Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PruittHealth-Raleigh

Raleigh, NC · 150 certified beds · Last Life Safety survey November 15, 2024

CMS Certification Number 345538 · first certified March 2006

Ownership

Operated by PRUITTHEALTH · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within NC

17 citations — more than 82% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to March 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was November 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility17NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-0572023-0962024-11
Citations at each Life Safety survey
Survey dateCitations
May 26, 20224
September 29, 20237
November 15, 20246

Most-cited tags

Most-cited tags at this facility
K-09182K-03532K-03722K-05112K-05212K-03632K-02111K-01611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-11-15
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-11-15
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-11-15
K-0511Have properly installed electrical wiring and gas equipment.22024-11-15
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22023-09-29
K-0363Install corridor and hallway doors that block smoke.22023-09-29
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-09-29
K-0161Use approved construction type or materials.12024-11-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 4
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies4
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 15, 2024 — 6 citations

Citations issued on November 15, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 24, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 24, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 24, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 24, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 24, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 24, 2025)

September 29, 2023 — 7 citations

Citations issued on September 29, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 24, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 24, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 24, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 24, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 24, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 24, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 24, 2023)

May 26, 2022 — 4 citations

Citations issued on May 26, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 7, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 7, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 7, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.