Inspection Report Summary
The most recent inspection on October 1, 2024, found no deficiencies. Earlier inspections also generally found no rule violations, with complaint investigations consistently resulting in no cited issues. Prior reports from 2017 and 2018 noted deficiencies related to resident care, including inadequate wound care, improper transferring techniques, and use of physical restraints, as well as staff training and documentation shortcomings. One substantiated complaint in 2018 involved staff rough handling a resident, leading to termination of the employee, and another involved a resident injury related to physical restraints requiring hospital transfer. The facility’s inspection history shows improvement over time, with no deficiencies cited in recent complaint investigations or annual inspections.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 1, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250079.
Complaint Details
Investigation of intake #GA00250079 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244498, with the investigation starting on 2024-03-07 and completing on 2024-03-13.
Complaint Details
Investigation of intake #GA00244498 was conducted from 2024-03-07 to 2024-03-13 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
The purpose of this offsite/desk review was to investigate intake #GA00243944.
Complaint Details
Investigation of intake #GA00243944; no rule violations were found.
Findings
No rule violations were cited as a result of this review.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 26, 2023
Visit Reason
The purpose of this visit was to investigate intake # GA00236575.
Complaint Details
Investigation started on 2023-07-28 and was completed on 2022-01-20. No rule violations were cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 23, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00230450.
Complaint Details
Investigation of intake GA00230450; no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 31, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00219066. An unannounced visit was made to the facility on 11/17/2021, with the investigation starting on 11/17/2021 and completing on 1/31/2022.
Complaint Details
Investigation of intake GA00219066 was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 11, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00217898.
Complaint Details
Investigation began 2021-10-04 and was completed 2021-10-11. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 15, 2021
Visit Reason
The purpose of this visit was to conduct an annual inspection and investigate intake #GA00212206.
Findings
The investigation started on 2021-04-12 and was completed on 2021-04-15. No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 26, 2021
Visit Reason
The visit was conducted to investigate intake #GA00210443, with an onsite visit made on 1/26/21 and the investigation completed on 2/4/21.
Complaint Details
Investigation of intake #GA00210443 with no rule violations found.
Findings
There were no rule violations cited as a result of this inspection.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 1, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00195574.
Complaint Details
Investigation of intake #GA00195574 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 13, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00195056.
Complaint Details
Investigation of intake #GA00195056 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 8, 2018
Visit Reason
The visit was conducted to investigate complaint #GA00190218 with on-site visits on 8/7/18 and 8/8/18, completing the investigation on 8/8/18.
Complaint Details
Investigation of complaint #GA00190218 completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 26, 2018
Visit Reason
The purpose of this visit was to investigate self-reported complaint #GA 00186362 regarding alleged abuse by staff toward Resident #1. The onsite visit was made on 3/26/18 and the investigation was completed on 3/28/18.
Complaint Details
The complaint was self-reported as complaint #GA 00186362 alleging abuse by Staff C toward Resident #1 on 3/8/18. The complaint was substantiated as Staff C was terminated for violation of residents' rights due to rough handling and improper transferring techniques.
Findings
The investigation found that Staff C was rough and used improper transferring techniques with Resident #1, including pulling the resident by clothing and patting on the head. Staff C was suspended pending investigation and subsequently terminated for violation of residents' rights. Resident #1 reported feeling safe after the incident was addressed.
Deficiencies (1)
The assisted living community failed to ensure each resident received care and services which were adequate, appropriate, and in compliance with state law and regulations, specifically related to abuse and improper transferring techniques involving Resident #1.
Report Facts
Complaint number: 186362
Resident admission date: Aug 11, 2016
Incident date: Mar 8, 2018
Staff termination date: Mar 12, 2018
Staff training dates: Apr 20, 2017
Staff training dates: May 4, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in abuse and improper transferring techniques finding; terminated for violation of residents' rights | |
| Staff A | Interviewed regarding Resident #1's report of abuse by night caregiver |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 27, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA0000185401.
