 and R62, during their hospitalizations, as required by the facility's policy. R50, who had diagnoses including acute upper respiratory infection, hemiplegia, and vascular dementia, was transferred to the hospital on two occasions. The electronic medical record (EMR) for R50 did not contain documentation of a bed hold notification being provided upon transfer. Interviews with staff, including an LPN and the Assistant Director of Nursing (ADON), revealed a lack of clarity regarding the responsibility for issuing bed hold notices, with the ADON unaware of such notices being sent under previous ownership. Similarly, R62, who had conditions such as hypertension, congestive heart failure, and a hip fracture, was transferred to the hospital due to difficulty breathing and did not return to the facility. The Administrator confirmed that a bed hold notice was not sent for R62, attributing this to the practices of the former company. The absence of bed hold notices for both residents indicates a failure to adhere to the facility's policy, potentially affecting the residents' re-admission and room retention following hospitalization.
Failure to Develop Comprehensive Care Plan for Psychotropic Medication Use
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, identified as R12, who was receiving psychotropic medications. The facility's policy requires that each resident have a care plan that includes measurable goals and timeframes to meet their medical, nursing, and psychosocial needs. However, upon review, it was found that R12, who had diagnoses including major depressive disorder, mood disorder due to a known physiological condition, and dementia with behavioral disturbance, did not have a care plan addressing the use of psychotropic medications, specifically mirtazapine, which was prescribed to them. The deficiency was identified through observations, interviews, and record reviews. The MDS coordinator acknowledged during an interview that R12's care plan was missing the necessary documentation for psychotropic medication use, which should have been updated during daily morning meetings. This oversight had the potential to place R12 at risk for not receiving treatment and care according to their needs, as the care plan is essential for ensuring that all aspects of a resident's care are addressed comprehensively.
Infection Control Program Lacks Annual Review
Penalty
Summary
The facility failed to ensure that the Infection Control and Prevention Program policies were reviewed annually, which had the potential to increase the risks of exposure to infectious diseases to all residents, staff, and visitors. During the review of infection control policies, there was no evidence of an annual review. The Infection Preventionist (IP) reported that while the antibiotic stewardship and infection control surveillance programs were discussed in the quarterly Quality Assurance Performance Improvement (QAPI) meetings, she was unsure when the entire infection control program or policies had been reviewed by the Interdisciplinary Team (IDT). The Director of Nurses (DON) was unable to provide evidence of an annual review of the infection control program and policies and stated she was unsure when they had been reviewed, revised, and approved by the IDT. She also could not provide documentation of the last review of the infection control program or policies.
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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 Warner Robins
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Warner Robins Rehabilitation Center | 1 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - The Lodge, Llc | 3.1 mi | ★★★★★ | 7 | 0 |
| Blossom Healthcare & Rehabilitation Center | 7.4 mi | ★★★★★ | 13 | 0 |
| Church Home Rehabilitation And Healthcare | 9.7 mi | ★★★★★ | 0 | 0 |
| Archway Transitional Care Center | 10.2 mi | ★★★★★ | 5 | 2 |
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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.