Inspection Reports for Blue Ridge Assisted Living and Memory Care
1600 Ballewtown Rd, Blue Ridge, GA 30513, USA, GA, 30513
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 17, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection (GA50006050).
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint inspection conducted; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 4
Sep 12, 2025
Visit Reason
The purpose of the survey was to investigate complaints #GA50005286 and #GA50004744, with the investigation beginning on 2025-09-11 and completed on 2025-09-12.
Findings
The facility failed to ensure staff received required CPR training within 60 days of employment, failed to obtain satisfactory fingerprint background checks for direct access employees, did not provide required initial orientation training to direct care staff, and failed to honor a resident's do not resuscitate (DNR) order, initiating CPR contrary to the resident's wishes.
Complaint Details
The investigation was complaint-driven based on complaints #GA50005286 and #GA50004744. The facility was found noncompliant in multiple areas including staff training, background checks, and honoring resident directives.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 4 of 4 staff reviewed received CPR training with return demonstration within 60 days of employment. | SS= D |
| Failed to ensure 5 of 5 staff sampled obtained satisfactory fingerprint background checks prior to serving as direct access employees. | SS= D |
| Failed to ensure all direct care staff received initial orientation training within 30 days including residents' rights, emergency first aid, and CPR. | SS= D |
| Failed to honor code status for 1 resident by initiating CPR and failing to inform EMS of the resident's DNR preference. | SS= D |
Report Facts
Staff without CPR training within 60 days: 4
Staff without fingerprint background checks: 5
Direct care staff without initial orientation training within 30 days: 4
Resident involved in CPR despite DNR: 1
CPR duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| AA | Staff failed to receive CPR training and fingerprint background check; involved in findings related to training and background checks. | |
| BB | Staff failed to receive CPR training and fingerprint background check; performed CPR on Resident #1. | |
| EE | Staff failed to receive CPR training and fingerprint background check; unaware of resident code status. | |
| FF | Staff failed to receive CPR training and fingerprint background check; unaware of resident code status. | |
| GG | Interviewed staff member who stated some staff were hired prior to his/her employment and lacked personnel files and training documentation. | |
| HH | Interviewed staff member unable to locate any training records for staff. | |
| JJ | Witness who documented CPR performed on Resident #1 and AED application. | |
| LL | Interviewed staff member who described location of resident code status binder. | |
| KK | Interviewed staff member aware of incident and lack of training on resident code status. | |
| II | Interviewed staff member unable to find code status/DNR for Resident #1 in medication room or binder. | |
| CC | Staff member who stated staff panicked during Resident #1 incident and that memory care staff were educated afterward. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 9, 2024
Visit Reason
The purpose of this visit was to investigate allegation intake #GA00248378.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of allegation intake #GA00248378 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 2, 2024
Visit Reason
The purpose of this visit was to investigate allegation intake GA00244573.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of allegation intake GA00244573 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 5, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA003054.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA003054 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 7
Dec 14, 2023
Visit Reason
The purpose of the visit was to investigate complaint intakes #GA00240510 and #GA00240794, with an onsite visit made on 2023-11-27 and investigation completed on 2023-12-14.
Findings
The facility was found deficient in multiple areas including failure to properly update medication administration records, inadequate care and supervision leading to resident falls and neglect, verbal and physical abuse of residents by staff, failure to report serious incidents and abuse to the Department and law enforcement, and failure to complete required incident reports. Several staff members were terminated due to misconduct.
Complaint Details
The investigation was initiated due to complaint intakes #GA00240510 and #GA00240794. Findings included substantiated neglect, verbal and physical abuse, failure to provide adequate care, and failure to report incidents and abuse as required.
