Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 - Covington during CMS and state inspections, most recent first.
A resident with multiple serious medical conditions experienced a significant downward weight trend over several months, documented by dietary staff who noted varied meal intake and recommended liberalizing the diet, adding double eggs at breakfast, and monitoring weight. Although the MDS was coded to indicate weight loss on a physician-prescribed weight-loss regimen, there was no evidence of an intentional weight-reduction plan in the record. The resident’s care plan contained no goals, interventions, or revisions related to the documented weight loss, despite facility policy requiring nurses, the CMD, and the IDT to update care plans to reflect current needs, and leadership confirmed that no care plan updates were made for the weight decline.
A resident with multiple medical conditions was found with unauthorized and unsecured medications at the bedside, despite not being assessed for self-administration. The facility's policy requires nurses to observe residents ingesting medications, but the nurse left the medications unattended. The eMAR indicated the medications were administered, but the presence of the medication cup suggested a discrepancy.
The facility failed to maintain a safe, clean, and homelike environment in two rooms. In one room, the bathroom had missing tiles, a sticky and malodorous floor, and spiders. In another room, a roach was observed. The Maintenance Director confirmed the pest issue, noting monthly pest control visits. A policy for a homelike environment was not provided.
A facility failed to comply with regulations regarding the prescription of an opioid medication for a resident with chronic pain and anxiety. The resident was prescribed oxycodone-acetaminophen on a PRN basis without a stop date, contrary to the regulation limiting PRN orders for psychotropic medications to 14 days unless clinically justified. Staff interviews confirmed the resident's long-term use of the medication, highlighting the risk of polypharmacy.
A resident with a history of cognitive impairment and shoulder pain was alleged by their family to have suffered a dislocated shoulder due to staff mishandling. Despite the facility's policy requiring immediate reporting of such allegations, the report to the state survey agency was delayed by six days. Interviews with the DHS and Administrator confirmed the delay and acknowledged the reporting should have occurred within two hours of the allegation.
Failure to Care Plan for Significant Weight Loss
Penalty
Summary
The deficiency involves the facility’s failure to develop and implement a care plan addressing significant weight loss for a resident with multiple serious diagnoses, including encephalopathy, pneumonia, severe sepsis with septic shock, and malignant neoplasm of the oropharynx. Facility policy stated that care plans would be updated by nurses, Case Mix Directors, or other IDT members so that the care plan reflects the resident’s needs at any given moment. Record review showed the resident’s weight decreased from 151.4 pounds to 141.0 pounds over approximately three months, a 6.9% loss. Dietary progress notes documented that the resident’s weight was trending down, with varied meal intake, and that the resident was receiving Ensure twice daily. The dietitian recommended liberalizing the diet by discontinuing no-added-salt restrictions and later recommended double eggs at breakfast, continued weight monitoring per protocol, and follow-up as needed. Despite these documented weight trends and dietary recommendations, review of the resident’s care plan revealed no evidence that the significant weight loss or downward weight trend was addressed through care plan goals, interventions, or revisions. The Quarterly MDS coded the resident as having weight loss on a physician-prescribed weight-loss regimen, but further record review did not identify evidence of any such intentional weight-reduction regimen. The MDS Coordinator confirmed that the MDS was coded "Yes" for physician-prescribed weight-loss regimen based on the resident’s use of diuretics and stated that the IDT is responsible for care plan development and updates. The Director of Health Services confirmed there were no care plan updates related to the resident’s downward weight trend and stated that nursing staff and/or the MDS Coordinator are responsible for updating care plans.
Unauthorized and Unsecured Medications at Bedside
Penalty
Summary
The facility failed to ensure that a resident did not have unauthorized and unsecured medications at the bedside, which created the potential for medication errors and unauthorized access by other residents. The policy titled 'Medication Administration: Guidelines' specifies that residents are allowed to self-administer medications only when authorized by the attending physician. However, the resident in question, who was not cognitively intact and had not been assessed for self-administration, was found with a plastic medication cup containing eight pills on the bedside table. The resident, who had a history of multiple medical conditions including hemiplegia, coronary artery disease, and diabetes, was observed with the medication cup on two separate occasions. The nurse had reportedly left the medications at the bedside, contrary to the facility's policy that requires nurses to observe residents ingesting medications before leaving the room. Interviews with the Registered Nurse and Director of Nursing confirmed that no residents in the facility had been assessed to self-administer medications, and medications should not be left in residents' rooms. Further review of the electronic Medication Administration Record (eMAR) indicated that the medications were documented as administered to the resident by the nurse. However, the Director of Nursing was unable to provide a clear explanation of the eMAR coding initially, which was later clarified by a Licensed Practical Nurse. The coding indicated that the medications were given within the allowed timeframe, but the presence of the medication cup at the bedside suggested otherwise.
