Inspection Reports for Briarwood Health and Rehabilitation Center
3888 LAVISTA ROAD, TUCKER, GA, 30084
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 27, 2021, found the facility in compliance with infection control regulations and did not identify any deficiencies. Earlier inspections generally showed the facility in substantial compliance, with multiple complaint investigations found to be unsubstantiated. Past deficiencies primarily involved issues with privacy and confidentiality, infection control practices, and life safety code compliance, including maintenance of fire safety equipment and emergency preparedness. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s inspection history indicates improvement over time, with recent surveys showing no cited deficiencies following earlier issues.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
95 residents
Based on a August 2021 inspection.
Census over time
Inspection Report
Abbreviated Survey
Census: 95
Deficiencies: 0
Date: Aug 27, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey to investigate complaint #GA00215855 was conducted.
Complaint Details
Complaint #GA00215855 was unsubstantiated and no regulatory violations were cited.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and CMS/CDC recommended COVID-19 practices. The complaint was unsubstantiated and no regulatory violations were cited.
Report Facts
Total census: 95
Inspection Report
Renewal
Deficiencies: 0
Date: May 20, 2021
Visit Reason
The inspection was conducted as a Licensure survey to assess compliance for facility licensure renewal.
Findings
No deficiencies were identified during the Licensure survey.
Inspection Report
Routine
Census: 85
Deficiencies: 0
Date: May 20, 2021
Visit Reason
A standard survey was conducted at Briarwood Health & Rehabilitation from May 17, 2021 through May 20, 2021. In addition, Complaint Intake Number GA00213749 was investigated in conjunction with this standard survey.
Complaint Details
Complaint GA00213749 was investigated and found to be unsubstantiated.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations. The complaint GA00213749 was found to be unsubstantiated.
Inspection Report
Life Safety
Census: 86
Capacity: 100
Deficiencies: 0
Date: May 18, 2021
Visit Reason
The visit was conducted to perform a Life Safety Code Survey to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in substantial compliance with the emergency preparedness program requirements and Life Safety Code standards. Part of the facility was not surveyed due to patients under observation for COVID-19.
Report Facts
Stories: 2
Construction Type: 2
Certified Beds: 100
Census: 86
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 5, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints #GA00211662, #GA00211696, and #GA00212580.
Complaint Details
Complaints #GA00211662, #GA00211696, and #GA00212580 were investigated and found to be unsubstantiated with no deficiencies.
Findings
The complaints investigated were unsubstantiated and no deficiencies were identified during the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Dec 30, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00210731.
Complaint Details
Complaint #GA00210731 was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Nov 17, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00209743.
Complaint Details
Complaint #GA00209743 was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Oct 29, 2020
Visit Reason
An unannounced abbreviated/partial survey was conducted to investigate complaints #GA00209096 and GA00209325.
Complaint Details
Complaints #GA00209096 and GA00209325 were investigated and found to be unsubstantiated with no deficiencies cited.
Findings
The complaints #GA00209096 and GA00209325 were unsubstantiated with no deficiencies cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 28, 2020
Visit Reason
A desk review was completed by the Fire Safety Supervisor to verify that all citations had been corrected in accordance with the approved plan of correction.
Findings
The review confirmed that all previously cited deficiencies had been corrected as per the approved plan of correction.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Aug 25, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints against the facility.
Complaint Details
The survey investigated complaints GA00203392, GA00203435, GA00203580, GA00203742, GA00204640, GA00206038, and GA00206879, all of which were found to be unsubstantiated.
Findings
The complaints investigated during the survey were unsubstantiated and no deficiencies were cited.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jul 27, 2020
Visit Reason
A follow-up to the licensure survey conducted on February 6, 2020, to verify correction of previous deficiencies.
Findings
The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of March 22, 2020.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jul 27, 2020
Visit Reason
A follow-up to the Recertification survey of February 6, 2020 was conducted to verify correction of previously identified deficiencies.
Findings
The follow-up survey revealed that all deficiencies were corrected and the facility was in substantial compliance as of March 22, 2020.
