Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 9, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA00252664.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00252664 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 17, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247506 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00247506 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 2
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.
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.
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.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| 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. | SS= D |
| Failed to properly dispose of unused medication using current FDA or EPA guidelines for Resident #2. | SS= D |
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
Sep 17, 2020
Visit Reason
The purpose of this investigation was to investigate complaint #GA00207841, conducted from 2020-09-15 to 2020-09-17.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00207841 was completed with no rule violations found.
Inspection Report
Monitoring
Deficiencies: 0
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
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
Apr 3, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00186696.
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.
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.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure employees involved with personal services had at least sixteen hours of training per year for 5 of 8 sampled staff. | SS= D |
| 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). | SS= D |
| 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). | SS= D |
| 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. | SS= D |
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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