Inspection Reports for Brighton Gardens of Dunwoody
1240 Ashford Center Pkwy, Atlanta, GA 30338, United States, GA, 30338
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 9, 2025
Visit Reason
The purpose of this visit was to investigate complaints #GA50006632 and #GA50005958.
Findings
No rule violations were cited as a result of this investigation. The onsite visit and investigation were completed on 10/9/2025.
Complaint Details
Investigation of complaints #GA50006632 and #GA50005958 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 17, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection related to complaints GA50005426, GA50005434, and GA50005482.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint inspection conducted for complaints GA50005426, GA50005434, and GA50005482; no violations found.
Inspection Report
Re-Inspection
Census: 32
Capacity: 31
Deficiencies: 1
Jun 25, 2025
Visit Reason
The visit was conducted to perform a re-licensure and a complaint inspection (GA50003393).
Findings
The facility was found to have exceeded its approved licensed capacity by serving 32 residents in memory care, while the licensed capacity was 31.
Complaint Details
The inspection included a complaint investigation under GA50003393.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility served more residents than its approved licensed capacity in memory care. | Level D |
Report Facts
Licensed capacity: 31
Resident census: 32
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 15, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA00252463 and GA50000026.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA00252463 and GA50000026 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 2, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00249811 and GA00249559.
Findings
No rule violations were cited as a result of this inspection. The investigation was started on 2024-08-29 and completed on 2024-09-02.
Complaint Details
Investigation of complaint intakes #GA00249811 and GA00249559 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 16, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243173; #GA00243200; #GA00243262.
Findings
An onsite visit was made on 2024-02-13 and the inspection was completed on 2024-02-16. No rule violations were cited.
Complaint Details
Investigation of three intakes (#GA00243173, #GA00243200, #GA00243262) with no rule violations cited.
Inspection Report
Monitoring
Deficiencies: 0
Jan 23, 2024
Visit Reason
The purpose of this visit was to conduct a monitoring inspection for an increase in capacity.
Findings
No rule violation was cited as a result of this inspection.
Inspection Report
Monitoring
Deficiencies: 1
Jul 14, 2021
Visit Reason
The purpose of this visit was to conduct a monitoring inspection and investigate intake #GA00214910 and #GA00215112.
Findings
The facility failed to provide protective care and watchful oversight for one resident, resulting in an injury from a fall during a transfer that was not properly witnessed or managed. The resident sustained a left femoral shaft fracture and required two-person assist for transfers, but was dropped by staff during a transfer.
Complaint Details
The visit was complaint-related, investigating intake #GA00214910 and #GA00215112. Resident #1 reported being dropped by staff during transfer, resulting in injury. Staff interviews revealed lack of investigation and that the responsible staff had left the facility.
Deficiencies (1)
| Description |
|---|
| Failed to provide protective care and watchful oversight for Resident #1, resulting in injury from a fall during transfer. |
Report Facts
Date of injury report: Jun 10, 2021
Date of X-ray: Jun 8, 2021
Admission date: Jun 13, 2016
Hospice start date: Feb 26, 2021
Care plan revision date: Jun 8, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed about Resident #1's fall and injury; reported hospice notification and X-ray ordering | |
| Staff E | Reported by Resident #1 as dropping the resident during transfer; no memory of fall; no longer employed | |
| Staff D | Heard about Resident #1's pain; did not investigate incident further; stated Staff E left facility | |
| Staff A | Conducted reminder meeting about two-person transfer after injury; no additional training conducted | |
| AA | Reported Resident #1's complaint of left knee pain; checked swollen knee; stated incident was accident |
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 4
Mar 10, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00211842 and #GA00212190, which involved an elopement incident of Resident #1 from the facility.
Findings
The facility failed to ensure effective supervision and safety measures for Resident #1, who eloped from the facility and was found 1.6 miles away at a family member's home. The exit gate alarm malfunctioned due to cold weather, and the facility did not have adequate security devices or timely response to prevent the elopement. The incident was previously cited in November 2020.
Complaint Details
The investigation was initiated due to complaints regarding Resident #1 eloping from the facility on 2/13/21. The resident was found approximately 1.6 miles away at a family member's home. The facility's supervision and safety protocols were found deficient, including malfunctioning exit gate alarms and inadequate staff response.
Severity Breakdown
E: 1
K: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure policies and procedures were effective and enforced for staff compliance. | E |
| Failed to ensure Resident #1 was supervised consistent with his/her needs; exit doors lacked security devices or audible alarms. | K |
| Failed to ensure appropriate effective safety devices were utilized to protect Resident #1 at risk of eloping; gate alarm malfunctioned and did not alert staff timely. | K |
| Failed to ensure each resident received adequate and appropriate care and services in compliance with state law and regulations. | K |
Report Facts
Resident census: 20
Direct care staff: 3
Distance walked by Resident #1: 1.6
Temperature high: 44
Temperature low: 41
Door sensor alarm duration: 17
Door sensor alarm duration: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in findings related to supervision failure and policy enforcement | |
| Staff B | Last saw Resident #1 before elopement and reported missing resident | |
| Staff C | Contacted family member AA about Resident #1 | |
| Staff D | Checked gates twice daily; reported gate malfunction on day of elopement | |
| Staff G | Explained alarm alert system and staff procedures | |
| AA | Family member who found Resident #1 after elopement |
Inspection Report
Complaint Investigation
Deficiencies: 5
Nov 13, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00208262, which started on 2020-10-20 and was completed on 2020-11-13.
