Deficiencies per Year
4
3
2
1
0
Severe
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 13, 2025
Visit Reason
The visit was conducted to investigate intake #GA50004967 as part of a complaint investigation.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA50004967 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 6, 2024
Visit Reason
The purpose of this visit was to investigate intake GA00251243 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2024-10-31 and completed on 2024-11-05. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 21, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00237327 and #GA0023.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint intakes #GA00237327 and #GA0023 with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 3, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00236692 and #GA002366916.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00236692 and #GA002366916 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 30, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00233115.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00233115 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 23, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00231638 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00231638; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Jun 15, 2022
Visit Reason
The visit was conducted to investigate complaint intakes #GA00224441 and #GA00224478, with an onsite visit on 2022-06-15 and investigation completion on 2022-06-30.
Findings
The facility failed to conduct required fire safety drills in 2021 and did not report serious injuries to the department for two residents who required medical attention after falls. Interviews confirmed residents had never participated in fire drills and staff had not resumed drills after suspension due to the pandemic.
Complaint Details
The investigation was complaint-related, triggered by intake #GA00224441 and #GA00224478. The facility was found noncompliant for failure to conduct fire drills and failure to report serious injuries. Substantiation status is not explicitly stated.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to conduct required fire safety drills in 2021. | SS= D |
| Facility failed to report to the department serious injuries to two residents that required medical attention. | SS= D |
Report Facts
Residents sampled: 11
Incident date: 51622
Incident date: 61322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding suspension of fire drills and failure to report resident falls |
Inspection Report
Original Licensing
Deficiencies: 2
Apr 12, 2022
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility on 4/12/22.
Findings
The facility failed to comply with fire and safety rules by not conducting fire drills since 4/14/21, and failed to have physician or authorized orders for over-the-counter medications stored in the medication cart for multiple residents.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility had not conducted fire drills since 4/14/21, contrary to monthly and shift requirements. | D |
| Over-the-counter medications were stored without physician or authorized orders specifying clear instructions for use for multiple residents. | D |
Report Facts
Number of residents with OTC medications lacking orders: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D interviewed regarding fire drills not conducted since 4/14/21. | ||
| Staff A interviewed and aware that fire drills had not been conducted. | ||
| Staff E | Interviewed about lack of prescription orders for over-the-counter medications. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 16, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00204609, which started on 2020-06-29 and was completed on 2020-07-16.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00204609 was conducted with no rule violations found.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this inspection is to monitor COVID 19 cases and assess infection control processes.
Findings
No specific findings or deficiencies are detailed in the report beyond the stated purpose of monitoring COVID-19 cases and infection control.
Inspection Report
Routine
Deficiencies: 1
Apr 23, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection of the facility.
Findings
No rule violations were cited as a result of this inspection. However, the facility failed to have an effective system to manage medications, specifically storing medications under lock and key, as five bottles of medication were found unsecured in a resident's private bathroom.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to have an effective system to manage medications including storing medications under lock and key; five bottles of medication were observed unsecured in Resident #1's private bathroom. | SS= D |
Report Facts
Number of medication bottles observed unsecured: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication storage and Resident #1's independence with medication |
Inspection Report
Follow-Up
Deficiencies: 0
Jan 29, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 8/31/17 follow-up inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 1
Aug 31, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to the 05/03/17 annual inspection.
Findings
The facility failed to ensure that space heaters were not used except during an emergency situation after obtaining specific written approval from the fire safety authority. A space heater was observed in use without the required written approval, and staff confirmed that no such letter was issued by the fire marshal.
Severity Breakdown
K: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Use of space heaters without specific written approval from the fire safety authority. | K |
Inspection Report
Annual Inspection
Deficiencies: 4
May 3, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.
Findings
The facility failed to comply with fire and safety rules including exposed wiring on the front door exit sign, blocked side exit door, unauthorized use of space heaters, and failure to maintain floors, walls, and ceilings in good repair.
Severity Breakdown
D: 3
J: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Safety exit sign at the front door had exposed wires not properly positioned behind the wall. | D |
| Side exit door near Staff B's office was blocked with bedding and two small refrigerators. | D |
| Space heaters were in use without specific written approval from the fire safety authority. | J |
| Ceiling in the hallway outside the beauty shop had cracked and falling plaster. | D |
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