Above 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 - Pickens during CMS and state inspections, most recent first.
A resident with dementia and dysphagia was involved in an altercation with another resident, but the resident's representative was not notified as required by facility policy. Review of records and interviews with staff and the representative confirmed that no notification or documentation occurred regarding the incident, despite expectations for immediate family notification and documentation by nursing staff.
A resident with dementia and contractures was injured during a transfer when a CNA attempted to move them alone, contrary to the facility's two-person transfer policy. The resident was dropped, resulting in a fracture. The incident was not immediately reported, and the injury was discovered later by a nurse. The facility acknowledged the failure to follow procedures and the lack of communication among staff.
The facility failed to properly label and seal food items, risking contamination and foodborne illness for 27 residents. Observations revealed undated and unlabeled items in the kitchen and resident refrigerator, with expired products found. Staff interviews confirmed the need for proper dating and disposal of expired items, highlighting a lapse in food storage policy adherence.
A resident with severe cognitive impairment and a non-displaced fracture experienced inadequate pain management in an LTC facility. Despite having a PRN order for Tylenol, the resident's pain was not consistently addressed, with medication administered only on three out of seven days of reported pain. Interviews with the DON and nursing staff revealed a lack of follow-through in pain management, leading to the resident experiencing unnecessary discomfort.
A facility failed to conduct a PASARR Level II evaluation for a resident who was newly diagnosed with schizophrenia, despite worsening behaviors. The absence of a social worker and a facility policy on PASARRs contributed to this oversight, as acknowledged by the DON and Interim Administrator.
A resident with pressure ulcers received wound care that did not adhere to infection control standards. The RN placed a soiled dressing on a clean field and used the same gloves throughout the procedure, contrary to proper clean technique protocols. The DON confirmed the correct procedure was not followed.
Failure to Notify Resident Representative of Resident-to-Resident Altercation
Penalty
Summary
The facility failed to notify a resident's representative of the resident's involvement in a resident-to-resident altercation, as required by facility policy. The incident involved a resident with Alzheimer's, vascular dementia, and dysphagia, who was pushed in the back by another resident while attempting to access a food cart. No injuries were noted. Review of the resident's records, including progress notes and the electronic health record, revealed no documentation that the resident's representative was informed of the incident. There was also no SBAR documentation related to the event. Interviews with the resident's representative confirmed that neither he nor his wife had been notified of the altercation. Facility staff, including an LPN, acknowledged the absence of documentation and notification, and the DON and Administrator stated that it was their expectation for staff to notify the resident's representative and document such incidents. The nurse responsible for the resident at the time did not follow this protocol, resulting in the deficiency.
Failure to Follow Transfer Protocols Results in Resident Injury
Penalty
Summary
The facility failed to provide appropriate treatment and care for a resident, identified as R3, according to professional standards of practice during a transfer. R3, who was admitted with multiple diagnoses including dementia and contractures, was dependent on assistance for transfers. The facility's policy required a two-person side-by-side transfer for such residents, but this was not adhered to during the incident. R3 was being transferred from the shower by a CNA who attempted the transfer alone, resulting in the resident being dropped and sustaining a fracture. Interviews with staff revealed a lack of communication and adherence to the facility's transfer procedures. The CNA involved in the incident admitted to attempting the transfer alone and pulling the resident by the arm, which led to the fall. The CNA claimed to have called for help but received no assistance. Other staff members, including an LPN and RN, were informed of the incident after the fact, and an x-ray confirmed the fracture. The incident was not immediately reported, and the resident's injury was only discovered after a nurse noticed bruising and swelling. The Director of Nursing and other staff members acknowledged the failure to follow proper procedures and the lack of communication among staff. The facility did not have a specific order for one or two-person assists, which contributed to the confusion. The incident was reported to the Medical Director, and an investigation was initiated. The CNA involved was dismissed following the incident, and the facility recognized the need for better communication and adherence to transfer protocols.