Deficiency in Maintaining a Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in two out of 35 rooms, as observed during a survey. In room [ROOM NUMBER], the bathroom had missing tiles on the left side of the toilet, a sticky and malodorous floor, and multiple spiders and spider webs in the corners of the ceiling. A resident in this room mentioned that the spiders had been present for a while. Despite cleaning efforts, the missing tiles were not replaced by the end of the observation period. In room [ROOM NUMBER], a roach was observed crawling on the wall. The Maintenance Director confirmed the presence of the roach and stated that the facility was contracted with a pest control service that visited monthly and provided additional services as needed. However, the Maintenance Director considered the roach sighting an isolated incident. The facility failed to provide a policy for maintaining a homelike environment, instead providing a goods and services agreement.
Non-compliance with PRN Opioid Prescription Regulations
Penalty
Summary
The facility failed to ensure compliance with regulations regarding the use of psychotropic medications, specifically concerning the prescription of an opioid medication for a resident. The resident, identified as R10, was admitted with diagnoses including generalized anxiety disorder and chronic pain. The Quarterly Minimum Data Set (MDS) assessment indicated that R10 had intact cognition and was taking antipsychotics, hypnotics, and opioids. A review of the physician's orders revealed that R10 was prescribed oxycodone-acetaminophen, an opioid, on an as-needed (PRN) basis without a stop date, which is against the regulation that limits PRN orders for psychotropic medications to 14 days unless clinically justified. Interviews with facility staff, including an LPN and the Director of Health Services, confirmed that R10 had been taking the opioid medication for an extended period due to chronic back pain. The Director of Health Services acknowledged that R10's medication regimen placed him at high risk for polypharmacy and emphasized the need for regular pharmacy and physician consultations to evaluate the necessity of the medication.
Delayed Reporting of Abuse Allegation
Penalty
Summary
The facility failed to report an allegation of abuse to the State Survey Agency within the required two-hour timeframe. The facility's policy mandates that any allegations of abuse, neglect, exploitation, mistreatment, or misappropriation of property should be reported immediately to the Administrator and then to the appropriate state agency within two hours if the allegation involves abuse or results in serious bodily injury. In this case, a resident's family alleged that the resident's dislocated shoulder was caused by facility staff, but the report to the state survey agency was delayed by six days. The resident involved had a history of metabolic encephalopathy, diabetes mellitus with kidney complications, end-stage renal disease, and vascular dementia, among other conditions. The resident had moderate cognitive impairment and functional limitations in their upper and lower extremities. The resident's care plan noted frequent complaints of pain in the left shoulder, which was later diagnosed as a dislocation. Despite the resident's family alleging mishandling by staff on a specific date, the facility did not report the allegation to the state survey agency until several days later. Interviews with the Director of Health Services (DHS) and the Administrator confirmed the delay in reporting. The DHS acknowledged that upon receiving a complaint of staff roughness or an unexplained injury, it should be reported to the Administrator and the state within two hours. The Administrator also confirmed the timeline of events and recognized that the report should have been submitted on the day the allegation was made by the resident's family.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 56 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Covington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverside Health Care Center | 0.8 mi | — | 2 | 0 |
| Westbury Center Of Conyers For Nursing And Healing | 9.5 mi | — | 1 | 0 |
| Social Circle Nsg & Rehab Ctr | 10.2 mi | — | 0 | 0 |
| Rockdale Healthcare Center | 10.9 mi | — | 1 | 0 |
| Pruitthealth - Lithonia, Llc | 16 mi | — | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Pruitthealth - Covington.
100% money-back within 48 hours.
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.