Inspection Reports for Amity Care Hospice

GA, 30067

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Inspection Report Summary

The most recent inspection on March 31, 2022, found the facility in compliance with applicable hospice regulations and identified no deficiencies. Earlier inspections showed mixed results, including a substantiated complaint investigation in January 2022 where inspectors cited failures in pain management and medication accessibility that led to an immediate jeopardy situation for a patient. Prior reports noted no deficiencies during the 2019 licensure survey. No fines, license suspensions, or other enforcement actions were listed in the available reports. The record shows improvement from the serious issues identified in early 2022 to full compliance by the most recent inspection.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

69% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2022

Census

Latest occupancy rate 49 residents

Based on a March 2022 inspection.

Census over time

42 45 48 51 54 Jan 2022 Mar 2022

Inspection Report

Re-Inspection
Census: 49 Deficiencies: 0 Date: Mar 31, 2022

Visit Reason
A revisit survey was conducted at Amity Care Hospice to verify compliance with regulatory requirements.

Findings
The agency was found to be in compliance with Chapter 111-8-37 Rules and Requirements for Home Health and Hospice Agencies and with Chapter 111-8-12.03(h), Criminal Background Checks.

Inspection Report

Complaint Investigation
Census: 48 Deficiencies: 3 Date: Jan 16, 2022

Visit Reason
An unannounced onsite complaint investigation was conducted from January 16 to January 21, 2022, due to concerns about the agency's compliance with Medicaid/Medicare regulations, specifically regarding pain management and comfort care during a patient's transition into death.

Complaint Details
The complaint investigation was substantiated, revealing that the hospice agency failed to provide adequate pain management and timely nursing services to patient #1 during her transition to death, resulting in an immediate jeopardy situation.
Findings
The investigation found that the hospice agency failed to provide timely pain management and symptom relief for patient #1, including failure to administer prescribed morphine due to lack of medication accessibility and poor coordination with the Assisted Living Facility. This failure resulted in a painful death for the patient and an ongoing immediate jeopardy.

Deficiencies (3)
Failure to provide pain and symptom management during transition into death, resulting in a painful death for patient #1.
Failure to ensure on-call nurse responded timely and administered prescribed morphine due to medication not being accessible.
Failure to investigate or document the missing morphine incident in complaint or grievance logs.
Report Facts
Census: 48 Sampled patients: 3 Morphine dosage: 20 Date range of investigation: January 16 to January 21, 2022

Employees mentioned
NameTitleContext
RN BBRegistered NurseOn-call nurse who failed to administer morphine and responded late to patient #1
RN AARegistered NurseAssigned case manager aware morphine was locked in ALF Administrator's office
Director of NursingDirector of NursingConfirmed failure to investigate missing morphine and document incident

Inspection Report

Renewal
Deficiencies: 0 Date: Jan 30, 2019

Visit Reason
The visit was a licensure survey to assess compliance with Chapter 111-8-37, Rules and Regulations for Hospices.

Findings
Amity Hospice was found to be in substantial compliance with no deficiencies cited during the licensure survey.

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