Pruitthealth - Lithonia, LLC

Inspectors wroteBased on observation, staff interview, record review and review of the facility's policies titled, Foodborne Illness and Labeling, Dating, and Storage facility failed to adequately uphold food safety practices, which could lead to potential foodborne illnesses. Opened food products in the walk-in refrigerator were not appropriately labeled, dated, and discarded. The deficient practices had the potential to place 135 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include:Review of facility's policy titled, Foodborne Illnesses reviewed dated 01/8/2021, revealed in Procedure 2. Foods will be used before the expiration date, use by date, and sell by date, indicated on the food item. Foods not used prior to the expiration date, use by date, best by date, or sell by date must be discarded. 3. [...]

Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled, Waste Disposal: Dietary Services, the facility failed to ensure the outdoor garbage and refuse area was free of litter by being maintained in a sanitary manner.

Inspectors wroteBased on observations, record review, staff interviews, and review of the facility's policy titled Oxygen Administration, the facility failed to ensure respiratory equipment was maintained in a clean and sanitary manner by not cleaning the oxygen concentrator filter for one resident (R) (R69) out of 12 residents on respiratory care. This deficient practice had the potential to cause ineffective oxygen delivery, respiratory complications, and increased risk of infection.

Inspectors wroteBased on observations, staff interviews, and review of the facility's policy titled Medication Storage in Healthcare Centers, the facility failed to ensure that medications and biologicals were stored securely on one of eight hallways. This deficient practice had the potential to place the residents and staff at risk of having unauthorized access to medications.

Inspectors wroteBased on observation, interview, and review of the policy titled Food Temperatures the facility failed to ensure that the temperature for cold food (orange juice) was maintained at a temperature of 41 degrees ( ) Fahrenheit (F) or less; This deficient practice had the potential to promote the growth of pathogens that cause foodborne illness. This had the potential to effect 134 of the 141 residents receiving an oral diet.

Inspectors wroteBased on observation, staff interview, and review of the facility's policies titled, Skilled Nursing Services Storage Areas and Skilled Nursing Services Cleaning and Sanitizing, the facility failed to ensure opened food items in the dry storage and the walk-in refrigerator area were securely wrapped, labeled, dated, and discarded by the expiration date. In addition, the facility failed to maintain sanitary cleanliness of the ice maker and prevent wet nesting by ensuring clean pots, pans and baking trays were properly stacked and stored to dry. The facility census was 147 residents. Findings Include: Review of facility's policy titled, Skilled Nursing Services Storage Areas dated 12/29/2023 under the section titled Guidelines revealed, items should be covered, sealed, labeled, and dated appropriately. [...]

Inspectors wroteBased on observations, resident and staff interviews, and review of the facility's policy titled, Bedside Storage of Medications, the facility failed to assess one of eight residents (R) (R88) for self-administration of medication and failed to maintain medication in a secure location for one of three residents (R43). The deficient practice had the potential to allow unauthorized access to unsecured medications to residents and visitors at the facility. Findings Include: 1. A review of the undated facility policy titled, Bedside Storage of Medications revealed under section titled Intent, To support self-administration of medication by appropriate patients within the nursing center while facilitating medication security. [...]

Inspectors wroteBased on staff and resident interviews, record reviews, and review of the facility's policy titled, Best Practice for PASRR, the facility failed to screen one of five residents (R) R43 for Pre-admission Screening and Record Review (PASRR) level two. The deficient practice had the potential to cause R43 not to receive care and services in the most integrated setting appropriate to her needs.

Inspectors wroteBased on observations, staff interviews, and review of the policy titled, Cleaning of Shared Equipment, the facility failed to clean and disinfect a shared blood pressure cuff before and after use between residents. The deficient practice had the potential to increase the probability of cross transmission of bacteria that could cause infections for residents that the equipment was utilized for.

Inspectors wroteBased on interviews, record review and review of the facility's policies Skilled Nursing Services Grievance/Concern Guidelines for Patients and Missing Items, the facility failed to appropriately resolve grievances and provide a reasonable expected time frame for completing the review of the grievances related to lost personal items for three of 13 sampled residents (R) (R1, R2, and R8).

Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to offer one of 13 sampled residents (R) (R2) the choice for showers and to facilitate scheduled shower times that would accommodate the needs of the resident. This failure had the potential to affect the resident's comfort, body image and increase the risk for infections.

Inspectors wroteBased on staff and resident interviews, record review and review of the facility's policy titled, Activity of Daily living (ADL) Plan of Care, the facility failed to develop a person-centered care plan for one of 13 sampled residents (R) (R2) related to bath/shower preferences. Findings Include: Review of facility policy for ADL Plan of Care dated 12/29/2023 Intent statement revealed, Develop and communicate patient needs for assistance with an ADLs. Record review of R2's face sheet revealed diagnoses that included bilateral amputee, end stage renal disease on hemodialysis. Review of the admission Minimum Data Set (MDS) for R2's dated 12/4/2023 revealed Section C-Cognitive Pattern, a Brief Interview of Mental Status (BIMS) score of 13 which indicated she was cognitively intact; [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to have operating mechanical lifts readily available for use to provide care for one of 13 sampled residents (R) (R13) reviewed.

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure that the call light was kept within reach for one resident (R) (R #114), of 23 sampled residents.