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Nursing HomeMedicaid Investigative

Pruitthealth - Lilburn

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

788 Indian Trail Road, Lilburn, GA 30047152 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 166 Google reviews

5
4
3
2
1
Pruitthealth - Lilburn Nursing Home in Lilburn, GA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5.0)
  • High staff turnover (54%)
  • High RN turnover (63%)

Bottom 25% in GA · Below recommended RN staffing · Worst in PRUITTHEALTH chain · $59,423 in fines

Source: Medicare data

What this means for your family

While recent reviews suggest a positive shift in facility cleanliness and staff engagement, the history of serious neglect reports remains a concern. When touring, we strongly recommend observing response times to call lights and speaking directly with the current administration about their protocols for patient hygiene and communication with families.

Google Reviews

Google Reviews

166 reviews on Google
PruittHealth - Lilburn presents a deeply polarized experience for families. While many recent reviewers praise the facility for its cleanliness, friendly staff, and effective rehabilitation services, a significant number of long-term and past reviewers report severe neglect, including issues with hygiene, slow response times to call lights, and unprofessional conduct. Families considering this facility should be aware of the stark contrast between reports of compassionate care and serious allegations of patient mistreatment.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean5.0Activities7.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Effective rehabilitation and physical therapy
  • Clean, well-maintained facility environment
  • Responsive and compassionate nursing staff
  • Helpful administrative and social work team

Concerns

  • Neglect and slow response to call lights (mentioned by 12 reviewers)
  • Poor hygiene and unsanitary room conditions (mentioned by 8 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 9 reviewers)
  • High staff turnover and understaffing (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(4)'20(4)'22(11)'24(25)'26(13)

Distribution · 167 analyzed

5
89
4
13
3
4
2
5
1
56
13 reviews posted between Sep 22, 2025Sep 26, 2025 · 13 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given that rehabilitation and physical therapy are noted as strengths here, how do you integrate those services into the daily routine for residents who need ongoing support?
  • 2I noticed that response times to call lights have been a concern for some families; what specific protocols or technology do you use to ensure residents receive timely assistance?
  • 3With staffing levels being a primary focus for your leadership, what steps are you taking to improve staff retention and ensure consistent, professional care for my loved one?
  • 4I see that your team is active in responding to feedback online; how do you use that family input to improve the daily living experience and hygiene standards in the rooms?
  • 5Since medication management is a critical part of care, could you walk me through your process for ensuring accuracy and communication with families regarding any changes in treatment?
  • 6What kind of daily social activities or engagement programs do you offer to help residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The staff hv been so nice. Their rehab is wonderful. The bldg isn't the fanciest but it's clean and the maintenance man is quick to fix anything.

Memory care family member · 2026★★★★★

My 70yr old mother was referred to this facility for occupational and physical therapy after a surgery and it was THE worst experience. The staff was uncommunicative, negligent, plain rude and unprofessional.

Rehab patient's family · 2024☆☆☆☆

I have been here for almost a year and have seen a 100% turnaround with brand new staff and even residents are more happy with the care we provide and the renovations within the facility.

Long-term resident · 2024★★★★★
Source: 166 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility31.2%
Worse than Avg
Here
31.2%
US
12.1%
GA
10.6%
Gwinnett
8.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
14.4%
GA
15.7%
Gwinnett
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
19.4%
GA
16.0%
Gwinnett
21.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
15.4%
GA
20.1%
Gwinnett
24.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
GA
16.6%
Gwinnett
17.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
19.5%
GA
20.5%
Gwinnett
14.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
GA
80.4%
Gwinnett
88.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.5%
Better than Avg
Here
95.5%
US
79.7%
GA
78.4%
Gwinnett
85.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Mixed vs Avgs
Here
1.9%
US
1.6%
GA
2.4%
Gwinnett
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Above state avg (6.1)
14 complaint-triggered
$59,423 in fines

This facility has a concerning pattern of complaint-driven deficiencies, with families filing reports that led to 14 of 30 violations across four surveys. The most frequent issues involve care planning problems, resident safety and abuse prevention, and infection control. While all violations show correction dates, the facility continues to have new complaints as recently as 2025, suggesting ongoing quality concerns that families should carefully consider during visits.

May 15, 2025Complaint
6
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

May 15, 2025Routine
3
0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 18, 2024Routine
9
0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 18, 2023Complaint
8
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0610Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0835Immediate jeopardy · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Apr 1, 2022Routine
4
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Sep 18, 2023

$59,423

Payment Denial

Sep 18, 2023

56-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pruitthealth - Lilburn

Organization Type

for profit

Chain Affiliation

Chain Name

Pruitthealth

Chain Size

99 facilities nationwide

Chain avg rating: 2.8/5 · Rank 88 of 94 (Worst)

Ownership & Management

Key personnel

Smith, ToniW-2 Managing EmployeePruitt, NeilOfficer / DirectorPruitt, NeilOfficer / DirectorPruitt, NeilManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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