Severity Breakdown
SS= D: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to update Medication Administration Record (MAR) each time medication was offered or taken for Resident #2. | SS= D |
| Failure to ensure adequate and appropriate care for Resident #1 who had an unwitnessed fall and was left on the floor for hours without checks. | SS= D |
| Failure to treat Resident #5 with dignity and respect; staff verbally harassed and aggressively forced resident to bed. | SS= D |
| Failure to protect Resident #1 from verbal abuse by Staff E, including use of profanity and threats. | SS= D |
| Failure to take immediate appropriate action and retain records for adverse changes in condition for Residents #3, #4, and #5. | SS= D |
| Failure to report serious incidents involving Residents #3 and #4 to the Department within 24 hours. | SS= D |
| Failure to report abuse of Residents #1 and #5 to the Department and local law enforcement as required by the Long Term Care Resident Abuse Reporting Act. | SS= D |
Report Facts
Residents sampled: 5
Medication errors: 1
Fall incidents: 3
Hours resident left on floor: 4
Date of onsite visit: Nov 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff I | Terminated for neglect and aggressive treatment of Residents #1 and #5 | |
| Staff E | Observed verbally abusing Resident #1, received counseling and warnings, terminated, then rehired | |
| Staff B | Reviewed MAR and involved in counseling Staff E | |
| Staff A | Interviewed regarding incidents and staff terminations | |
| Staff C | Interviewed regarding Resident #1 fall and abuse incidents | |
| Staff G | Witnessed verbal abuse by Staff E and provided written statement | |
| Staff H | Witnessed verbal abuse by Staff E and provided written statement | |
| CC | Resident #1 responsible party who provided video evidence and statements | |
| AA | Facility staff involved in Staff E counseling and termination process |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 1, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00236820.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00236820 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 2, 2023
Visit Reason
The visit was conducted to investigate complaint intakes #GA00234548 and GA00233555.
Findings
The inspection was conducted from June 2, 2023 to June 12, 2023, and no violations were cited as a result of this survey.
Complaint Details
Investigation of complaint intakes #GA00234548 and GA00233555 with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 14, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00232508 and GA00232570.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes GA00232508 and GA00232570 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 25, 2023
Visit Reason
The purpose of this visit was to investigate intakes GA00231354, GA00231412, GA00231435 and GA00231808.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of multiple intakes GA00231354, GA00231412, GA00231435, and GA00231808 with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 3, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00225215.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00225215 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 15, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00223747.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2022-07-14, onsite visit on 2022-07-15, and completed on 2022-07-20. No violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 24, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00222170.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00222170 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 10, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00221321 and #GA00221212. An onsite visit was made to the facility on 2/10/22.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was started on 2/7/22 and completed on 2/10/22. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 3, 2021
Visit Reason
The purpose of this visit was to investigate intake GA00218367.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2021-11-03, on-site visit made on 2021-11-03, and completed on 2021-11-15. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 22, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00215084 and GA00215293.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began on 2021-06-23 and was completed on 2021-08-10. On-site visit was made on 2021-07-22.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 3, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00214443.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00214443 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 processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 17, 2020
Visit Reason
The purpose of this visit was to investigate complaint #GA00202719.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00202719 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 6, 2019
Visit Reason
The purpose of this visit was to complete a compliance inspection and to investigate intake #GA00200387.
Findings
No violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00200387 with no violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 28, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00192822.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint GA00192822 was investigated and no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 20, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA 00190586.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint #GA 00190586 was investigated and found to have no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 18, 2018
Visit Reason
The purpose of this inspection was to investigate complaint #GA00189390 and conduct the compliance inspection.
Findings
The community failed to update the Medication Assistance Record (MAR) each time medication was offered and staff failed to record initials, time, and date when medications were taken, refused, or a medication error was identified for 1 of 7 residents sampled (Resident #2). A medication error occurred on 06/06/18 when Resident #2 was given Resident #1's morning medications by mistake.
Complaint Details
Complaint #GA00189390 was investigated. The medication error was substantiated by record review and staff interviews confirming that Resident #2 received Resident #1's medications in error on 06/06/18.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to update the Medication Assistance Record (MAR) each time medication was offered and staff failed to record initials, time, and date when medications were taken, refused, or a medication error was identified for Resident #2. | SS= D |
Report Facts
Residents sampled: 7
Medication error date: Jun 6, 2018
Inspection Report
Original Licensing
Deficiencies: 0
Aug 24, 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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