Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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- Blythewood during CMS and state inspections, most recent first.
A facility failed to ensure commercially prepared hard-cooked eggs were not kept past their use-by date. During a kitchen tour, surveyors found a bucket of hard-cooked eggs in the walk-in cooler labeled with a use-by date that had already passed. The Dietary Manager stated staff were supposed to discard food on its expiration or use-by date, and the DHS stated food items were expected to be removed and discarded after their use-by dates.
Failure to Transcribe Wound Care Orders Caused Missed Dressing Change: A resident with a right foot diabetic wound, MRSA bacteremia, and cellulitis had wound care orders obtained and documented on paper, but they were not entered into the EMR for several days. Because the orders were not available to nursing staff, a scheduled dressing change was missed, and the resident was observed with an older dressing still in place before a new dressing was later applied.
The facility failed to properly label, date, and dispose of food items in the main cooler, dry storage, and preparatory area, potentially affecting all 116 residents. Observations revealed expired and unlabeled food items, including shredded carrots, salad mix, macaroni noodles, tuna, and bread. The CDM and Administrator acknowledged the issues, highlighting a lack of daily monitoring and removal of expired products.
A resident with severe cognitive impairment was not provided with activities to meet their interests and needs, leading to social isolation and distress. Despite a care plan emphasizing engagement, the resident's family reported a lack of staff encouragement for participation. The Activities Director and Administrator acknowledged systemic issues in the activity program, resulting in the resident not receiving adequate stimulation and social interaction.
The facility failed to provide adequate hydration to residents, as multiple observations and interviews revealed that residents were not offered sufficient fluids between meals. A resident with quadriplegia struggled to receive water, while another's spouse had to bring water daily. Observations showed only one 8-ounce drink on meal trays, contrary to policy. Staff interviews indicated infrequent hydration rounds, and the administrator was unaware of these issues.
A facility reported a medication error rate of 7.14% due to improper priming of insulin pens for a resident. An LPN failed to prime the Humalog Kwikpen and Lantus Solostar Pen correctly, as observed during administration. Interviews revealed a misunderstanding of the correct priming procedure, which should be done with the needle pointing upwards, as confirmed by the Director of Health Services and the Administrator.
The facility failed to secure medications properly, with medications found on the nightstands and dressers of three residents. Staff interviews confirmed that medications should be locked and only accessible to nursing or pharmacy staff, with no residents authorized to self-administer medications.
A facility failed to report an abuse allegation within the required timeframe. A resident reported rough handling by a CNA to an LPN, who did not notify the administrator immediately. The allegation was reported to the state agency the following day, exceeding the mandated reporting period. The resident had a history of conditions that made their skin prone to bruising, and the LPN's failure to recognize the severity of the allegation led to a delay in reporting.
Expired Hard-Cooked Eggs Stored in Walk-In Cooler
Penalty
Summary
The facility failed to ensure commercially prepared hard-cooked eggs were not stored for use beyond their use-by-date. During an initial tour of the kitchen with the Dietary Manager present, the walk-in cooler was observed to contain a white, plastic food-grade bucket of commercially prepared hard-cooked eggs with a front label showing a use-by date of 09/09/2025. A facility policy titled, Label, Dating, and Storage, revised 11/11/2022, stated that food and beverage items would be discarded according to guidance from a government agency such as the USDA and FDA. During interview, the Dietary Manager stated that kitchen staff were supposed to discard all food on their expiration or use-by-dates, and the DHS stated she expected food items to be removed and discarded after their use-by-dates.
