Pruitthealth-Elkin
560 Johnson Ridge Road, Elkin, NC 28621 · Surry County · 100 certified beds · avg 92 residents/day · certified since Sep 12, 1974
Part of chain: PRUITTHEALTH (95 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jul 5, 2024 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jul 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jul 5, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 14, 2024 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Jan 11, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 11, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jan 11, 2023 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 11, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jan 11, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 11, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 11, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 3 | 1 | K ▲ |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,734.
| Date | Type | Amount / length |
|---|---|---|
| Jul 5, 2024 | Fine | $15,734 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.21 | 4.01 | 3.95 | bottom 16% in North Carolina; bottom 22% in the U.S. |
| Registered Nurse hours | 0.72 | 0.64 | 0.69 | top 25% in North Carolina; top 34% in the U.S. |
| Weekend total nurse staffing | 2.73 | 3.56 | 3.50 | bottom 9% in North Carolina; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.41 | 0.48 | top 25% in North Carolina; top 36% in the U.S. |
| Total nursing staff turnover (%) | 31.5 | 49.0 | 45.8 | top 12% in North Carolina; top 17% in the U.S. |
| RN turnover (%) | 33.3 | 45.7 | 42.9 | top 28% in North Carolina; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.83, weekend 3.16. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Pruitt, Neil | Individual | Corporate Director | NOT APPLICABLE | 06/08/2005 |
| Pruitt, Neil | Individual | Corporate Officer | NOT APPLICABLE | 06/08/2005 |
| Reece, Linda | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/10/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Chatham Nursing & Rehabilitation | 3.7 mi | Elkin, NC | ★★★★★ | 5/5 | |
| Yadkin Nursing and Care Center | 12.4 mi | Yadkinville, NC | ★★★★★ | 5/5 | |
| Willowbrook Rehabilitation and Care | 13.8 mi | Yadkinville, NC | ★★★★☆ | 4/5 | |
| Wilkes Regional Medical Ctr SN | 19.5 mi | North Wilkesboro, NC | ★★☆☆☆ | 2/5 | |
| Central Continuing Care | 19.8 mi | Mount Airy, NC | ★★★☆☆ | 4/5 | |
| Northern Regional Hospital | 19.9 mi | Mount Airy, NC | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345124.