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 0
Date: Jun 24, 2020
Visit Reason
An investigation by desk review of complaint #GA00204868 was conducted from 6/8/2020 through 6/11/2020, followed by a COVID-19 Focused Infection Control Survey on June 23-24, 2020.
Complaint Details
Investigation of complaint #GA00204868 was conducted by desk review and later onsite activities were planned but not completed due to facility access restrictions. No substantiated abuse, neglect, or immediate jeopardy was found.
Findings
No abuse, neglect, or immediate jeopardy concerns were noted. The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. No deficiencies were cited during the investigations.
Report Facts
Total census: 84
Inspection Report
Routine
Census: 84
Deficiencies: 0
Date: Jun 24, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted by Ascellon on behalf of the Georgia Department of Community Health on June 23-24, 2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Census: 84
Inspection Report
Routine
Census: 95
Deficiencies: 1
Date: Feb 6, 2020
Visit Reason
A standard survey was conducted from February 3, 2020 through February 6, 2020, including investigation of multiple complaint intake numbers which were substantiated without deficiencies.
Complaint Details
Complaint Intake Numbers GA00201874, GA00202286, GA00199887, GA00200982, GA00200924, and GA00201805 were investigated in conjunction with the standard survey and were substantiated without deficiencies.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations related to privacy and confidentiality of residents' personal and medical information. Specifically, the facility failed to maintain privacy for four residents due to posting of signs with clinical and personal information in their rooms.
Deficiencies (1)
Failure to maintain privacy and confidentiality for four residents related to posting of signs regarding clinical and personal information in their rooms.
Report Facts
Resident census: 95
BIMS score: 2
BIMS score: 0
BIMS score: 9
BIMS score: 99
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA BB | Certified Nursing Assistant | Interviewed regarding family posting signs in resident's room |
| CNA CC | Certified Nursing Assistant | Interviewed regarding family posting signs in resident's room |
| Charge Nurse DD | Charge Nurse | Interviewed regarding signs posted in resident's room |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding signs posted in resident's room and family requests |
| Unit Manager AA | Unit Manager | Interviewed regarding signs posted in resident #92's room |
Inspection Report
Routine
Census: 36
Deficiencies: 1
Date: Feb 6, 2020
Visit Reason
A licensure survey was conducted at Briarwood Health and Rehabilitation Center from February 3, 2020 through February 6, 2020 to assess compliance with privacy and confidentiality regulations.
Findings
The facility failed to maintain privacy and confidentiality for four residents related to posting signs containing clinical and personal information in their rooms. Signs with care instructions and personal details were visible to others, contrary to facility policy and resident rights.
Deficiencies (1)
Failure to maintain privacy and confidentiality for four residents due to posting signs with clinical and personal information in their rooms.
Report Facts
Residents sampled: 36
Residents with privacy deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| AA | Unit Manager | Confirmed presence of signs with clinical instructions visible to others |
| BB | CNA | Expressed opinion on family posting signs in resident rooms |
| CC | CNA | Expressed opinion on family posting signs in resident rooms |
| DD | Charge Nurse | Expressed opinion on signs posted in resident rooms |
| Director of Nursing | Director of Nursing | Reported signs posted at family's request and facility policy on signage |
Inspection Report
Life Safety
Census: 93
Capacity: 100
Deficiencies: 4
Date: Feb 3, 2020
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 Edition requirements for Medicare/Medicaid participation.
Findings
The facility was found not in substantial compliance with life safety code requirements due to multiple deficiencies including inoperable exit sign lighting, improperly marked and unlocked fire alarm circuit, damaged sprinkler head and escutcheon plate, and a door at the bottom of an employee stairwell failing to self-close, potentially placing residents and staff at risk.
Deficiencies (4)
Exit sign lighting was inoperable at the entrance to the Therapy Hallway and the West Wing exterior exit, risking evacuation safety for 45 residents and staff.
Fire alarm circuit #8 was not marked red and not locked out inside the electrical panel, risking early fire warning for 100 residents and staff.
Sprinkler head and escutcheon plate in the main electrical room were damaged and not flush with ceiling, risking fire suppression effectiveness for 2 to 3 staff members.