Improper Food Labeling and Storage in Facility Kitchen
Penalty
Summary
The facility failed to ensure proper labeling and sealing of food items, which could lead to contamination and potential foodborne illness for all 27 residents receiving meals from the facility's kitchen. During an inspection, several deficiencies were noted, including sweet tea with a preparation date, an undated and unlabeled cake, cheese slices with a use-by date, and an open container of vegetable base without a use-by date in the refrigerator. In the freezer, tilapia, chicken, and pork chops were found in plastic bags without original containers, dates, or labels, and a bag of pepperonis was open without a use-by date. Additionally, the outdoor walk-in refrigerator and freezer contained improperly labeled and sealed items, such as cooked noodles and a large box of sliced carrots. Interviews with the Cook/Dietary Aid and the Assistant Dietary Manager revealed that open food items should be dated and sealed, and expired items should be discarded. However, the inspection found expired items in the resident refrigerator located in the employee breakroom, including milk cartons, yogurt, and nutrition shakes. The Interim Administrator acknowledged that expired items should not be present in the residents' refrigerator, indicating a lapse in adherence to the facility's food storage policies.
Inadequate Pain Management for Resident with Fracture
Penalty
Summary
The facility failed to ensure that a resident, identified as R17, was free from pain, which is a deficiency in providing appropriate pain management. R17 was admitted with multiple diagnoses, including vascular dementia and a non-displaced fracture of the inferior pubic ramus. Despite the facility's policy requiring regular pain assessments, R17's pain was not adequately managed. The resident experienced severe cognitive impairment, making it difficult for her to communicate her pain effectively. However, progress notes documented multiple instances where R17 exhibited signs of pain, such as grimacing, crying, and verbal expressions of discomfort. The facility's records show that R17 complained of pain on several occasions, but pain medication was only administered on three out of the seven days she reported pain. The Medication Administration Record (MAR) indicated that R17 had an order for Tylenol to be given as needed, but it was not consistently administered. Interviews with the Director of Nurses (DON) and nursing staff revealed that the pain was recognized but not adequately addressed. The DON acknowledged that the nurses should have administered Tylenol and contacted the medical doctor for stronger medication if necessary. The deficiency was further highlighted by the fact that R17's pain was not promptly followed up with appropriate interventions, despite negative x-ray results initially. The resident's pain persisted until a CT scan revealed a non-displaced fracture, confirming the source of her discomfort. The failure to provide timely and consistent pain management for R17, as per the facility's policy, resulted in the resident experiencing unnecessary pain and distress.
Failure to Conduct PASARR Level II Evaluation for Resident with New Schizophrenia Diagnosis
Penalty
Summary
The facility failed to coordinate a Preadmission Screening and Resident Review (PASARR) Level II for a resident after a change in diagnoses. The resident, who was initially admitted with bipolar affective disorder and obsessive-compulsive disorder, was later diagnosed with schizophrenia. Despite this significant change in diagnosis and the resident's worsening behaviors, the facility did not conduct a PASARR Level II evaluation, which is required to assess the need for specialized services. The deficiency was further compounded by the absence of a facility policy addressing PASARRs and the lack of a social worker, who typically manages these assessments. The Director of Nursing, who was temporarily handling PASARR responsibilities, acknowledged the oversight. The Interim Administrator also confirmed the absence of a PASARR policy and recognized the issue with PASARR compliance within the facility.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to adhere to infection control standards and clean technique during a wound care observation for a resident with pressure ulcers. The resident, who was cognitively intact and had a history of chronic obstructive pulmonary disease, neurogenic bladder, and congestive heart failure, was observed during a dressing change. The registered nurse (RN) involved in the procedure did not follow proper clean technique protocols. After sanitizing his hands and donning gloves, the RN prepared a clean field and gathered supplies. However, the RN used the same gloves to handle the resident and placed a soiled dressing on the clean field, which is against infection control standards. The RN further compromised the clean technique by placing soiled gauze on the same clean field and using the same gloves to apply a new dressing. During an interview, the RN admitted to placing the soiled dressing on the clean field due to the trash can being located by the door. The Director of Nurses confirmed that the correct procedure involves disposing of the soiled dressing in the trash, removing gloves, sanitizing hands, and donning new gloves before applying a new dressing. The actions observed during the dressing change did not comply with these standards, leading to the deficiency.
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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 Six Mile
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manna Post Acute | 8.8 mi | ★★★★★ | 6 | 0 |
| Lila Doyle Post Acute | 12.8 mi | ★★★★★ | 1 | 0 |
| Fleetwood Post Acute | 14.1 mi | ★★★★★ | 0 | 0 |
| Seneca Health & Rehabilitation Center | 14.3 mi | ★★★★★ | 4 | 0 |
| Powdersville Post-acute | 16.9 mi | ★★★★★ | 0 | 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.