Inspection Reports for Benton House of Decatur
2711 LAWRENCEVILLE HWY, DECATUR, GA, 30033.0
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 17, 2025, found no deficiencies. Earlier inspections generally showed compliance with regulations, though some prior reports noted issues related to resident protection, staff conduct, and medication orders. Deficiencies included failure to safeguard a resident’s personal property due to staff exploitation, inadequate oversight leading to a resident eloping, and isolated incidents of staff mistreatment and improper use of restraints, with involved staff members terminated. Most complaint investigations were unsubstantiated, except for a few substantiated cases involving resident exploitation, elopement, and mistreatment. The facility’s inspection history shows improvement in recent years, with no deficiencies cited in the latest inspections.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
82% better than Georgia average
Georgia average: 4.9 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 17, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA 50004370.
Complaint Details
Investigation of intake GA 50004370; no deficiencies found.
Findings
No rules were cited as a result of this investigation and compliance inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 30, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50002543. An onsite visit was made on 2025-05-28 and the inspection was completed on 2025-05-30.
Complaint Details
Investigation of intake #GA50002543 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 20, 2024
Visit Reason
The purpose of this visit was to conduct an investigation for intake GA00243552.
Complaint Details
Investigation for intake GA00243552; no violations found.
Findings
No rule violations were cited as a result of this inspection conducted on 2/20/24.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 27, 2023
Visit Reason
The purpose of this visit was to investigate intake# GA00229733.
Complaint Details
Investigation of intake# GA00229733 with no rule violations found.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00228254 with an onsite visit made to the facility on 10/11/22. The investigation started on 10/3/22 and was completed on 10/12/22.
Complaint Details
Investigation of intake GA00228254 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 30, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00226471.
Complaint Details
Investigation of intake GA00226471 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 10, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00224844 and #GA00224162.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 18, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00223463. An onsite visit was made on 2022-05-18 and the case was completed on 2022-05-24.
Complaint Details
The investigation was initiated due to intake #GA00223463 regarding theft and exploitation of Resident #1. The complaint was substantiated as a staff member was found responsible for unauthorized use of Resident #1's bank check and electronic payment.
Findings
The facility failed to provide oversight to ensure compliance with rules for one resident related to exploitation and failure to safeguard personal property. Resident #1's personal bank check was stolen and used fraudulently by a staff member, resulting in an unauthorized $70 electronic payment. The staff member was suspended and later terminated.
Deficiencies (1)
The governing body failed to provide oversight necessary to ensure compliance with rules for Resident #1 related to exploitation and protection of personal property.
Report Facts
Unauthorized charge amount: 70
Dates of staff assignment: Staff D worked 11:00 p.m. to 7:00 a.m. shift on 4/11/2022, 4/13/2022, and 4/14/2022
Date of incident report submission: Incident report submitted on 4/21/2022 at 11:50 a.m.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding notification of theft and investigation initiation | |
| Staff D | Listed as payer on fraudulent charge, placed on suspension and later terminated | |
| Staff E | Named as payer on Resident #1 bank statement, questioned by management, later terminated | |
| Staff F | Advised Staff A and law enforcement of the fraudulent charge | |
| Staff B | Provided information about rumor of missing check and theft | |
| Staff C | Assisted Resident #1 in searching for missing check and provided interview details |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 25, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00221490 with an on-site visit made on 2/25/2022.
Complaint Details
Investigation of intake #GA00221490 regarding Resident #1 eloping from the facility on 2/6/2022; substantiation status not explicitly stated.
Findings
The facility failed to provide protective care and watchful oversight for one resident who eloped from the Memory Care Unit and exited the facility on 2/6/2022, later found and returned by law enforcement without injury.
Deficiencies (1)
Failed to provide protective care and watchful oversight for 1 of 1 resident who eloped from the facility.
Report Facts
Dates of incident and investigation: Resident eloped on 2022-02-06 at 8:00 p.m.; found and returned at 11:45 p.m.; EMS assessed on 2022-02-07.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A, Staff B, and Staff J interviewed regarding the elopement incident; no full names provided. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 10, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00221157.
Complaint Details
Investigation started on 2022-02-10 and was completed on 2022-01-17. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 31, 2022
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00219544, with an on-site visit made to the facility on 12/16/2021 and the investigation completed on 01/31/2022.
Complaint Details
Investigation of intake #GA00219544 was conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 16, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00216888 and #GA00217553.
Complaint Details
Investigation began 2021-09-08 and was completed 2021-09-16. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 9, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00216282.
