Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pruitthealth - Carrollton during CMS and state inspections, most recent first.
The facility did not ensure opened food items were labeled and dated, as observed during a kitchen inspection. Unlabeled and undated items included a bag of frozen sweet potatoes, a block of Swiss cheese, and a carton of heavy cream. The Dietary Manager confirmed the oversight, emphasizing the importance of labeling for food safety.
The facility failed to ensure proper hand hygiene during medication administration, as observed with two LPNs who did not sanitize their hands before and after administering medications. Interviews confirmed the lapses, with both LPNs acknowledging the importance of hand hygiene in preventing infection spread. The DHS emphasized the expectation for staff to practice hand hygiene to avoid germ transmission.
A facility failed to develop a Baseline Care Plan (BCP) for a resident with chronic pain within 48 hours of admission. Despite physician orders for narcotic administration, the care plan lacked focus areas for pain management. Interviews with staff revealed that the BCP was not initiated as required, leading to potential inconsistencies in care. The resident reported needing scheduled pain medication to manage her condition effectively.
A resident readmitted with pneumonia did not have their care plan updated to include oxygen therapy, as required by facility policy. Despite physician orders for oxygen administration, the care plan lacked documentation for this treatment. The MDS Director confirmed the oversight, which could potentially delay care.
A narcotic count discrepancy was found during medication administration for a resident with chronic pain. An LPN failed to perform a required narcotic count at shift change, resulting in a mismatch between the narcotic book and the actual tablet count. The DHS and Administrator confirmed the expectation for accurate narcotic counts at shift changes to prevent potential drug-control issues.
Failure to Label and Date Opened Food Items
Penalty
Summary
The facility failed to ensure that opened food items were properly labeled and dated, as required by their policy on Food Ordering, Receiving, and Storage. During an inspection, surveyors observed an unlabeled and undated opened bag of frozen sweet potatoes in the walk-in freezer, as well as an unlabeled and undated open block of Swiss cheese and a carton of heavy cream in the walk-in refrigerator. The Dietary Manager confirmed these observations and stated that the Dietary staff and Dietary Aides were responsible for labeling, dating, and properly storing food items. The failure to label and date food items was identified as a critical issue for maintaining food safety.
Inadequate Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to maintain proper infection control practices during medication administration, as observed in two separate instances. The facility's policy on hand hygiene during medication administration, reviewed on 10/14/2024, mandates that staff perform hand hygiene before and after touching a patient, after touching a patient's immediate surroundings, and before and after glove removal. However, on 11/13/2024, observations revealed that two LPNs did not adhere to these guidelines. LPN AA was observed not sanitizing hands before and after administering medications during the morning medication pass, and LPN BB was observed doing the same during the afternoon medication pass. Interviews conducted on the same day confirmed the observations. LPN AA acknowledged not using hand sanitizer or washing hands before and after administering medications, recognizing the importance of hand hygiene in preventing the spread of germs. Similarly, LPN BB admitted to inconsistent hand sanitizing practices, understanding its role in infection control and prevention. The Director of Health Services expressed that her expectations were for staff to practice hand hygiene during resident care and medication administration, emphasizing the risk of spreading germs if hand hygiene is not performed.
Failure to Develop Baseline Care Plan for Pain Management
Penalty
Summary
The facility failed to develop a Baseline Care Plan (BCP) for a resident, identified as R190, within the required 48-hour timeframe after admission. R190 was admitted with diagnoses including chronic pain and required narcotic administration as part of their treatment. Despite having physician orders for medications such as hydrocodone-acetaminophen, gabapentin, and tizanidine to manage chronic pain, the care plan did not include focus areas for narcotic administration. This omission was identified through a review of the resident's care plan dated 11/8/2024, which lacked documentation for narcotic administration, despite the resident's need for consistent pain management. Interviews with facility staff, including the MDS Director, LPN, and Director of Health Services, revealed that the BCP was not initiated as required. The MDS Director confirmed that the BCP, which should have been initiated within 24 hours, was not completed. The LPN and Director of Health Services acknowledged that the care plan was not updated, which could lead to inconsistent care. The resident, R190, reported experiencing constant pain due to previous surgeries and injuries, and emphasized the necessity of receiving pain medication on schedule to manage her condition effectively.
Failure to Update Care Plan for Oxygen Therapy
Penalty
Summary
The facility failed to review and revise a comprehensive care plan for a resident, identified as R5, concerning oxygen therapy. The facility's policy requires care plans to be updated within seven days of each quarterly assessment, any acute change in condition, and following each hospital stay. However, upon review of the electronic medical records, it was found that R5, who was readmitted to the facility with pneumonia, did not have an updated care plan to include oxygen administration since her readmission. The care plan dated 10/7/2024 lacked documentation for oxygen administration, despite physician orders dated 11/9/2024 specifying oxygen therapy requirements. Interviews with the MDS Director revealed that nurses are responsible for initiating care plans upon admission, and the director checks these plans to ensure completion. The MDS Director confirmed that the care plan for R5 did not include oxygen administration, which could potentially delay the resident's care. This oversight in updating the care plan was identified through record reviews, staff interviews, and a review of the facility's care plan policy.
Narcotic Count Discrepancy Found During Medication Administration
Penalty
Summary
The facility failed to maintain the correct narcotic count for a resident, identified as R190, which was discovered during a medication administration observation. The Licensed Practical Nurse (LPN) responsible for administering medication to R190 did not perform a narcotic count at the change of shift, as required by the facility's policy. This resulted in a discrepancy where the narcotic book documented 46 tablets remaining, but only 45 tablets were found on the medication card. The LPN admitted to not counting the tablets at the shift change and only signing the narcotics book. The Director of Health Services (DHS) confirmed the discrepancy and stated that the expectation was for nurses to count and document each narcotic count at shift changes. The Administrator also confirmed that the oncoming nurse should verify the narcotic count with the outgoing nurse and ensure it matches the narcotic controlled drug log. The failure to adhere to these procedures had the potential to cause drug-control issues and potentially negative effects for residents. R190, who was admitted with a diagnosis including chronic pain, had intact cognition and frequently experienced pain, receiving opioids as part of their treatment.
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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 Carrollton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Knoll Path Of Journey Llc | 1.1 mi | — | 0 | 0 |
| Carrollton Crossing Of Journey Llc | 3.6 mi | — | 14 | 0 |
| Carrollton Manor, Incorporated | 4.7 mi | — | 2 | 0 |
| Haralson Nsg & Rehab Center | 11 mi | — | 9 | 0 |
| Countryside Post Acute | 17.4 mi | — | 1 | 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 August 2026) and official state health department websites.