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Pruitthealth - Brookhaven
3535 Ashton Woods Drive Ne, Atlanta, GA 30319 · CMS Certification Number (CCN) 115313
At a glance
- CMS overall rating
- ★★☆☆☆ 2 of 5
- Health inspection citations
- 41 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 33 from complaints)
- Fire safety citations
- 17
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- January 18, 2026
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Georgia average | U.S. average |
|---|---|---|---|
| Overall | ★★☆☆☆ 2 of 5 | 2.7 | 3 |
| Health inspections | ★★☆☆☆ 2 of 5 | 2.9 | 2.8 |
| Staffing | ★☆☆☆☆ 1 of 5 | 2.3 | 2.9 |
| Quality measures | ★★★★★ 5 of 5 | 2.9 | 3.6 |
| Long-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
| Short-stay quality | ★★★★★ 5 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | January 18, 2026 | 5 | 5 | 0 |
| Cycle 2 | November 7, 2024 | 33 | 14 | 33 |
CMS weighted health inspection score: 54 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 19. How to read these citations
41 health citations across 4 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
January 18, 2026: 5 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 03/11/2026 |
| D | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 03/11/2026 |
| D | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 03/11/2026 |
| D | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 03/11/2026 |
| D | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 03/11/2026 |
November 7, 2024: 14 citations (Standard + Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0584 | 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. Resident Rights Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
| D | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 12/09/2024 |
June 4, 2024: 19 citations (Complaint + Infection control)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| E | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| F | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| E | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| E | F-0584 | 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. Resident Rights Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
| D | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies | Complaint + Infection control | Deficient, Provider has date of correction Corrected 07/19/2024 |
June 16, 2022: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| E | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/09/2022 |
| D | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/09/2022 |
| D | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has date of correction Corrected 08/09/2022 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
17 fire safety citations across 2 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 01/18/2026 | D | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | E | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | F | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | E | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | E | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | E | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0281 | Install proper backup exit lighting. Egress Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | D | K-0271 | Have exits that are accessible at all times. Egress Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 01/18/2026 | F | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 02/25/2026 |
| 11/07/2024 | D | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 12/09/2024 |
| 11/07/2024 | D | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies | Past Non-Compliance Corrected 11/07/2024 |
| 11/07/2024 | D | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/09/2024 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Georgia average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 3.32 | 3.56 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.5 | 0.69 |
| LPN/LVN hours per resident per day | 0.67 | Not published | Not published |
| Nurse aide hours per resident per day | 1.99 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 2.93 | Not published | Not published |
| RN hours per resident per day, weekends | 0.52 | Not published | Not published |
| Total nursing staff turnover (%) | 51.5 | 46 | 45.8 |
| Registered nurse turnover (%) | 50 | Not published | Not published |
| Administrators who have left | Staffing data not submitted or invalid for calculating turnover. | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Pruitthealth - Brookhaven, LLC
- Ownership type
- For profit - Corporation
- Chain
- Pruitthealth (96 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 157
- Average residents per day
- 120.1
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- February 1, 1984
- County/parish
- De Kalb
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
3 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| WOEBBKING, LORRIE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PRUITT, NEIL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PRUITT, NEIL | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Pruitthealth - Brookhaven. Full inspection reports, quality measures and staffing.
- HFR online complaint form. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.