Pruitthealth - Savannah
Inspection Findings
F-Tag F0640
F 0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interviews, record review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to complete a Discharge Minimum Data Set (MDS) assessment for one of 36 residents (R) (Resident R2) reviewed for MDS completions. The facility census was 132. Findings include:Review of the RAI Manual, dated October 2025, indicated, There are three types of discharges: two are OBRA [Omnibus Budget Reconciliation Act] required-return anticipated and return not anticipated; the third is Medicare required-Part A PPS [Prospective Payment System] Discharge. A Discharge assessment is required with all three types of discharges . Any of the following situations warrant a Discharge assessment . Resident is discharged from the facility to a private residence . Discharge Assessment - return not anticipated.
Discharge assessments must be completed within 14 days of discharge. Record review for Resident R2 revealed that
the resident was admitted to the facility on [DATE REDACTED] and was discharged from the facility on 12/1/2025.
Review of the MDS assessments for Resident R2 revealed a discharge MDS was not completed within the 14-day requirement. Review of the list of current MDS assessments provided by the facility revealed 36 MDS assessments were not completed within the required time frames.An interview on 12/17/2025 at 10:15 am with Registered Nurse (RN) MDS Coordinator FF revealed the resident was discharged on 12/1/2025. RN FF reviewed the discharge MDS for Resident R2 and indicated it was in progress and not yet completed. She indicated the due date was 12/15/2025. She stated they were behind in getting them completed, even using remote employees. RN FF stated it was her expectation that assessments would be completed on time and follow the RAI Manual instructions as policy. An interview on 12/17/2025 at 11:37 am with RN MDS Coordinator GG confirmed they have 36 MDS assessments currently in progress that are late. She stated there are three MDS Coordinators that share the duties equally and a person completing parts of the MDS assessments remotely. She confirmed they follow the RAI manual as policy. MDS Coordinator GG also confirmed the MDS department is responsible for completing the MDS Assessments in a timely manner.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
PRUITTHEALTH - SAVANNAH in SAVANNAH, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAVANNAH, GA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PRUITTHEALTH - SAVANNAH or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.