Inspection Reports for Augusta Gardens Senior Living & Memory Care
GA, 30909
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Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 5, 2025
Visit Reason
The purpose of this visit was to investigate intakes #GA50004360, GA50003726, and GA50003752. An on-site visit was made on 08/05/2025.
Findings
No rule violations were cited as a result of this inspection and investigation.
Complaint Details
Investigation started on 08/05/2025 and was completed on 09/25/2025. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 22, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00228376 with an on-site visit made on 11/22/22. The investigation started on 10/31/22 and was completed on 12/6/22.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00228376 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 1, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00218420, with an on-site visit made on 2021-11-01 and the investigation completed on 2021-12-09.
Findings
The facility failed to ensure a resident's right to be free from mental, verbal, sexual and physical abuse, neglect, and exploitation. Specifically, Resident #1 was pushed by Staff C, causing the resident to fall and sustain a reddish bruise. Staff C lacked training in dementia behaviors, de-escalation, or crisis intervention.
Complaint Details
The investigation was initiated due to intake #GA00218420 regarding alleged elder abuse involving Resident #1. The complaint was substantiated based on record review, staff interviews, police report, and security footage.
Severity Breakdown
G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident had the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation for Resident #1. | G |
Report Facts
Date of incident: Oct 14, 2021
Staff employment duration: 5
Resident admission date: Mar 31, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in abuse incident involving Resident #1; admitted to pushing resident and lacking dementia and crisis training. | |
| Staff A | Reported Staff C's account to police officer during elder abuse investigation. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 29, 2021
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00215798.
Findings
The facility failed to ensure that the hot water system supplied heated water at a temperature comfortable to the touch but not exceeding 120 degrees Fahrenheit. Observations showed water temperatures of 125.0 and 122.0 degrees Fahrenheit in resident bathroom sinks.
Complaint Details
Visit was complaint-related, investigating intake #GA00215798.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure hot water temperature did not exceed 120 degrees Fahrenheit, with observed temperatures at 125.0 and 122.0 degrees. | D |
Report Facts
Water temperature: 125
Water temperature: 122
Water temperature: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A acknowledged the hot water temperatures and stated they would have them adjusted. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 3, 2020
Visit Reason
The inspection was conducted to investigate intake #GA00208731.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2020-11-02 and was completed on 2020-11-03. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 21, 2020
Visit Reason
The purpose of this inspection was to investigate intake GA00208208.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation began on 2020-09-21 and was completed on 2020-09-23. No rule violations were 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
Follow-Up
Deficiencies: 0
Apr 3, 2020
Visit Reason
The purpose of this visit was to conduct a follow-up to a 2/6/2020 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Routine
Deficiencies: 3
Feb 6, 2020
Visit Reason
The purpose of this visit was to conduct a compliance inspection of Augusta Gardens Retirement Residence.
Findings
The inspection identified deficiencies including failure to ensure all employees had required physical examinations and tuberculosis screenings within 12 months prior to employment, failure to make facility records available for review, and failure to report serious injuries to the Department for two residents who sustained hip fractures.
Severity Breakdown
E: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure each employee received a physical examination and TB screening within 12 months prior to employment for 2 of 3 staff (Staff D and Staff E). | E |
| Failure to make facility records available for review and examination by a properly identified representative of the Department. | D |
| Failure to report to the Department a serious injury to a resident that required medical treatment for 2 of 6 residents (Resident #5 and Resident #6). | D |
Report Facts
Staff without required physical examination and TB screening: 2
Residents with unreported serious injuries: 2
Residents reviewed for serious injury reporting: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Failed to have physical examination and TB screening within 12 months prior to employment. | |
| Staff E | Failed to have physical examination and TB screening within 12 months prior to employment. | |
| Staff A | Interviewed and stated Staff D and Staff E did not have required physical examination and TB screening; also stated failure to submit injury report for Resident #6 and inability to locate the report. | |
| Staff B | Interviewed regarding Resident #5 and Resident #6 injuries and rehabilitation. | |
| Staff G | Interviewed and stated no access to facility files during inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 21, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00200105.
Findings
The facility failed to ensure that 1 of 2 staff (Staff C) had current certification in emergency first aid, cardiopulmonary resuscitation (CPR) with competency demonstration, and at least sixteen hours of training per year as required.