Door at the bottom of the enclosed vertical stairwell connecting basement and kitchen failed to self-close, leaving a large gap and risking smoke migration to kitchen and patient corridor.
Report Facts
Residents at risk due to exit sign lighting deficiency: 45
Residents and staff at risk due to fire alarm circuit issue: 100
Staff at risk due to sprinkler head deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings of exit sign lighting deficiency, fire alarm circuit issue, sprinkler head damage, and door self-closing failure during facility tour |
Inspection Report
Abbreviated Survey
Census: 94
Deficiencies: 0
Date: Aug 23, 2019
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00196854 and GA00196724.
Complaint Details
The investigation of complaints GA00196854 and GA00196724 found no substantiated issues.
Findings
None of the complaints were substantiated during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 10, 2019
Visit Reason
A complaint survey was conducted to investigate complaints GA00194020 and GA00193580 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
The survey was complaint-related for complaints GA00194020 and GA00193580 and found no deficiencies.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Re-Inspection
Census: 95
Deficiencies: 0
Date: Dec 5, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited as a result of a complaint survey conducted on 2018-10-29.
Complaint Details
The revisit survey was conducted following a complaint survey (GA00192237) on 2018-10-29. All cited deficiencies were corrected.
Findings
All deficiencies cited during the complaint survey were found to be corrected during this revisit survey.
Report Facts
Census: 95
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 30, 2018
Visit Reason
A complaint survey was conducted to investigate complaint GA00192237 regarding alleged verbal abuse of a resident by a Certified Nursing Assistant (CNA).
Complaint Details
The complaint was substantiated. The resident alleged verbal abuse by CNA BB during a transfer using a Hoyer lift, including disrespectful comments. The facility did not report the allegation to the State Agency or suspend the alleged perpetrator. The Administrator and Director of Nursing acknowledged failures in investigation and reporting.
Findings
The facility failed to ensure one resident was free from verbal abuse by not reporting the allegation to the State Agency, not formally investigating the complaint, and by continuing to assign the alleged perpetrator to provide care to the resident. The Administrator did not document or report the incident, and the alleged perpetrator was not suspended as required by facility policy.
Deficiencies (2)
Facility failed to ensure a resident was free from verbal abuse by not reporting the allegation to the State Agency and continuing to assign the alleged perpetrator to the resident's care.
Facility failed to implement written policies and procedures to prohibit and prevent abuse, neglect, and exploitation, including failure to investigate allegations, report to the State Agency, and suspend alleged perpetrators.
Report Facts
Dates CNA BB worked in East Wing: 12
BIMS score: 15
Resident length of stay: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BB | Certified Nursing Assistant | Alleged perpetrator of verbal abuse towards Resident #1. |
| CC | Certified Nursing Assistant | Witness and involved in transfer of Resident #1. |
| NN | Licensed Practical Nurse | Witness present during transfer incident involving Resident #1. |
| Administrator | Facility Administrator and Abuse Coordinator | Interviewed regarding incident; failed to report or document the alleged abuse. |
| DON | Director of Nursing | Interviewed regarding incident; acknowledged failure to investigate and report suspected abuse. |
| Activities Director | Activities Director and Resident Ambassador | Received complaint from Resident #1 and reported it to the Administrator. |
Inspection Report
Re-Inspection
Census: 94
Deficiencies: 0
Date: Oct 9, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the August 9, 2018 Standard Survey and to investigate Complaint GA00191778.
Complaint Details
Complaint GA00191778 was investigated and found to be unsubstantiated.
Findings
All deficiencies cited in the August 9, 2018 Standard Survey were found to be corrected. The complaint investigation was found to be unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 24, 2018
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags have been corrected.
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 2
Date: Aug 9, 2018
Visit Reason
A standard survey was conducted from 8/6/2018 through 8/9/2018, including investigation of Complaint Intake Numbers 189487 and 189563, to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Complaint Details
Complaint Intake Numbers 189487 and 189563 were investigated in conjunction with the standard survey.
Findings
The facility was found not in substantial compliance with infection prevention and control requirements, specifically failing to ensure staff followed contact isolation precautions and proper hand hygiene for a resident with C. difficile infection. Additionally, the facility failed to perform routine maintenance on air flow mattress pumps, with dirty filters potentially affecting five residents.