Complaint Details
Investigation of intake #GA00216282; no rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 12, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00212083, which began on 2021-03-02 and was completed on 2021-03-12.
Complaint Details
Investigation of intake #GA00212083 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 13, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00209763.
Complaint Details
Investigation began 12/2/20 and was completed 1/13/21. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
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 process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the infection control process at the facility.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this visit was to conduct a follow-up to the 1/22/20 inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 4, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00202824.
Complaint Details
Investigation of intake #GA00202824 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 22, 2020
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate self-reported intake #GA002.01944.
Complaint Details
The visit was complaint-related based on self-reported intake #GA002.01944. The complaint was substantiated as the facility confirmed a staff person yelled at Resident #1. The facility investigated, involved local police who closed the case with no charges, terminated the staff member involved, and retrained staff on abuse.
Findings
The facility failed to ensure staff were re-certified in CPR and first aid for 1 of 6 staff sampled, and failed to ensure that a resident was treated with dignity and respect, as evidenced by a staff member yelling at a resident. The facility investigated the incident, involved local police, terminated the staff member involved, and retrained all staff on abuse.
Deficiencies (2)
Facility failed to ensure staff were re-certified in cardiopulmonary resuscitation (CPR) and first aid for 1 of 6 staff sampled (Staff B and Staff D).
Facility failed to ensure that each resident was treated with dignity, kindness, consideration and respect, including freedom from mental, verbal abuse for Resident #1.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in CPR and first aid recertification deficiency and witnessed staff yelling incident. | |
| Staff D | Named in CPR and first aid recertification deficiency. | |
| Staff C | Named as staff member who yelled at Resident #1 and was terminated. | |
| Staff A | Provided interview statements regarding staff certifications and abuse incident. |
Inspection Report
Monitoring
Deficiencies: 0
Date: Nov 21, 2019
Visit Reason
The purpose of this visit was to complete a monitoring inspection for an increase in capacity.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 7, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate self-reported incident #GA00193255.
Complaint Details
Investigation of self-reported incident #GA00193255; no violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 22, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00192092.
Complaint Details
Complaint GA00192092 was investigated and found to have no rule violations.
Findings
No rule violation was cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 6, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA 00190277.
Complaint Details
Investigation of complaint GA 00190277 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 17, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00189816.
Complaint Details
Complaint GA00189816 was investigated with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 26, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00189296.
Complaint Details
Complaint #GA00189296 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 30, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00188740.
Complaint Details
Complaint #GA00188740 was investigated and substantiated by findings of physical restraint use on Resident #1.
Findings
The facility failed to ensure that Resident #1 had the right to be free from actual physical restraints, as Staff C was witnessed holding a pillow over Resident #1's face to shield from spitting. Staff C was terminated for violation of company policy.
Deficiencies (1)
Facility failed to ensure that each resident had the right to be free from actual physical restraints for Resident #1.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 9, 2018
Visit Reason
The purpose of this visit was to investigate complaints #GA00187347 and #GA00186979. An on-site visit was made on 2018-04-09 and the investigation was completed on 2018-04-19.
Complaint Details
The investigation was triggered by complaints #GA00187347 and #GA00186979. The complaint involved Resident #1 being non-ambulatory at admission contrary to admission criteria, medication order issues for Resident #3, and an incident on 3/23/18 where Staff B pushed Resident #1 against a wall, constituting mistreatment. Staff B was terminated for gross misconduct. Multiple staff interviews and record reviews were conducted.
Findings
The facility failed to ensure that residents met admission criteria regarding physical condition and transferring ability, failed to have physician's orders specifying clear medication instructions for one resident, and failed to provide adequate care and services in compliance with state law for one resident. Additionally, an incident of staff mistreatment of a resident was documented, resulting in staff separation for gross misconduct.
Deficiencies (3)
Facility failed to ensure that Resident #1 was capable of actively participating in transferring from place to place at the time of admission.
Facility failed to ensure medications for Resident #3 had physician's orders specifying clear instructions for use.
Facility failed to ensure that Resident #1 received care and services which were adequate, appropriate, and in compliance with state law and regulations.
Report Facts
Medication administration dates: 5
Incident date: Mar 23, 2018
Staff B hire date: Jan 7, 2018
Staff B separation date: Mar 28, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in mistreatment incident involving Resident #1 and subsequent separation for gross misconduct | |
| Staff C | Conducted full body assessment of Resident #1 after incident and interviewed regarding medication discontinuation | |
| Staff H | Witnessed Staff B pushing Resident #1 and reported incident | |
| Staff A | Contacted police and Resident #1's responsible party after incident |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Dec 19, 2017
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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