Inspection Reports for Azalea Estates of Fayetteville

105 AUTUMN GLEN CIRCLE, FAYETTEVILLE, GA, 30215.0

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Inspection Report Summary

The most recent inspection on June 30, 2025 found no deficiencies during the complaint investigation. Earlier inspections showed some deficiencies related mainly to medication management, including timely refills and secure storage, as well as staff certification and emergency response times. Complaint investigations prior to 2025 were mostly unsubstantiated except for issues noted in 2021 and 2022 involving medication and staff compliance. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed prior concerns, as recent investigations have not identified rule violations.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

63% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2020
2021
2022
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 30, 2025

Visit Reason
The visit was conducted to investigate complaint intake numbers GA50003170 and GA50003885.

Complaint Details
Investigation of complaint intake #GA50003170 and #GA50003885 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 29, 2022

Visit Reason
The purpose of this visit was to investigate intake #GA00225131 and GA00225442.

Complaint Details
Investigation started on 2022-06-30 and was completed on 2022-07-01 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 17, 2022

Visit Reason
The purpose of this visit was to investigate intake GA00222034.

Complaint Details
Investigation started on 2022-03-15 and completed on 2022-03-17 with no violations found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 3 Date: Feb 3, 2022

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00220645 and #GA00221196 with onsite visits on 2/3/2022 and 2/4/2022.

Complaint Details
The visit was complaint-related, investigating intake #GA00220645 and #GA00221196. The investigation started on 2022-01-24 and was completed on 2022-02-10.
Findings
The facility failed to ensure timely refills of prescribed medications for 2 of 6 sampled residents, failed to store medications under lock and key for 1 resident, and failed to respond promptly to emergency pendant alerts, with response times ranging from 16 to 53 minutes, exceeding the expected 7 to 10 minutes.

Deficiencies (3)
Failed to ensure timely refills of prescribed medications for Resident #1 and Resident #6, resulting in interruptions in routine dosing.
Failed to ensure medications were stored under lock and key for Resident #2, with medications unsecured in an unlocked bedroom.
Failed to provide adequate and appropriate care as evidenced by delayed response times to emergency pendant alerts for multiple residents.
Report Facts
Response time to pendant alert: 20 Response time to pendant alert: 34 Response time to pendant alert: 22 Response time to pendant alert: 45 Response time to pendant alert: 17 Response time to pendant alert: 45 Response time to pendant alert: 16 Response time to pendant alert: 53

Inspection Report

Complaint Investigation
Deficiencies: 6 Date: Mar 8, 2021

Visit Reason
The purpose of this visit was to investigate intake #GA00212436. An unannounced visit was made to the facility on 3/8/21.

Complaint Details
The visit was complaint-related, investigating intake #GA00212436. The investigation started on 3/5/21 and was completed on 3/18/21.
Findings
The facility failed to ensure staff had completed required criminal background checks, failed to ensure medication aides were properly certified and had current skills competency checks, failed to obtain timely medication refills for residents resulting in missed doses, and failed to ensure residents' medications were in unit dose or multi-unit dose packaging.

Deficiencies (6)
Facility failed to ensure each staff had evidence of a satisfactory fingerprint record check or criminal history background check prior to employment for 1 of 8 sampled staff (Staff D).
Facility staff failed to wear identification badges for 2 of 8 sampled staff (Staff G and Staff H).
Facility failed to ensure medication aides employed were listed in good standing on the Georgia Certified Medication Aide Registry and had no record of termination for cause for 2 of 8 sampled staff (Staff G and Staff H).
Facility failed to ensure medication aides certified for more than one year upon hiring continued to have the knowledge and skills necessary to administer medications properly for 2 of 8 sampled staff (Staff G and Staff H).
Facility failed to ensure refills of prescribed medications were obtained timely so there was no interruption in routine dosing for 5 of 5 sampled residents.
Facility failed to ensure residents' medications were in unit dose or multi-unit dose packaging for 1 of 5 sampled residents (Resident #2).
Report Facts
Sampled staff: 8 Sampled residents: 5 Missed medication days: 11 Missed medication days: 14 Medication expiration date: Dec 9, 2020

Employees mentioned
NameTitleContext
Staff DNamed in deficiency for missing criminal background check
Staff GNamed in deficiencies for missing ID badge, expired medication aide certification, and missing skills competency check
Staff HNamed in deficiencies for missing ID badge, expired medication aide certification, and missing skills competency check
Staff AInterviewed regarding background checks, medication aide certification, and medication refill failures
Staff BInterviewed regarding missed medications for Resident #1 and medication packaging
Staff FInterviewed regarding missing medications for residents
KKInterviewed regarding missed medications for Resident #1
IIInterviewed regarding medication supply for Resident #1
JJInterviewed regarding medication refills for Resident #1

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 assessing infection control processes at the facility.

Inspection Report

Original Licensing
Deficiencies: 0 Date: Oct 15, 2019

Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.

Findings
No rule violations were cited as a result of this inspection.

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