Failure to Transcribe Wound Care Orders Caused Missed Dressing Change
Penalty
Summary
The facility failed to ensure wound care orders were transcribed into the electronic medical record at the time of admission for a resident admitted with sepsis due to MRSA, cellulitis of the right lower limb, and type 2 diabetes mellitus with a foot ulcer. The resident’s care plan identified a foot infection, a right foot diabetic wound, right lower extremity cellulitis, and MRSA bacteremia. The resident’s history and physical documented a right foot wound requiring wound care twice daily, minimal weight bearing on the right foot, and outpatient follow-up with orthopedic surgery and infectious disease. Although the wound care orders were obtained on 09/12/2025 and documented on a paper form, they were not entered into the electronic medical record until 09/17/2025. The order history showed the wound care instructions included cleansing the right foot with wound cleanser/normal saline, patting dry, applying A and D ointment, covering with an absorbent abdominal pad, and wrapping with stretch-conforming gauze on Mondays, Wednesdays, and Fridays and as needed. Because the orders were not transcribed and available to nursing staff, the dressing change was not completed on 09/15/2025. Observation on 09/16/2025 showed the resident seated in a wheelchair with a white dressing on the right foot dated 09/13/2025, and observation on 09/17/2025 showed a new dressing dated 09/17/2025.
Improper Food Labeling and Expiration Management
Penalty
Summary
The facility failed to ensure proper labeling, dating, and disposal of food items in the main cooler, dry storage, and preparatory area, which could potentially affect all 116 residents consuming food from the kitchen. During observations, several food items were found to be improperly labeled or expired. In the main cooler, unopened bags of shredded carrots and an open bag of shredded carrots were found without proper labeling or with expired use-by dates. Additionally, an iceberg salad mix was observed with an expiration date that had passed. In the dry storage area, a bag of macaroni noodles was found wrapped in plastic without a label or date, and a box of chunk light tuna had an outdated 'In' and 'Out' date. In the preparatory area, multiple loaves of bread were observed with use-by dates that had already passed. The Certified Dietary Manager (CDM) acknowledged these issues, stating that it was everyone's responsibility to check and remove expired products daily. The Administrator also noted concerns with expired foods in the kitchen, which had been identified during an audit conducted in preparation for the facility's annual survey.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide ongoing activities tailored to meet the interests, hobbies, and cultural preferences of Resident 106, which is essential for promoting their physical, mental, and psychosocial well-being. The facility's policy mandates an ongoing program of activities to cater to the residents' needs, but this was not adhered to in the case of Resident 106. The resident, who has severe cognitive impairment and is at risk for social isolation, was not engaged in activities for significant periods, as evidenced by the activity logs showing no activities for 17 out of 31 days in August, none in September, and limited engagement in October. Resident 106's care plan highlighted the need for introducing the resident to others with similar interests and allowing them to choose activities that match their interests and abilities. Despite this, the resident's wife reported that neither she nor her sister-in-law had seen any staff encourage the resident to participate in activities since admission. The resident was observed to be tearful and fidgety due to lack of engagement, and the family had to bring materials from home to keep the resident entertained. Interviews with the Activities Director and the Administrator revealed systemic issues in the facility's activity program. The Activities Director admitted reliance on CNAs to bring residents to activities and acknowledged that residents were not consistently encouraged to participate. The Administrator was unaware of the lack of engagement and stated that activities should be offered daily, with alternatives provided if declined. This lack of coordination and oversight resulted in Resident 106 not receiving the necessary stimulation and social interaction as per their care plan.
Inadequate Hydration Provided to Residents
Penalty
Summary
The facility failed to provide adequate hydration to residents, as evidenced by multiple observations and interviews. Resident 59, who has diagnoses including urinary tract infection and quadriplegia, was observed requesting water from a CNA, who initially ignored the request. The resident expressed that obtaining basic needs like water is a constant struggle. Similarly, Resident 106's spouse reported having to bring water daily because the staff did not provide enough fluids. Observations confirmed that only one 8-ounce drink was provided on meal trays, contrary to the facility's policy of providing a minimum of 16 ounces of fluids per meal. Further observations revealed that Resident 2, with conditions such as Type 2 diabetes and chronic kidney disease, had no fluids available in her room, and her medical records showed zero fluid consumption on specific days. Resident 79 also reported inadequate fluid provision, with an empty water pitcher observed on two separate occasions. Interviews with staff, including a CNA and an RN, indicated that hydration rounds were not conducted as frequently as required, and water was not routinely offered between meals. The facility's administrator, new to the role, was unaware of these hydration issues.
