Inspection Reports for Benton House of Sugar Hill
6009 Suwanee Dam Rd, Sugar Hill, GA 30518, United States, GA, 30518
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 30, 2025, found no deficiencies. Earlier inspections showed a mixed record, with some complaint investigations citing issues related to staffing, resident care, and staff training, particularly involving delayed assistance to residents and inadequate supervision in certain units. Prior reports also noted deficiencies in safety device use and food handling, though these were mostly addressed in follow-up visits. Complaint investigations were often unsubstantiated, except for a few substantiated cases involving delayed resident assistance and insufficient staff training. The facility’s inspection history suggests improvement over time, with recent inspections showing no cited violations.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 0
Mar 30, 2025
Visit Reason
The purpose of this visit was to conduct the compliance inspection from 2025-03-25 to 2025-03-29.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 12, 2024
Visit Reason
The purpose of this survey was to investigate complaint #GA00249356.
Findings
No rule violations were cited during the onsite visit.
Complaint Details
Investigation of complaint #GA00249356 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2024
Visit Reason
The purpose of this visit was to investigate intake# GA00247358.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake# GA00247358 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 21, 2023
Visit Reason
The purpose of this visit was to investigate intake#GA00239981.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 16, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00237110 with an onsite visit made on 8/16/23. The investigation started on 8/14/23 and was completed on 8/21/23.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00237110; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 24, 2023
Visit Reason
The visit was conducted to investigate intake GA00234585 with an onsite visit on 2023-05-24, starting the investigation on 2023-05-22 and completing it on 2023-05-31.
Findings
The facility failed to ensure staff received necessary training to carry out assigned duties, specifically in assisting residents with transfers. Additionally, the facility failed to provide adequate and timely care to residents, with documented long wait times for assistance after residents activated call alerts.
Complaint Details
The investigation was initiated due to complaint intake GA00234585. The complaint was substantiated based on findings of inadequate staff training and delayed resident assistance.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure staff received training necessary to carry out assigned job duties, specifically in assisting residents with transfers. | D |
| Facility failed to ensure each resident received adequate, appropriate care and services in compliance with state law for 3 of 3 sampled residents. | D |
Report Facts
Resident #1 call alerts: 8
Resident #1 call alerts: 30
Resident #2 call alerts: 3
Resident #3 call alerts: 3
Resident #3 call alerts: 3
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 2
Apr 6, 2023
Visit Reason
The visit was conducted to investigate intake #GA00232999 with an onsite visit on 2023-04-06 as part of a complaint investigation.
Findings
The facility failed to ensure adequate staffing of qualified nursing personnel in the memory care unit and failed to provide timely assistance to residents, resulting in long wait times for staff response to resident calls for help.
Complaint Details
The investigation was initiated due to intake #GA00232999. Resident #2 reported waiting over an hour multiple times for staff assistance after activating the pendant call system. Pendant reports showed wait times up to 190 minutes. Staff interviews confirmed understaffing and delays in responding to resident calls.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure that at least one registered nurse, licensed practical nurse, or certified medication aide was on-site at all times in the memory care center. | SS= D |
| Facility failed to ensure each resident received adequate and appropriate care, including timely response to resident calls for assistance, resulting in long wait times. | SS= D |
Report Facts
Residents requiring standby or physical assistance: 48
Pendant call wait times in minutes: 190
Pendant call wait times in minutes: 169
Pendant call wait times in minutes: 63
Pendant call wait times in minutes: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Provided information about staffing patterns, resident care responsibilities, and plans for in-service training on timely response to pendant calls. | |
| Staff C | Reported providing medication assistance and noted the need for a certified medication aide in memory care. | |
| AA | Reported issues with long wait times for Resident #2 and noted the facility no longer used a notification system for pendant calls. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 3, 2021
Visit Reason
The visit was conducted to perform a compliance inspection and investigate intake #GA00217017, which started on 2021-11-04 and was completed on 2021-12-03.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00217017 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 26, 2021
Visit Reason
The visit was conducted to investigate intake #GA00211898, starting on 2021-02-22 and completed on 2021-02-26.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00211898 was completed with no rule violations cited.
