Inspection Report Summary
The most recent inspection on January 9, 2025, found no deficiencies. Earlier inspections showed a generally clean record with isolated issues, including medication management deficiencies identified in April 2023 related to incomplete medication records and improper disposal of unused medications. A prior investigation in April 2018 cited training gaps for personal services staff, missing resident documentation, and a substantiated case of resident financial exploitation by a staff member, which resulted in criminal charges but no listed enforcement actions or fines. Complaint investigations since then have been unsubstantiated. The facility’s inspection history suggests improvement over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 9, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA00252664.
Complaint Details
Investigation of intake #GA00252664 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247506 and conduct the compliance inspection.
Complaint Details
Investigation of intake #GA00247506 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 17, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00234176 and #GA00233594 with an on-site visit made to the facility on 4/17/23.
Complaint Details
Investigation was initiated based on complaint intakes #GA00234176 and #GA00233594. The investigation started on 4/10/23 and was completed on 5/4/23.
Findings
The facility failed to have a medication assistance record (MAR) with complete medication details for Resident #3, and failed to properly dispose of unused medication for Resident #2 according to FDA and EPA guidelines, resulting in medication management deficiencies.
Deficiencies (2)
Failed to have a medication assistance record (MAR) that included the name, strength, specific directions, and summary of side effects and adverse reactions for each medication for Resident #3.
Failed to properly dispose of unused medication using current FDA or EPA guidelines for Resident #2.
Report Facts
Medication tablets: 39
Medication dosage: 50
Medication dosage: 0.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Mentioned in relation to medication confirmation and disposal delays | |
| Staff C | Interviewed regarding medication issues and disposal | |
| Staff A | Interviewed regarding pharmacy delays and medication disposal |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 17, 2020
Visit Reason
The purpose of this investigation was to investigate complaint #GA00207841, conducted from 2020-09-15 to 2020-09-17.
Complaint Details
Investigation of complaint #GA00207841 was completed with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
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
Annual Inspection
Deficiencies: 0
Date: Jul 15, 2019
Visit Reason
The purpose of this visit was to conduct the annual inspection and investigate intake #GA00197891.
Findings
No rule violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Apr 3, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00186696.
Complaint Details
The investigation was initiated due to intake #GA00186696. A staff member (Staff G) was arrested and charged with theft by taking and exploitation of an elderly adult after video evidence showed Staff G taking money from Resident #08's purse. The family reported multiple instances of missing money totaling $4,000, which was later credited back to the resident.
Findings
The facility failed to ensure employees involved with personal services had required training hours, resident files lacked required power of attorney and advance directive documents for one resident, and a staff member was found to have exploited a resident by misappropriating funds.
Deficiencies (4)
Facility failed to ensure employees involved with personal services had at least sixteen hours of training per year for 5 of 8 sampled staff.
Facility failed to ensure each resident file included any power of attorney or documents designating another person responsible for management of the resident's finances for 1 of 5 sampled residents (Resident #3).
Facility failed to include a copy of a living will and/or power of attorney for health care or a copy of the Georgia advance directive for health care for 1 of 5 sampled residents (Resident #3).
Facility failed to ensure each resident has a right to be free from exploitation for 1 of 5 sampled residents (Resident #08) due to staff misappropriation of resident funds.
Report Facts
Number of sampled staff lacking required training: 5
Number of sampled residents missing POA or advance directive documents: 1
Amount of money misappropriated: 4000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding staff training records and awareness of missing documents. | |
| Staff G | Staff member arrested and charged with theft and exploitation of Resident #08. | |
| Staff H | Identified Staff G as perpetrator and involved in interviews about missing resident funds. | |
| AA | Family member of Resident #08 who reported missing money and installed hidden camera. | |
| BB | Interviewed about Staff G's arrest and video evidence. | |
| CC | Informed facility staff about missing money of Resident #08. | |
| DD | Reported Resident #08 received a credit back of $4,000. |
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