Improper Insulin Pen Priming Leads to Medication Error
Penalty
Summary
The facility failed to maintain a medication error rate below 5 percent, with a reported rate of 7.14 percent due to improper priming of insulin pens for a resident. Specifically, the Humalog Kwikpen and Lantus Solostar Pen were not properly primed before administration to Resident 44. The facility's policy requires medications to be administered as prescribed and in accordance with good nursing principles, which includes proper priming of insulin pens to ensure accurate dosing. However, during an observation, an LPN was seen preparing to administer insulin without correctly priming the pens, as the priming was attempted with the needle facing downward, contrary to the manufacturer's instructions. Interviews with the LPN and the Director of Health Services revealed a misunderstanding of the correct priming procedure. The LPN incorrectly described the priming process, indicating a lack of adherence to the manufacturer's instructions, which specify that the pen should be primed with the needle pointing upwards. The Director of Health Services and the Administrator confirmed that the expectation is for the insulin pens to be primed upwards to ensure no air is present before administration. This oversight in following proper procedures led to the medication error rate exceeding the acceptable threshold.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure medications were secured and properly stored for three residents. Observations revealed that medications were found on the nightstand and dresser in the rooms of three residents. For one resident, items such as Beta[DATE]% and Mupirocin Ointment were found on the dresser and nightstand. Another resident had Equate Anti-Itch Cream, Equate Nasal Spray, Azelastine HCL nasal solution, Visine Dry Eye Relief, and Iodent Oral Analgesic gel on their bedside table and dresser. A third resident had Calmoseptine Ointment and Antifungal Powder on the counter in their bathroom. Interviews with facility staff, including an LPN, the Director of Health Services, and the Administrator, confirmed that medications should not be at the bedside unless there is a physician's order and the resident has been assessed and authorized to self-administer. The staff stated that medications should be locked and only accessible to nursing or pharmacy staff. The Director of Health Services emphasized the importance of scanning rooms for unauthorized items to protect patients, staff, and the facility. The Administrator confirmed that no residents in the facility were authorized to self-administer medications or have over-the-counter medications at their bedside.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to ensure an allegation of abuse was reported to the administrator and the state survey agency within the required two-hour timeframe. Specifically, a resident reported to an LPN that a CNA was rough when providing care. The LPN did not notify the administrator immediately, and the allegation was not reported to the state agency until the following day, exceeding the mandated reporting period for abuse allegations involving potential harm or serious bodily injury. The resident involved had a history of cognitive communication deficit, anemia, muscle weakness, and other medical conditions that made their skin prone to bruising and discoloration. Despite the resident's cognitive intactness and clear communication of the rough handling, the LPN considered the incident a bedside manner issue rather than potential abuse. The LPN's failure to recognize the severity of the allegation and report it immediately led to a delay in notifying the appropriate authorities. Interviews with the CNA, LPN, DON, and the resident revealed discrepancies in the handling of the incident. The CNA claimed to have provided care without causing harm, while the LPN did not observe any visible bruising or hand marks. The DON and the administrator later confirmed that the LPN should have reported the allegation immediately, as per the facility's policy. The delay in reporting was a clear violation of the facility's abuse reporting policy and state regulations.
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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 Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wildewood Downs | 2.9 mi | ★★★★★ | 2 | 0 |
| Rice Estate Rehabilitation And Healthcare | 4.2 mi | ★★★★★ | 3 | 0 |
| Life Care Center Of Columbia | 4.3 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare - Parklane | 4.7 mi | ★★★★★ | 1 | 0 |
| White Oak Manor - Columbia | 8.9 mi | ★★★★★ | 2 | 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.