Deficiencies (2)
Failure to ensure staff followed contact isolation precautions and proper hand hygiene for a resident with C. difficile infection.
Failure to perform routine maintenance on air flow mattress pumps with external filters, potentially affecting five residents.
Report Facts
Resident census: 89
Resident sample size: 25
Residents affected by mattress pump issue: 5
Total residents using air flow mattresses: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA FF | Certified Nurse Aide | Observed failing to follow contact isolation precautions and hand hygiene for resident with C. difficile |
| LPN DD | Licensed Practical Nurse | Interviewed regarding infection control procedures for C. difficile |
| ADON | Assistant Director of Nursing / Infection Control Nurse | Provided information on staff training and infection control policies |
| UM AA | Unit Manager | Interviewed about staff expectations for contact precautions |
| DON | Director of Nursing | Interviewed about staff expectations for contact precautions |
| Maintenance Director | Confirmed responsibility for cleaning mattress pump filters and acknowledged failure to perform routine maintenance | |
| Central Services Clerk HH | Confirmed ordering of resident air mattresses and vendor involvement |
Inspection Report
Routine
Deficiencies: 2
Date: Aug 9, 2018
Visit Reason
The inspection was conducted to evaluate compliance with infection control procedures and safety standards, including proper use of contact precautions for a resident with Clostridium difficile and maintenance of air flow mattress equipment.
Findings
The facility failed to ensure proper infection control practices as a Certified Nurse Aide was observed not washing hands with soap and water after handling a meal tray from a resident on contact precautions for C. Diff. Additionally, maintenance failed to routinely clean air mattress pump filters, which were found dirty and potentially impeding air flow.
Deficiencies (2)
Failure to follow infection control procedures for contact precautions related to C. Diff, including improper hand hygiene after handling contaminated items.
Failure to maintain equipment safety as air mattress pump filters were dirty and not routinely cleaned, potentially impeding air flow.
Report Facts
Date of survey completion: Aug 9, 2018
Number of air mattress pumps with dirty filters: 5
Number of air mattress pumps inspected: 8
Date of lab report for resident #294: Jul 30, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA FF | Certified Nurse Aide | Observed not washing hands properly after handling contaminated meal tray and interviewed about contact precautions |
| LPN DD | Licensed Practical Nurse | Interviewed regarding infection control procedures for C. Diff contact isolation |
| ADON | Assistant Director of Nursing / Infection Control Nurse | Provided information on staff training and infection control expectations |
| UM AA | Unit Manager | Interviewed about staff expectations for contact precautions and hand hygiene |
| DON | Director of Nursing | Interviewed regarding staff expectations for contact precautions and infection control |
| Maintenance Director | Maintenance Director | Confirmed responsibility for cleaning air mattress pump filters and acknowledged failure to perform routine checks |
| Central Services Clerk HH | Central Services Clerk | Confirmed ordering process for resident air mattresses and vendor contract |
Inspection Report
Life Safety
Census: 86
Capacity: 100
Deficiencies: 4
Date: Aug 8, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found not in substantial compliance with life safety code requirements, including failure to provide documentation of the 5-year internal sprinkler system test, failure to maintain closing and latching of the janitor door in the kitchen, missing door knobs and lack of hold open magnets on basement smoke compartment doors, and failure to seal multiple penetrations with approved U.L. listed caulk above the basement smoke compartment ceiling.
Deficiencies (4)
Failed to provide documentation of the 5-year internal test on the sprinkler system.
Failed to maintain closing and latching of the janitor door in the kitchen; door is old and needs replacement.
Basement smoke compartment doors missing door knobs and not on hold open magnets to activate off the fire alarm system.
Failed to seal multiple penetrations with approved U.L. listed caulk above the ceiling at basement smoke compartment.
Report Facts
Census: 86
Total Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Accompanied surveyor during facility tour and confirmed findings |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 26, 2018
Visit Reason
A complaint survey was conducted to investigate complaint #GA00187524 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
Complaint #GA00187524 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jan 23, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00183387.
