Inspection Reports for Belmont Village Senior Living Johns Creek
4315 Johns Creek Pkwy, Suwanee, GA 30024, United States, GA, 30024
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 3, 2025, found no deficiencies. Earlier inspections showed mostly no deficiencies, with isolated issues related to medication disposal and incident reporting. Inspectors cited problems with medication destruction policies and improper disposal in February 2024, and a delayed report of a serious resident incident in March 2020. Complaint investigations were generally unsubstantiated except for these noted issues, and no fines, license suspensions, or enforcement actions were listed in the available reports. The facility’s inspection history suggests improvement over time, with recent surveys showing no cited violations.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 3, 2025
Visit Reason
An off-site review was conducted to investigate intake #GA50005289, beginning on 2025-10-01 and completed on 2025-10-03.
Findings
No rule violations were cited related to this review.
Complaint Details
Investigation was related to intake #GA50005289 and was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 5, 2025
Visit Reason
The purpose of this survey was to investigate complaint #GA50002971 and conduct a compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA50002971 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 8, 2024
Visit Reason
The purpose of this visit was to investigate intakes GA00249668 and GA00250103.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes GA00249668 and GA00250103 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 17, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247734.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of intake #GA00247734; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Feb 28, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00243815 with an onsite visit made on 2/28/24 and the investigation completed on 3/4/24.
Findings
The facility failed to have completed policies and procedures governing medication destruction/disposal and failed to properly dispose of unused medications according to FDA or EPA guidelines, including finding two loose pills improperly discarded in a sharps container.
Complaint Details
Investigation was complaint-related for intake # GA00243815.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to have completed policies and procedures that govern medication destruction or disposal. | D |
| Facility failed to properly dispose of unused medication using current FDA or EPA guidelines, evidenced by two loose pills found in the sharps container. | D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding lack of medication destruction/disposal policies and stated would email policy by end of day 2/28/24. | |
| Staff B | Interviewed and stated staff should use liquid solution like drug buster to discard medications and that no medications should be in sharps containers. | |
| Staff D | Involved in medication cart audit and acknowledged two loose pills found in sharps container. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 29, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00242673 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00242673; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 14, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00231825 and GA00230846.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA00231825 and GA00230846 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 25, 2021
Visit Reason
The visit was conducted to perform a compliance inspection and to investigate intake #GA00214260, which started on 2021-05-18 and was completed on 2021-05-25.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00214260 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 23, 2020
Visit Reason
The purpose of this desk review was to investigate intake #GA 00204380 and GA00204518.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intake #GA 00204380 and GA00204518 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 process.
Findings
The report focuses on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 1
Mar 25, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00202803 regarding a serious incident involving a resident.
Findings
The facility failed to report a serious incident involving Resident #1 within 24 hours as required. Resident #1 had an unwitnessed fall resulting in a pelvic fracture, but the Department was notified late, on 2/7/20 instead of within 24 hours.
Complaint Details
Investigation of intake #GA00202803 found the facility did not report a serious incident involving Resident #1 within 24 hours as required. The incident was reported on 2/7/20 after occurring on 2/4/20.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report a serious incident using the complaint intake system within 24 hours following the occurrence or learning of the incident involving Resident #1. | SS= D |
Report Facts
Residents present during inspection: 69
Incident date: Feb 4, 2020
Date facility notified of results: Feb 5, 2020
Date Department notified: Feb 7, 2020
Inspection Report
Follow-Up
Deficiencies: 0
Oct 10, 2018
Visit Reason
The visit was conducted to investigate a self-reported incident #GA00191491 and to perform a follow-up to the annual inspection conducted on 2018-04-12.
Findings
No rule violations were cited as a result of these inspections.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 10, 2018
Visit Reason
The purpose of this visit was to conduct a follow up to the 4/12/18 annual inspection and to investigate complaint #GA00191491.
Findings
No rule violations were cited as a result of these inspections.
Complaint Details
Complaint #GA00191491 was investigated during this visit.
Inspection Report
Annual Inspection
Deficiencies: 1
Apr 12, 2018
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
The facility failed to ensure that one of three sampled residents received adequate and appropriate care as required by federal and state regulations, specifically related to medication administration for Vitamin D dosage.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure adequate and appropriate care for Resident #1 related to Vitamin D medication dosage and administration. | D |
Report Facts
Vitamin D tablets in bottle: 193
Expected Vitamin D tablets: 246
Vitamin D dosage: 2000
Vitamin D tablet strength: 1000
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