Complaint Details
Investigation of complaint #GA0000185401 regarding physical restraints and resident safety. Resident #1 was found on the floor with head entangled in bedrail, required medical attention and hospital transfer. Complaint substantiated by findings.
Findings
The facility failed to ensure residents were free from physical restraints, as evidenced by Resident #1 being found on the floor with his/her head entangled in the bedrail, resulting in injury and hospital transfer.
Deficiencies (1)
Facility failed to ensure residents were free from actual physical restraints for Resident #1.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 incident and care. | |
| Staff C | Noticed Resident #1 on the floor during end of shift rounds. | |
| Staff D | CMA | Assisted in laying Resident #1 flat on the floor and assessment. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 13, 2017
Visit Reason
The purpose of this visit was to investigate complaint #00182605.
Complaint Details
Complaint #00182605 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Oct 2, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA 00179996 with an on-site visit made to the facility on 10/2/17 and the investigation completed on 10/11/17.
Complaint Details
Complaint GA 00179996 was investigated with findings that the facility failed to provide adequate care and services to Resident #1, including lack of skin monitoring and wound care as ordered.
Findings
The facility failed to ensure that Resident #1 received adequate and appropriate care and services as required by state law and regulations. Specifically, there was no documentation that Resident #1 received weekly visual skin monitoring or daily treatment of a prescribed Betadine solution for a left great toe wound, and the facility did not intervene appropriately to treat the ulcer and prevent worsening skin conditions.
Deficiencies (3)
Failure to provide weekly visual skin monitoring and assistance with skin care needs including applying lotion, barrier ointments, and creams to dry skin for Resident #1.
Failure to provide daily treatment with prescribed Betadine 10% Topical Solution to Resident #1's left great toe wound as ordered.
Failure to intervene appropriately to ensure Resident #1 received care and services ordered and appropriate to treat the ulcer and prevent worsening condition of the skin and ulcers.
Report Facts
Dates of documentation and orders: May 1, 2017
Dates of documentation and orders: Jun 19, 2017
Dates of documentation and orders: Jun 30, 2017
Dates of documentation and orders: Aug 26, 2017
Dates of documentation and orders: Sep 1, 2017
Frequency of wound care: 3
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jul 20, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Apr 20, 2017
Visit Reason
The purpose of this visit was to conduct the annual inspection of the assisted living facility Arbor Terrace Decatur.
Findings
The facility failed to meet multiple training requirements for staff, including general infection control, emergency preparedness, first aid, CPR, and training on medical and social needs of residents. Additionally, the facility lacked documentation of continuing education for some staff, failed to maintain an accessible list of residents requiring assisted self-preservation during evacuation, did not obtain required physician reports for memory care unit admissions, and failed to include a signed admission agreement in one resident's file.
Deficiencies (9)
Failure to ensure all staff received training within the first 60 days on general infection control principles.
Failure to ensure all staff received training within the first 60 days on emergency preparedness.
Failure to ensure all staff had current certification in emergency first aid.
Failure to ensure all staff had current certification in cardiopulmonary resuscitation (CPR).
Failure to ensure staff were trained in medical and social needs and characteristics of the resident population.
Failure to ensure staff had 16 hours of continuing education units annually.
Failure to maintain an accessible list of residents requiring assisted self-preservation during evacuation.
Failure to obtain physician's report of physical examination within 30 days prior to admission to memory care unit with required diagnosis documentation.
Failure to include a signed copy of the admission agreement in resident's file.
Report Facts
Staff files sampled: 6
Residents sampled: 5
Residents with missing physician reports: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed multiple times regarding missing training documentation and facility deficiencies | |
| Staff B | Sampled staff missing continuing education documentation | |
| Staff D | Sampled staff missing current first aid and CPR certification | |
| Staff E | Sampled staff missing emergency preparedness training, medical/social needs training, and continuing education documentation | |
| Staff F | Sampled staff missing general infection control, emergency preparedness, and medical/social needs training |
Viewing
Loading inspection reports...