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
Deficiencies: 0
Dec 7, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00191009 with on-site visits made on 2018-09-12 and 2018-09-13.
Findings
The investigation was completed on 2018-12-07 with no violations cited as a result of this survey.
Complaint Details
Complaint #GA00191009 was investigated and found to have no violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 16, 2018
Visit Reason
The visit was conducted to investigate complaint #GA00187363 and to perform a compliance inspection.
Findings
No rule violations were cited as a result of this investigation and inspection.
Complaint Details
Complaint #GA00187363 was investigated with no rule violations found.
Inspection Report
Follow-Up
Deficiencies: 1
Nov 17, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up inspection to the 6/14/17 investigation on complaint #GA00175893.
Findings
The facility failed to utilize appropriate effective safety devices to protect residents at risk of eloping, including inactive security cameras and emergency exit doors without adequate staff response to alarms. The violation was previously cited on 6/14/17.
Complaint Details
This visit was a follow-up inspection related to complaint #GA00175893. The rule violation was previously cited on 6/14/17.
Deficiencies (1)
| Description |
|---|
| Failed to utilize appropriate effective safety devices to protect residents at risk of eloping, including inactive security cameras and inadequate staff response to emergency exit door alarms. |
Report Facts
Number of security cameras not activated: 5
Number of emergency exit doors with silent alarms: 4
Number of direct care staff on second shift: 3
Inspection Report
Complaint Investigation
Deficiencies: 2
Jun 13, 2017
Visit Reason
The visit was conducted to investigate a self-reported incident involving Resident #1 eloping from the facility on 06/01/2017.
Findings
The facility failed to ensure residents were supervised consistent with their needs, as Resident #1 eloped unnoticed due to lack of supervision and an unlocked main entrance. Additionally, the facility failed to utilize appropriate effective safety devices to protect residents at risk of eloping, with security cameras not functioning for the past two years.
Complaint Details
Investigation of self-reported incident #GA00175893 regarding Resident #1 eloping from the facility on 06/01/2017. Staff E found Resident #1 walking alone outside the facility and returned the resident unharmed.
Deficiencies (2)
| Description |
|---|
| Failed to ensure residents were supervised consistent with their needs, resulting in Resident #1 eloping from the facility unnoticed. |
| Failed to utilize appropriate effective safety devices to protect residents at risk of eloping; security cameras were not working for two years. |
Report Facts
Date of incident: Jun 1, 2017
Number of security cameras: 5
Years security cameras non-functional: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Interviewed regarding Resident #1 eloping incident and actions taken to return resident safely. | |
| Staff A | Interviewed about security cameras not working for two years. |
Inspection Report
Follow-Up
Deficiencies: 0
May 8, 2017
Visit Reason
The purpose of this survey was to conduct a paperwork follow-up to the 3/13/17 inspection.
Findings
Based on a review of documentation submitted by the facility, the violations cited on the inspection have been corrected.
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 13, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA#00172659. The investigation started on 2017-03-10 and was completed on 2017-03-13.
Findings
The facility failed to ensure that the person responsible for managing meal preparation enforced safe food handling practices, including food safety, hygiene, cross contamination, time and temperature requirements, and sanitation. The Food Service Establishment Inspection Report dated 2017-03-06 showed an unsatisfactory score of 65 due to issues such as a refrigerator malfunction and conflicting staff views on handling a vomit/fecal accident in the dining room.
Complaint Details
Investigation of complaint GA#00172659 started on 2017-03-10 and completed on 2017-03-13. The complaint involved unsafe food handling practices and issues with refrigerator temperature and handling of a vomit/fecal accident.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to enforce safe food handling practices including food safety, hygiene, cross contamination, time and temperature requirements, and sanitation. | SS= D |
Report Facts
Food Service Inspection score: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A and Staff B interviewed regarding food service issues; no full names provided. | ||
| AA interviewed regarding reasons for low inspection score; no full name provided. |
Inspection Report
Original Licensing
Deficiencies: 0
Feb 1, 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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