Inspection Reports for Benton House of Grayson
2270 Loganville Hwy, Grayson, GA 30017, United States, GA, 30017
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Deficiencies: 0
Oct 31, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure and a complaint inspection (GA50006405). The inspection started on 2025-10-28 and was completed on 2025-10-31.
Findings
The report documents the completion of a re-licensure and complaint inspection at Benton House of Grayson. Specific findings or deficiencies are not detailed in the provided page.
Complaint Details
Inspection included a complaint investigation (GA50006405). No substantiation status is provided.
Inspection Report
Complaint Investigation
Deficiencies: 2
Apr 8, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244952 related to an elopement incident involving Resident #1 at the assisted living facility.
Findings
The facility failed to provide adequate protective care and watchful oversight for Resident #1, who eloped twice from the memory care unit by pushing the secured exit door and was found in dangerous situations outside the facility. The resident exhibited ongoing exit seeking behaviors, and staff failed to properly supervise and redirect the resident, resulting in safety risks.
Complaint Details
The investigation was triggered by intake #GA00244952 following Resident #1's elopement incidents on 2/9/24 and 3/18/24. The complaint was substantiated based on record review and staff interviews confirming failure to supervise and prevent elopement.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide protective care and watchful oversight meeting the needs of residents, evidenced by Resident #1 eloping from memory care unit. | SS= D |
| Failed to provide care and services which were adequate, appropriate, and in compliance with state law and regulations for Resident #1. | SS= D |
Report Facts
Date of elopement incident: Mar 18, 2024
Date of prior elopement incident: Feb 9, 2024
Date of admission: Mar 19, 2023
Duration of one-on-one monitoring: 19
Private sitter service schedule: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 elopement and supervision failures | |
| Staff B | Interviewed regarding Resident #1 agitation, supervision, and care plan updates | |
| Staff C | Interviewed regarding Resident #1 exit seeking behaviors and safety concerns | |
| Staff D | Interviewed regarding Resident #1 continued exit seeking after elopement | |
| Staff G | Interviewed regarding events on 3/18/24 and inability to prevent elopement | |
| Staff E | Named in failure to supervise Resident #1 leading to elopement | |
| Staff F | Named in failure to supervise Resident #1 leading to elopement |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 27, 2023
Visit Reason
The visit was conducted to investigate intake #GA00239463 with an on-site visit made to the facility on 10/26/2023. The investigation started on 10/26/2023 and was completed on 10/27/2023.
Findings
No rule was cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00239463 was completed with no deficiencies or rules cited.
Inspection Report
Complaint Investigation
Census: 18
Capacity: 17
Deficiencies: 5
Jul 5, 2023
Visit Reason
The visit was conducted to investigate intake #GA00235394, with an onsite visit made on 2023-07-05 as part of an investigation started on 2023-07-03 and completed on 2023-07-07.
Findings
The facility was found to be serving more residents than its approved licensed capacity. Additionally, the facility failed to implement policies to support resident dignity and safety, failed to conduct medical evaluations after resident elopements, failed to transfer the resident to memory care or provide 24-hour supervision promptly, and failed to update the individualized service plan to address elopement risks for one sampled resident.
Complaint Details
The investigation was initiated due to intake #GA00235394 concerning Resident #1's elopements on 5/17/23 and 5/29/23. The complaint included failure to conduct medical evaluation post-elopement, failure to transfer to memory care or provide 24-hour supervision promptly, and failure to update care plans accordingly. The complaint was substantiated based on record review and staff interviews.
Severity Breakdown
SS= D: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility was serving more residents (18) than its licensed capacity (17) in memory care. | SS= D |
| Governing body failed to implement policies to support dignity, respect, choice, independence, and privacy for Resident #1. | SS= D |
| Facility failed to conduct medical examination after Resident #1's initial elopement and did not immediately transfer resident to memory care or obtain 24-hour supervision. | SS= D |
| Facility failed to update Resident #1's individualized service plan after elopement to include interventions addressing elopement risk. | SS= D |
| Facility failed to ensure adequate and appropriate care and services for Resident #1 in compliance with state law and regulation. | SS= D |
Report Facts
Licensed capacity: 17
Current census: 18
Date of initial elopement: May 17, 2023
Date of second elopement: May 29, 2023
Sitter service start date: May 17, 2023
Sitter service end date: May 25, 2023
Antibiotic treatment period: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding census, elopement incidents, and care plan deficiencies | |
| Staff B | Interviewed regarding care plan updates, medical evaluations, and elopement incidents | |
| Staff D | Involved in redirecting Resident #1 during elopement incident |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 26, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00226950 with an onsite visit made to the facility on 9/26/22.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00226950; 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 process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the infection control process at the facility.
Inspection Report
Original Licensing
Deficiencies: 0
Jul 23, 2019
Visit Reason
The purpose of this visit was to conduct the initial inspection.
Findings
No rule violations were cited as a result of this inspection.
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