Complaint Details
Visit was complaint-related to intake # GA00200105. Substantiation status is not stated.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure Staff C had current certification in emergency first aid within the first sixty days of employment. | SS= D |
| Facility failed to ensure Staff C had current certification in cardiopulmonary resuscitation (CPR) with required return demonstration of competency. | SS= D |
| Facility failed to ensure Staff C received at least sixteen hours of training per year for 2018. | SS= D |
Report Facts
Staff involved: 2
Staff non-compliant: 1
Training hours required: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Staff member lacking required certifications and training | |
| Staff A | Interviewed staff who stated trainings need to be located |
Inspection Report
Follow-Up
Deficiencies: 0
Jun 26, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 4/16/19 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Apr 16, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 1/29/19 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 16, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00195785.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by Resident #1 who was non-verbal, bed bound, and unable to assist with daily care or transfers.
Complaint Details
Visit was complaint-related to intake # GA00195785. Resident #1 was found to be non-ambulatory and bed bound, contrary to facility admission requirements.
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 condition and communication with POA. |
Inspection Report
Follow-Up
Deficiencies: 0
Apr 11, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 7/30/18 complaint investigation.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
This visit was a follow-up to a complaint investigation dated 7/30/18.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 11, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 10/31/18 compliance inspection and complaint investigation.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Jan 29, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00194151.
Findings
The facility failed to ensure that one staff member (Staff E) had a physical examination and tuberculosis screening within 12 months prior to employment, maintain evidence of required trainings and certifications for Staff E, and timely obtain medication refills for one resident (Resident #2) to prevent interruption in routine dosing.
Complaint Details
The visit was conducted to investigate complaint #GA00194151. The complaint involved failure to maintain required employee health screenings and certifications, and failure to timely obtain medication refills for residents.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure each employee received a physical examination and TB screening within 12 months prior to employment for 1 of 5 sampled staff (Staff E). | SS= D |
| Facility failed to maintain a record of a physical examination completed by a licensed provider for 1 of 5 sampled staff (Staff E). | SS= D |
| Facility failed to maintain evidence of trainings, skills competency determinations and recertifications for 1 of 2 sampled staff (Staff E), including expired CPR and first aid card. | SS= D |
| Facility failed to ensure timely medication refills to prevent interruption in routine dosing for 1 of 3 sampled residents (Resident #2). | SS= D |
Report Facts
Sampled staff: 5
Sampled staff: 2
Sampled residents: 3
Medication administration record date range: 31
Medication missing days: 2
Inspection Report
Complaint Investigation
Deficiencies: 7
Oct 31, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA00191726.
Findings
The facility failed to meet multiple workforce qualification and training requirements, including lack of current certification in emergency first aid and CPR for some staff, missing physical examinations and tuberculosis screenings, failure to obtain satisfactory criminal records checks prior to employment, admission of non-ambulatory residents not capable of self-preservation, and failure to develop written care plans and provide adequate proxy caregiver training for medication administration.
Complaint Details
The inspection was conducted to investigate complaint #GA00191726.
Severity Breakdown
E: 2
D: 5
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure staff obtained current certification in emergency first aid within the first sixty days of employment for 2 of 4 staff (Staff A and Staff G). | E |
| Failed to ensure staff received current certification in cardiopulmonary resuscitation (CPR) with competency demonstration for 1 of 4 staff (Staff A). | E |
| Failed to ensure each employee received a physical examination and tuberculosis screening within 12 months prior to employment for 2 of 4 staff (Staff A and Staff F). | D |
| Failed to obtain a satisfactory criminal records check prior to employment for 1 of 4 sampled staff (Staff G). | D |
| Failed to admit and retain only ambulatory residents capable of self-preservation with minimal assistance for 2 of 5 sampled residents (Resident #1 and Resident #2). | D |
| Failed to ensure a written plan of care was developed by a licensed healthcare professional for proxy caregivers delivering health maintenance activities for 3 of 5 residents (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #6). | D |
| Failed to ensure proxy caregivers' training included satisfactory and independent completion of required skills competency checklists for 2 of 4 staff (Staff B and Staff G). | D |
Report Facts
Staff sample size: 4
Resident sample size: 5
Residents not ambulatory: 2
Residents without written care plans: 3
Staff without first aid certification: 2
Staff without CPR certification: 1
Staff without physical exam and TB screening: 2
Staff without criminal records check: 1
Staff without proxy caregiver training: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in findings for lack of first aid and CPR certification, missing physical exam and TB screening. | |
| Staff G | Named in findings for lack of first aid certification, missing criminal records check, and lack of proxy caregiver training. | |
| Staff F | Named in findings for missing physical exam and TB screening. | |
| Staff B | Named in findings for lack of proxy caregiver training. |
Inspection Report
Complaint Investigation
Census: 12
Deficiencies: 2
Jul 30, 2018
Visit Reason
The purpose of this visit was to investigate multiple complaint intakes related to resident supervision and abuse allegations.