Findings
The facility failed to ensure adequate supervision and safety measures for Resident #3, who eloped from the facility on 2020-09-11. The facility also failed to report the incident to the Department within 24 hours and had staffing gaps contributing to the incident.
Complaint Details
The investigation was initiated due to intake #GA00208262 concerning Resident #3's elopement on 2020-09-11. The complaint was substantiated based on record review, interviews, and video evidence showing Resident #3 leaving the facility unattended. The facility was unaware of the elopement for several hours and failed to report the incident timely.
Severity Breakdown
D: 2
J: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| The administrator failed to ensure that policies and procedures were effective and enforced to ensure compliance with rules and community policies. | D |
| The facility failed to ensure that Resident #3 was supervised consistent with his/her needs, resulting in elopement. | J |
| The facility failed to ensure that appropriate effective safety devices were utilized to protect residents at risk of eloping. | J |
| The facility failed to provide adequate care and services in compliance with state law for Resident #3. | J |
| The facility failed to report to the Department within 24 hours after a serious incident involving Resident #3. | D |
Report Facts
Elopement incident date: Sep 11, 2020
Staffing gap hours: 3
Distance walked by resident: 1.2
Delay in reporting to Department: 4
Time resident missing: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Interviewed multiple times regarding Resident #3 elopement and facility policies. | |
| Staff F | Last staff to see Resident #3 before elopement. | |
| AA | Contacted by facility regarding Resident #3 elopement and hospital transport. | |
| BB | Contacted by facility regarding Resident #3 elopement and hospital transport. | |
| CC | Law enforcement officer responding to call about Resident #3 wandering. | |
| DD | Superior law enforcement officer who notified facility about missing resident. |
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
Dec 5, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00201078.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00201078 completed with no rule violations cited.
Inspection Report
Complaint Investigation
Census: 104
Deficiencies: 3
Oct 30, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00200296 with an on-site visit made on 10/30/19 and investigation completed on 11/14/19.
Findings
The facility failed to maintain adequate staffing levels to meet residents' ongoing health and safety needs, had ongoing pest control issues with cockroach infestations in the kitchen, and failed to provide adequate care and services to residents, including timely assistance with transfers, toileting, feeding, and bathing.
Complaint Details
The investigation was initiated due to intake #GA00200296. The complaint involved inadequate staffing levels leading to delayed resident assistance, pest infestation in the kitchen, and failure to provide adequate resident care and services. The complaint was substantiated based on observations, record reviews, and staff and resident interviews.
Severity Breakdown
D: 2
E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to staff above the minimum on-site staff to resident ratio to meet residents' ongoing health, safety, and care needs. | D |
| Failed to maintain an adequate insect, rodent, and pest control program which continually protects the health of residents. | E |
| Failed to provide each resident care and services which were adequate, appropriate, and in compliance with state law and regulations. | D |
Report Facts
Response times: 24
Response times: 28
Response times: 51
Response times: 50
Response times: 22
Response times: 20
Census: 104
Staffing averages: 6
Staffing averages: 4
Staffing averages: 3
Staffing averages: 3
Staffing averages: 3
Staffing averages: 2
Residents requiring assistance: 4
Resident wait times: 30
Resident wait times: 55
Inspection Report
Follow-Up
Deficiencies: 0
Oct 8, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 7/22/19 compliance inspection and investigation.
Findings
No rule violations were cited as a result of this follow-up inspection and investigation.
Inspection Report
Original Licensing
Deficiencies: 6
Jul 22, 2019
Visit Reason
The purpose of this visit was to conduct an initial inspection and investigate intake #GA00198067.
Findings
The facility failed to maintain the interior and exterior in a clean, safe, and sanitary condition, with multiple observations of live and dead roaches in the kitchen and resident areas, missing ceiling tiles, and broken fixtures. The pest control program was inadequate as roaches and ants persisted despite recent treatments.
Severity Breakdown
SS= D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| At least five live small roaches were observed crawling underneath and on the side of the steam table and on the bulletin board in the kitchen. | SS= D |
| Two roach traps under the steam table had at least 10 dead roaches each; the base under the steam table was greasy and unsanitary. | SS= D |
| Two more small dead bugs, possibly roaches, found on the window sill inside the room of Resident #7. | SS= D |
| Missing removable tile ceiling about 3' x 3' and uneven patch and paint on a hole at the nursing station in the memory care unit. | SS= D |
| Broken toilet paper holder in the room of Resident #6. | SS= D |
| Pest control program failed to continually protect the health of residents as roaches and ants were still present despite recent pest control services. | SS= D |
Report Facts
Live roaches observed: 5
Dead roaches on traps: 20
Missing ceiling tile size: 9
Pest control service dates: 2
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