Complaint Details
Complaint GA00183387 was investigated and found to be unsubstantiated.
Findings
The complaint GA00183387 was found to be unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Nov 17, 2017
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the prior standard survey conducted on 2017-09-18.
Findings
All deficiencies cited as a result of the 2017-09-18 standard survey were found to be corrected during the revisit survey.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Nov 7, 2017
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey deficiencies had been corrected.
Findings
The follow-up survey noted that all previously cited survey tags had been corrected.
Inspection Report
Life Safety
Census: 93
Capacity: 100
Deficiencies: 1
Date: Sep 19, 2017
Visit Reason
A life safety code survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and electrical systems.
Findings
The facility was found not in substantial compliance due to failure to maintain documentation of monthly 30-minute load testing of the emergency generator, which could place residents at risk during an emergency.
Deficiencies (1)
Failure to maintain documentation records on 30 minute load testing per month on the generator.
Report Facts
Census: 93
Total Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Interviewed and confirmed failure to provide documentation on monthly generator testing |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Sep 11, 2017
Visit Reason
A health revisit to the abbreviated survey of 7/24/2017 was conducted to determine if previously cited deficiencies had been corrected.
Findings
It was determined that the previously cited deficiencies had been corrected and no additional regulatory deficiencies were cited.
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Jul 24, 2017
Visit Reason
An abbreviated survey was conducted to investigate substantiated deficiencies related to food quality and resident complaints at Briarwood Health and Rehabilitation Center.
Findings
The facility failed to serve palatable food to four residents and did not address ongoing food concerns raised in Resident Council meetings. Multiple interviews and document reviews revealed consistent complaints about food taste, seasoning, and overcooking, despite no issues with food temperature.
Deficiencies (1)
Failed to serve food palatable for four residents and failed to address food concerns raised in Resident Council meetings.
Report Facts
Interviewable residents: 18
Residents with food palatability issues: 4
Resident Council meeting frequency: 4
Grievances related to food: 2
BIMS score: 15
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 26, 2017
Visit Reason
The abbreviated survey was conducted to investigate complaints GA00174098 and GA00173828.
Complaint Details
The visit was complaint-related, investigating complaints GA00174098 and GA00173828, with no deficiencies found.
Findings
No deficiencies were cited during the abbreviated survey conducted from 4/25/17 through 4/26/17.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 18, 2017
Visit Reason
An abbreviated survey was conducted to investigate complaint #GA00172166 on 03/18/2017.
Complaint Details
Complaint #GA00172166 was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Feb 17, 2017
Visit Reason
A Health Revisit to the Abbreviated Survey of 12/4/16 was conducted from 2/15/17 through 2/17/17 to verify correction of previously cited deficiencies and to investigate complaints GA00170844, GA00169487, and GA00171704.
Complaint Details
Complaints GA00169487 and GA00171704 were not substantiated. Complaint GA00170844 was substantiated; however, no regulatory deficiency was cited.
Findings
All previously cited deficiencies had been corrected. Complaints GA00169487 and GA00171704 were not substantiated. Complaint GA00170844 was substantiated but no regulatory deficiency was cited.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Feb 17, 2017
Visit Reason
A Health Revisit to the Abbreviated Survey of 12/4/16 was conducted from 2/15/17 through 2/17/17 to verify correction of previously cited deficiencies and to investigate complaints GA00170844, GA00169487, and GA00171704.
Complaint Details
Complaints GA00169487 and GA00171704 were not substantiated. Complaint GA00170844 was substantiated; however, no regulatory deficiency was cited.
Findings
All previously cited deficiencies had been corrected. Complaints GA00169487 and GA00171704 were not substantiated. Complaint GA00170844 was substantiated but no regulatory deficiency was cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 24, 2016
Visit Reason
An unannounced complaint survey was conducted to investigate Complaints # GA 00164724 and GA00167891 at Golden Living Center - Briarwood.
Complaint Details
The survey was complaint-related, investigating two complaints identified by numbers GA 00164724 and GA00167891. No deficiencies were found, indicating the complaints were not substantiated.
Findings
The facility was found in substantial compliance with Federal and State Long Term Care Requirements, and no deficiencies were cited.
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