Findings
The facility failed to ensure adequate supervision of residents consistent with their needs, resulting in inappropriate contact between two residents. Additionally, the facility failed to report the incidents of alleged sexual assault and abuse to the Department and local police within 24 hours as required.
Complaint Details
The investigation was triggered by multiple complaint intakes (#GA00190321, #GA00190311, #GA00190242, #GA00190219, #GA00190145, #GA00190172, #GA00190166, #GA00190149, and #GA00190144). The allegations involved inappropriate sexual contact between Resident #1 and Resident #2 and failure to report the incidents timely. The facility did not consider the incidents reportable, despite evidence and police involvement.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure residents were supervised consistent with their needs, evidenced by inappropriate contact between two residents. | SS= D |
| Failure to report sexual assault, battery, abuse, neglect, or exploitation of a resident within 24 hours to the Department and local police. | SS= D |
Report Facts
Residents in memory care area: 12
Direct care staff present: 3
Incident report dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who witnessed incidents and commented on reportability |
Inspection Report
Follow-Up
Deficiencies: 0
Jan 29, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 08-14-2017 annual inspection and a self-reported complaint GA00178119.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 2
Nov 13, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to the 8/14/17 annual inspection and complaint investigation.
Findings
The facility failed to have work performance reviews, including skills competency checklists, for unlicensed staff performing specialized tasks such as medication administration. Additionally, the facility failed to provide evidence of routine evaluations of continued skills competencies by an appropriately licensed healthcare professional for one staff member.
Complaint Details
The visit was a follow-up to a complaint investigation conducted on 8/14/17.
Severity Breakdown
E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to have work performance reviews, including skills competency checklists, for 1 of 2 unlicensed staff (Staff C) who performed medication administration for 3 residents. | E |
| Failed to provide evidence of routine evaluations of continued skills competencies by an appropriately licensed healthcare professional for 1 of 2 staff (Staff E). | E |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Unlicensed staff who performed medication administration without completed skills competency checklists or proxy caregiver training. | |
| Staff E | Staff member who had not completed updated proxy caregiver training and lacked evidence of routine evaluations of continued skills competencies. | |
| Staff A | Interviewed staff who provided information about Staff C and Staff E training status. |
Inspection Report
Annual Inspection
Deficiencies: 6
Aug 14, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate facility self-reported complaint #GA00178119.
Findings
The facility failed to ensure that staff received required current certifications in First Aid and CPR, failed to maintain evidence of recertifications, lacked initial and annual work performance reviews for unlicensed staff performing specialized tasks including medication administration, failed to document medication skills competency for unlicensed staff, and failed to maintain a complete Medication Assistance Record (MAR) for one resident.
Complaint Details
The visit included investigation of facility self-reported complaint #GA00178119.
Severity Breakdown
SS= D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure that each staff received current certification in First Aid for 1 of 9 sampled staff (Staff I). | SS= D |
| Failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) for 1 of 9 sampled staff (Staff I). | SS= D |
| Failed to ensure staff files included evidence of recertifications as required for 1 of 9 staff (Staff A) whose CPR and First Aid had expired. | SS= D |
| Failed to have initial and/or annual work performance reviews including skills competency checklists for 1 of 2 sampled unlicensed staff (Staff C) performing specialized tasks for medication administration to 3 residents. | SS= D |
| Failed to have documentation of medication skill competency when hired and annually thereafter for 1 of 9 staff (Staff D) providing assistance with or supervision of self-administered medications. | SS= D |
| Failed to have a Medication Assistance Record (MAR) which included the name, strength and specific directions for use of each medication for 1 of 9 residents (Resident #6). | SS= D |
Report Facts
Sampled staff: 9
Residents: 3
Medication dosage: 0.125
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 13, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00173628.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint GA00173628 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 27, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00171642.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint GA00171642 was investigated and found to have no rule violations.
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