Deficiency Records for Pruitthealth - Evans, LLC

(Home page)

Updated as of April 01, 2024

A list of the most recent deficiencies for Pruitthealth - Evans, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-01-18 2024-03-03 N
Keep residents' personal and medical records private and confidential. Health 2024-01-18 2024-03-03 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-01-18 2024-03-03 N
Provide or obtain dental services for each resident. Health 2024-01-18 2024-03-03 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-01-18 2024-03-03 N
Provide and implement an infection prevention and control program. Health 2024-01-18 2024-03-03 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-18 2024-03-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-01-18 2024-03-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-18 2024-03-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-18 2024-03-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-18 2024-03-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-18 2024-03-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-18 2024-03-03 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-18 2024-03-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-21 2022-10-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-21 2022-10-12 Y
Respond appropriately to all alleged violations. Health 2022-08-21 2022-10-12 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-08-21 2022-10-12 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-08-21 2022-10-12 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-08-16 2022-10-12 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-08-16 2022-10-12 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-08-16 2022-10-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-16 2022-10-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-16 2022-10-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-08-16 2022-10-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-05-02 2019-06-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-05-02 2019-06-15 N
Keep residents' personal and medical records private and confidential. Health 2019-05-02 2019-06-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-02 2019-06-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-02 2019-06-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-02 2019-06-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-05-02 2019-06-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-05-02 2019-06-15 N