Inspection Reports for Azalea Senior Care

2130 Azalea Dr, Lawrenceville, GA 30043, GA, 30043

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Inspection Report Summary

The most recent inspection on May 24, 2022, found deficiencies related to admitting residents requiring care beyond the facility’s permitted level, missing resident files, and inadequate care involving PEG tube maintenance. Earlier inspections showed additional issues including staff recertification lapses, incomplete medication records, housekeeping concerns, and failure to protect residents’ dignity, with one resident moving out due to verbal abuse by another resident. Complaint investigations were substantiated, highlighting care and documentation problems as well as staff and safety issues. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows recurring themes around resident care and documentation, with no clear pattern of improvement or worsening over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 3.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

24% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2019
2022

Inspection Report

Complaint Investigation
Deficiencies: 3 Date: May 24, 2022

Visit Reason
The purpose of this visit was to investigate intake #GA00223994, with an on-site visit made on 2022-05-24 and the investigation completed on 2022-08-16.

Complaint Details
The visit was complaint-related, investigating intake #GA00223994. The investigation started on 2022-05-23 and was completed on 2022-08-16.
Findings
The facility failed to comply with regulations by admitting or retaining residents requiring care beyond the facility's permitted level for 2 of 3 sampled residents. Additionally, the facility failed to have individual resident files available for review for 1 of 5 sampled residents and failed to ensure adequate care and services for 1 sampled resident, including failure to change gauze around a PEG tube leading to infection risk.

Deficiencies (3)
Facility admitted or retained residents who required care beyond which the facility was permitted to provide for 2 of 3 sampled residents (Resident #1 and Resident #3).
Facility failed to have an individual resident file available for review upon inspection for 1 of 5 sampled residents (Resident #2).
Facility failed to ensure each resident received adequate and appropriate care and services for 1 of 1 sampled resident (Resident #1), including failure to change gauze around PEG tube daily to prevent infection.
Report Facts
Sampled residents: 3 Sampled residents: 5 Sampled residents: 1

Employees mentioned
NameTitleContext
Staff AProvided interviews regarding Resident #1 and Resident #3 care and admission details
BBInterviewed regarding Resident #1 admission and discharge dates
AAInterviewed regarding Resident #1 condition upon discharge and care issues

Inspection Report

Complaint Investigation
Deficiencies: 7 Date: Jun 7, 2019

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA000196900. The on-site visit occurred on 6/7/19 and the investigation was completed on 7/1/19.

Complaint Details
Investigation of complaint #GA000196900 revealed multiple deficiencies including lack of staff recertification, inadequate staffing schedules, failure to display inspection reports, poor housekeeping, missing medication records, unposted menus, and failure to protect residents' dignity. Resident #3 was verbally abused by another resident and subsequently moved out of the facility on 5/17/19.
Findings
The facility failed to ensure staff recertification in CPR and first aid, maintain accurate staffing schedules, display the most recent inspection report, maintain cleanliness and orderliness, keep Medication Assistance Records for residents, post current menus, and respect residents' personal dignity and human rights. One resident moved out due to verbal abuse from another resident.

Deficiencies (7)
Personnel file lacked required recertification in cardiopulmonary resuscitation and emergency first aid for Staff A.
Facility failed to develop and maintain accurate monthly work schedules for all employees including relief workers.
Facility failed to display a copy of the most recent inspection report and plan of correction in a location routinely used by residents and visitors.
Facility failed to ensure furnishings and housekeeping standards presented a clean and orderly appearance; hallway was blocked with personal items.
Facility failed to maintain a daily Medication Assistance Record (MAR) for 3 of 4 residents receiving medication assistance or supervision.
Facility failed to post a current menu 24 hours prior to serving meals.
Facility failed to operate in a manner that respects the personal dignity and human rights of residents; Resident #3 was verbally abused by another resident leading to Resident #3 moving out.
Report Facts
Residents without June 2019 MAR: 3 Residents involved in dignity violation: 1

Employees mentioned
NameTitleContext
Staff ANamed in findings related to lack of CPR and first aid recertification, staffing schedules, missing MARs, and interviewee regarding resident incidents.
AAInterviewed regarding Resident #3's incident and move-out.
BBResident involved in verbal abuse incident with Resident #3.

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jul 31, 2017

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

Findings
The facility failed to maintain a Medication Assistance Record (MAR) for one of three residents receiving assistance or supervision with self-administered medications, specifically Resident #1.

Deficiencies (1)
Failure to maintain a Medication Assistance Record (MAR) for Resident #1 receiving assistance with or supervision of self-administered medications.
Report Facts
Residents reviewed: 3 Resident with deficiency: 1

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