Inspection Reports for Brightmoor Health Care, Inc
3235 NEWNAN ROAD, GRIFFIN, GA, 30223
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 4, 2022, found no deficiencies during the revisit survey that verified correction of earlier issues. Prior inspections in late 2021 had cited deficiencies related to food safety, specifically improper labeling and dating of frozen food items and cleanliness concerns with the main ice machine in the kitchen. Complaint investigations conducted over the years were consistently unsubstantiated, with no enforcement actions or fines listed in the available reports. Earlier surveys showed compliance with emergency preparedness and life safety standards. The facility appears to have addressed previous deficiencies, showing improvement by the time of the most recent inspection.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
110 residents
Based on a January 2022 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Deficiencies: 0
Date: Jan 4, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction related to a healthcare facility inspection.
Findings
The report contains initial comments and a summary statement of deficiencies but does not provide detailed findings or severity levels.
Inspection Report
Re-Inspection
Census: 110
Deficiencies: 0
Date: Jan 4, 2022
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the 10/28/2021 Standard Survey.
Findings
All deficiencies cited in the previous survey were found to be corrected during this revisit survey.
Inspection Report
Renewal
Census: 107
Deficiencies: 2
Date: Oct 28, 2021
Visit Reason
A Licensure Survey was conducted from 10/26/21 through 10/28/21 to assess compliance with physical plant standards and food safety regulations.
Findings
The facility failed to ensure frozen food items in the walk-in freezer were properly labeled, dated, and discarded, and failed to maintain the cleanliness of the main ice machine in the kitchen, potentially affecting 107 residents receiving an oral diet.
Deficiencies (2)
Frozen food items in the walk-in freezer were not properly labeled with dates indicating when the item was received, opened, expiration, or use-by date.
The main ice machine in the kitchen was dirty with a dark, grease-like substance on the back wall and underneath the door opening ridge.
Report Facts
Residents potentially affected: 107
Weight of cheese ravioli bags: 3
Weight of fried green tomatoes boxes: 2
Weight of assortment mini quiches box: 1
Weight of wrapped cocktail franks box: 12.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Director | Dietary Director | Interviewed regarding improper labeling of frozen food items. |
| Assistant Maintenance Director | Assistant Maintenance Director | Interviewed and observed ice machine cleanliness issues. |
| Maintenance Director | Maintenance Director | Interviewed regarding responsibility for kitchen and ice machine cleanliness. |
Inspection Report
Life Safety
Census: 112
Capacity: 133
Deficiencies: 0
Date: Oct 27, 2021
Visit Reason
The 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 to be in compliance with the Life Safety Code requirements, including the Emergency Preparedness Program meeting 42 CFR 483.73 standards.
Report Facts
Certified Beds: 133
Census: 112
Inspection Report
Routine
Census: 111
Deficiencies: 2
Date: Oct 26, 2021
Visit Reason
A standard survey was conducted at Brightmoor Health Care from 10/26/21 through 10/28/21, including investigation of two complaint intakes which were found to be unsubstantiated.
Complaint Details
Complaint Intakes Number GA00208756 and GA00205827 were investigated in conjunction with this standard survey and were found to be unsubstantiated.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations due to deficiencies in food safety practices, including improperly labeled frozen food items and failure to maintain cleanliness of the main ice machine in the kitchen, potentially affecting 107 residents receiving an oral diet.
Deficiencies (2)
Frozen food items in the walk-in freezer were not properly labeled, dated, or discarded, with multiple items missing dates indicating when received, opened, expiration, or use-by dates.
The main ice machine in the kitchen was dirty with a dark, grease-like substance on the back wall and underneath the ridge of the ice machine door opening.
Report Facts
Resident census: 111
Residents potentially affected: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Director | Interviewed regarding improperly labeled frozen food items | |
| Assistant Maintenance Director | Interviewed and observed ice machine cleanliness issues | |
| Maintenance Director | Interviewed regarding responsibility for kitchen and ice machine cleanliness |
Inspection Report
Routine
Census: 85
Deficiencies: 0
Date: Jun 30, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted on June 29-30, 2020 by Ascellon on behalf of the Georgia Department of Community Health (DCH).
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.
Inspection Report
Abbreviated Survey
Census: 128
Deficiencies: 0
Date: Feb 20, 2020
Visit Reason
An abbreviated survey was conducted on February 20, 2020 to investigate complaint GA00202617.
Complaint Details
Complaint GA00202617 was investigated and found to be unsubstantiated.
Findings
The complaint GA00202617 was found to be unsubstantiated during the abbreviated survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 31, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00199958.
Complaint Details
Complaint #GA00199958 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 2, 2019
Visit Reason
An unannounced complaint survey was conducted by a Registered Nurse Surveyor.
Complaint Details
The complaint survey was unannounced and no deficiencies were found.
Findings
There were no deficiencies cited during the complaint survey.
Inspection Report
Re-Inspection
Census: 123
Deficiencies: 0
Date: Dec 13, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited at the completion of the 10/19/18 Recertification Survey.
Findings
All deficiencies cited during the previous recertification survey were found to be corrected.
Inspection Report
Life Safety
Census: 121
Capacity: 133
Deficiencies: 0
Date: Oct 16, 2018
Visit Reason
A Life Safety Code Survey was conducted 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 plan requirements and Life Safety Code standards.
Inspection Report
Annual Inspection
Census: 119
Deficiencies: 0
Date: Dec 15, 2017
Visit Reason
A standard survey was conducted at Brightmoor Health Care Inc from December 12, 2017 through December 15, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 Code of Federal Regulations Part 483, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 120
Capacity: 133
Deficiencies: 0
Date: Dec 14, 2017
Visit Reason
A Life Safety Code Survey was conducted 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 plan requirements and the Life Safety Code standards during the survey.
Report Facts
Certified beds: 133
Census: 120
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: May 19, 2017
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA174627.
Complaint Details
Complaint GA174627 was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were found during the survey.
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