Inspection Reports for Angels Divine Personal Care Home
3065 Jeffersonville Rd, Macon, GA 31217, GA, 31217
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 18, 2021, found no deficiencies. Earlier inspections showed a pattern of issues including admission of a non-ambulatory resident not capable of self-preservation, incomplete staff training, and missing documentation such as informed consents and care plans for proxy caregivers. Prior reports also noted safety concerns like unsecured floor coverings and unauthorized space heater use, as well as exterior maintenance problems. Complaint investigations were mostly unsubstantiated, with one substantiated case related to admission and training deficiencies. The facility’s inspection history indicates improvement over time, with the most recent visit showing no cited violations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Oct 18, 2021
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Nov 12, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 01/02/19 compliance inspection and complaint investigation #GA00193118.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Follow-up to complaint investigation #GA00193118.
Inspection Report
Follow-Up
Deficiencies: 1
Mar 11, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 01/02/19 compliance inspection and complaint investigation #GA00193118.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as Resident #1 required total care and was not capable of self-preservation. A waiver application for this resident was under review.
Complaint Details
This visit was a follow-up to a complaint investigation #GA00193118. The citation regarding admission of a non-ambulatory resident was previously cited on 01/02/19.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The home admitted and retained a non-ambulatory resident who was not capable of self-preservation with minimal assistance. | SS= D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1's care needs and waiver application status. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 4, 2019
Visit Reason
The purpose of this visit was to investigate complaint GA00194289.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint GA00194289 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 8
Jan 2, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate complaint #GA00193118.
Findings
The facility failed to ensure that staff received required training in emergency evacuation procedures, medical and social needs of residents, residents' rights, and identification of abuse and neglect. The facility admitted a non-ambulatory resident not capable of self-preservation with minimal assistance. Food stored in the refrigerator was not labeled. The facility failed to obtain written informed consent for proxy caregivers and failed to have written plans of care for proxy caregiver services for all residents reviewed.
Complaint Details
The inspection was conducted in response to complaint #GA00193118.
Severity Breakdown
D: 7
E: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure staff received training in emergency evacuation procedures for 2 of 4 sampled staff (B, E). | D |
| Failed to ensure staff received training in medical and social needs of the resident population for 2 of 4 sampled staff (B, E). | D |
| Failed to ensure staff received training in residents' rights for 2 of 4 staff (B, E). | D |
| Failed to ensure staff received training in identification of abuse, neglect or exploitation and reporting requirements for 4 of 4 staff (B, C, D, E). | D |
| Admitted and retained a non-ambulatory resident not capable of self-preservation with minimal assistance (Resident #2). | D |
| Failed to ensure food stored in the refrigerator was labeled to protect from spoilage and contamination. | D |
| Failed to execute written informed consent for proxy caregivers to provide health maintenance activities for 7 of 7 residents. | E |
| Failed to ensure a written plan of care for proxy caregiver services was developed for 7 of 7 residents. | D |
Report Facts
Sampled staff: 4
Residents reviewed: 7
Non-ambulatory residents: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who stated inability to locate training documentation and was unaware of documentation requirements | |
| Staff B | Staff member lacking documentation of multiple required trainings | |
| Staff C | Staff member lacking documentation of abuse identification training | |
| Staff D | Staff member lacking documentation of abuse identification training | |
| Staff E | Staff member lacking documentation of multiple required trainings |
Inspection Report
Follow-Up
Deficiencies: 0
Mar 7, 2018
Visit Reason
The purpose of this visit is to conduct a follow-up to the 9/27/17 annual inspection and complaint investigation #GA00179897 and #GA00179963.
Findings
The report is a follow-up inspection related to a previous annual inspection and complaint investigations; no specific findings or deficiencies are detailed in the provided text.
Complaint Details
Follow-up to complaint investigations #GA00179897 and #GA00179963.
Inspection Report
Annual Inspection
Deficiencies: 6
Sep 27, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA00179897 and #GA00179963.
Findings
The facility was found to have multiple deficiencies including unsecured floor covering posing a tripping hazard, unauthorized use of space heaters, exterior maintenance issues such as roof shingles left on the ground, and incomplete resident files missing physician, hospital, pharmacy information, personal item inventories, and informed consents for proxy caregivers.
Complaint Details
The inspection included investigation of complaints #GA00179897 and #GA00179963.
Severity Breakdown
D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Floor covering was not intact and securely fastened to the floor, creating a tripping hazard at the front entrance. | D |
| Space heaters were used without specific written approval from the fire safety authority; a decorative fireplace with a heater element was plugged in. | D |
| The exterior of the home was not properly maintained; roof shingles blown off during a tropical storm were left stacked on the ground. | D |
| Resident files lacked the name, address, and telephone number of the physician, hospital, and pharmacy for 2 sampled residents. | D |
| Resident files did not maintain an updated inventory of personal items brought to the home for 2 sampled residents. | D |
| The facility failed to execute written informed consent for proxy caregivers to provide health maintenance activities for 2 sampled residents. | D |
Report Facts
Sampled residents: 2
Date of tropical storm: Sep 11, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding deficiencies including floor covering repair, space heater use, roof shingle cleanup, resident file corrections, and informed consent. |
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