Cycle 1
Health 2025-05-04 · Fire 2025-05-04
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Augusta, GA
Pruitthealth - Creekside
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2021 Scott Road, Augusta, GA
(706) 247-8310
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
193
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pruitthealth
Operator or chain grouping
Approved since
2024-04-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
95 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.63
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.48
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
9,780
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.45% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.51
Performance 6.49% · Measure score 4.51 · Achievement 4.51 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Newly certified or not enough cases to report. |
| Drug regimen review with follow-up | 80% |
95.27%
15.3 pts worse
|
Numerator 72 · Denominator 90 |
| Falls with major injury | 2.22% |
0.77%
1.5 pts worse
|
Numerator 2 · Denominator 90 |
| Discharge self-care score | 43.1% |
53.69%
10.6 pts worse
|
Numerator 25 · Denominator 58 |
| Discharge mobility score | 25.86% |
50.94%
25.1 pts worse
|
Numerator 15 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 2.25% |
2.29%
About the same
|
Numerator 2 · Denominator 89 · Adjusted rate 1.84% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 37.93% |
56.45%
18.5 pts worse
|
Numerator 22 · Denominator 58 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 97.22% |
96.28%
0.9 pts better
|
Numerator 35 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 26% |
25.2%
0.8 pts better
|
Numerator 13 · Denominator 50 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
91.2%
5 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 96.9% · Q3 91.5% · Q4 100.0% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.0%
1.9 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
3.2%
2.9 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.4% · Q3 6.4% · Q4 2.1% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
9.6%
9.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
5.9%
3.3 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 17.2% · Q3 7.1% · Q4 4.7% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
20.7%
2.8 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 19.4% · Q3 18.2% · Q4 14.0% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.4% |
21.4%
1 pts better
|
16.7%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 33.3% · Q3 14.7% · Q4 16.2% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.3% |
17.9%
11.4 pts worse
|
16.3%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
16.2%
3.5 pts better
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 32.1% · Q3 14.0% · Q4 0.0% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.1%
0.3 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
2.5%
1.4 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 13.3% · Q3 0.0% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.0% |
16.1%
6.1 pts better
|
19.8%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 16.7% · Q3 12.6% · Q4 2.5% · 4Q avg 10.0% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.2%
0.7 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 8.5% · Q3 8.3% · Q4 5.2% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.0% |
80.4%
6.6 pts better
|
81.7%
5.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 84.5% · Q3 80.3% · Q4 83.3% · 4Q avg 87.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.6% |
12.2%
3.4 pts worse
|
12.0%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 16.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.2%
0.6 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.6% · Q4 5.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.3% |
78.2%
9.1 pts better
|
79.7%
7.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 39.6% |
24.2%
15.4 pts worse
|
23.9%
15.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 39.6% · Observed 45.2% · Expected 27.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-21 · Fire 2024-03-21
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-04
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-06-02
F · Potential for more than minimal harm
2024-03-21
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-12
F · Potential for more than minimal harm
2024-03-21
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2024-04-12
E · Potential for more than minimal harm
2024-03-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-12
E · Potential for more than minimal harm
2024-03-21
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-21
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-21
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-04-12
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-02
F · Potential for more than minimal harm
2025-05-04
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-06-02
D · Potential for more than minimal harm
2025-05-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-02
Penalties and ownership
What sits behind the stars
Ownership
United Health Services Of Georgia, Inc.
5% Or Greater Direct Ownership Interest · Organization
Love, Jessica
Operational/Managerial Control · Individual
Pruitt, Neil
Corporate Officer · Individual
Small, Philip
Corporate Director · Individual
Thomas, Luther
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
PruittHealth - Augusta
Augusta, GA
2-star overall rating with 2-star inspections with abuse icon flag with $261,093 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Azalea Health Center By Harborview
Augusta, GA
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#3
Place At Deans Bridge, The
Augusta, GA
4-star overall rating with 4-star inspections with $7,456 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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