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Complaint Investigation

Pruitthealth - Toccoa

August 28, 2025 · Toccoa, GA · 633 Falls Road
Citations 3
CMS Rating 1/5
Beds 181
Provider ID 115345
Healthcare Facility
Pruitthealth - Toccoa
Toccoa, GA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

PRUITTHEALTH - TOCCOA in TOCCOA, GA — inspection on August 28, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0558
Resident Rights Deficiencies

During an interview on 8/28/2025 at 10:03 AM, the Administrator stated that call lights should always be placed in reach of the resident.

During an interview on 8/28/25 at 2:10 PM, the Administrator stated that the facility did not have a policy regarding accommodation of needs or call light accessibility for residents.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

115345 08/28/2025

Pruitthealth - Toccoa 633 Falls Road Toccoa, GA 30577

authorities.

results of the investigation of sexual abuse to the State Survey Agency (SSA) within five working

of 31 residents.

Specifically, R71 removed her clothes and incontinence brief and climbed into R68's bed.Findings include:

Review of the facility's policy titled, Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Property, dated 11/15/2024, indicated Procedure, 2.A written report of the investigation .should be submitted to the appropriate agency within five working days of the occurrence.

Review of the facility investigation, provided by the Administrator, into the allegation of sexual abuse, revealed that on 7/31/2025 at 5:25 AM, R71 was unclothed sitting at the end of R68's bed in their room.

The file indicated that the SSA was initially notified on 7/31/2025 at 6:20 AM.

However, the final report of the investigation was not sent to the SSA until 8/11/2025.

During an interview on 8/26/2025 at 12:44 PM, the Administrator confirmed the results of the investigation were not submitted timely within five days to the SSA.

The Administrator stated that she was out of the country at the time of this incident and that the Administrative Assistant was informed of the incident, reported the initial report to the SSA, and then sent the results of the abuse investigation to the SSA.

115345 08/28/2025

Pruitthealth - Toccoa 633 Falls Road Toccoa, GA 30577

Review of R71's EMR under the RAI tab, the admission MDS with an ARD of 7/28/2025 indicated a BIMS that the resident was rarely/never understood, short-and long-term memory, therefore, a BIMS score was not obtained.Review of R49's EMR under the RAI tab, the quarterly MDS with an ARD of 8/25/2025 indicated a BIMS score of nine out of 15, which indicated R49's cognition was moderately impaired.

During an interview on 8/25/2025 at 3:48 PM, R68 stated that she remembered when her roommate (R71) came to her side of the bed and was not wearing any clothes. R68 stated that R71 did not get in her bed. I used my call light to have the nurse come and help her.

During an interview on 8/26/2025 at 2:18 PM, the Administrator confirmed that the investigative file contained all the interviews that were conducted.

The Administrator confirmed that the file did not contain an interview with R68 or R49.

The Administrator stated that R49 should have been interviewed even though her BIMS score was nine, to determine if she witnessed the incident.

The Administrator stated that she was out of the country at the time of this incident and that the Administrative Assistant was informed of the incident and conducted the investigation.

The Administrator confirmed it was not a thorough investigation.

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 TOCCOA, 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 - TOCCOA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.