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-elkin during CMS and state inspections, most recent first.
Two residents with serious mental disorders, including bipolar disorder, were not referred for required PASRR assessments upon admission. Facility staff were unclear about the PASRR process, resulting in missed or delayed screenings, and there was no documentation of appropriate referrals for these residents.
A resident diagnosed with acute hepatitis B returned to the facility, but effective precautions to prevent transmission were not immediately implemented. Despite recommendations from health authorities, the facility continued using shared glucometers for glucose monitoring, delaying the switch to individual devices due to logistical concerns. This deficiency was compounded by poor communication among staff and health officials, leading to the facility being placed in outbreak status.
The facility failed to post the contact information for the State Survey Agency and a statement that residents may file a complaint with the State Survey Agency in an accessible area. During a Resident Council meeting, two residents were unsure if the contact information included the State Survey Agency. A tour with the Administrator confirmed the information was not posted, and the Administrator acknowledged recent updates to the board.
Failure to Refer Residents with Serious Mental Disorders for PASRR Screening
Penalty
Summary
The facility failed to refer residents with serious mental disorders to the state's mental health authority for Preadmission Screening and Resident Review (PASRR) assessments upon admission, as required. For one resident with a diagnosis of bipolar disorder, records showed no referral for PASRR screening at the time of admission, despite the resident being cognitively intact and receiving antipsychotic medication. Interviews with staff revealed confusion regarding the PASRR process, with the MDS nurse indicating that the resident's PASRR level was changed following the resident's request, and the administrator acknowledging the lack of documentation for a PASRR referral at admission. Another resident admitted with diagnoses including bipolar disorder and anxiety was also not referred for an updated PASRR screening upon admission. The PASRR Level I Determination Notification sent from the hospital did not indicate the need for a Level II screening, and the facility's financial counselor was unaware of the resident's mental health diagnosis requiring further screening. The MDS nurse stated she had not submitted a PASRR screen for this resident, waiting instead for previous medical records, and the administrator confirmed that an updated PASRR screening should have been completed at admission.
Failure to Implement Effective Infection Control Measures for Hepatitis B
Penalty
Summary
The facility failed to implement effective precautions to prevent the transmission of bloodborne pathogens, specifically acute hepatitis B, following the readmission of a resident diagnosed with the infection. The resident, who had been in the facility since June 2023, was readmitted from the hospital with a diagnosis of acute hepatitis B. Despite the diagnosis, the facility did not immediately implement individual glucometers for residents requiring glucose monitoring, which was a key recommendation from health department representatives to prevent further transmission. The deficiency was exacerbated by the facility's reliance on shared glucometers, which were disinfected between uses but not individualized for each resident. This practice continued despite recommendations from both local and state health department representatives to switch to individual glucometers. The facility's administration initially resisted this change due to the perceived logistical burden of conducting quality control checks on multiple glucometers each night. The situation was further complicated by a lack of communication and coordination among the facility's staff and external health authorities. The facility's medical director and attending physician were not fully informed or involved in the decision-making process regarding infection control measures. This lack of communication contributed to the delay in implementing necessary precautions, ultimately leading to the facility being placed in outbreak status for hepatitis B.
Failure to Post State Survey Agency Contact Information
Penalty
Summary
The facility failed to post the contact information for the State Survey Agency and a statement that residents may file a complaint with the State Survey Agency in an area accessible to residents and their representatives. This deficiency was observed during tours of the facility on two separate days. During a Resident Council group meeting, two residents mentioned seeing some contact numbers on a board but were unsure if it included the State Survey Agency. A subsequent tour with the Administrator confirmed that the required information was not posted on the board, and the Administrator acknowledged that the facility had recently updated the board, removing old information and replacing it with new information. The Administrator stated that all staff were responsible for maintaining the board where pertinent information was posted for residents.
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What surveyors actually found near you
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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 Elkin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chatham Nursing & Rehabilitation | 3.7 mi | ★★★★★ | 0 | 0 |
| Yadkin Nursing And Care Center | 12.4 mi | ★★★★★ | 3 | 0 |
| Willowbrook Rehabilitation And Care | 13.8 mi | ★★★★★ | 2 | 0 |
| Wilkes Regional Medical Ctr Sn | 19.5 mi | ★★★★★ | 0 | 0 |
| Central Continuing Care | 19.8 mi | ★★★★★ | 4 | 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.