Inspection Report
Re-Inspection
Deficiencies: 0
Jul 7, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure and a complaint inspection (GA50003489).
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint inspection GA50003489 was conducted with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 10, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00232163. An onsite visit was made to the facility on 5/10/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00232163 was conducted with no rule violations found.
Inspection Report
Routine
Deficiencies: 0
Jul 13, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 4
Aug 11, 2020
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00206777 and #GA00207045, focusing on incidents involving resident elopement and safety concerns.
Findings
The facility failed to implement effective policies and safety devices to protect memory-impaired residents at risk of eloping, resulting in Resident #1 eloping and being found 0.8 miles from the facility. Staffing levels were inadequate to meet residents' ongoing health and safety needs, and the facility did not ensure residents received adequate care and services in compliance with regulations.
Complaint Details
The investigation was initiated due to complaints regarding Resident #1 eloping from the facility on 7/19/20. Resident #1 was found walking 0.8 miles from the facility, wearing an alarm bracelet that failed to alert staff at the time of elopement. Staff were unaware Resident #1 had left, and the facility was inadequately staffed. The resident's care plan did not address the elopement risk or safety alert bracelet use. The facility failed to ensure adequate supervision and safety measures for residents at risk of elopement.
Severity Breakdown
J: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to implement policies, procedures, and practices supporting memory-impaired residents in a safe environment. | J |
| Failed to maintain adequate staffing to meet specific resident ongoing health and safety needs. | J |
| Failed to utilize effective safety devices to prevent residents from eloping. | J |
| Failed to provide care and services adequate, appropriate, and in compliance with state law for residents. | J |
Report Facts
Census: 73
Staff on duty: 10
Distance eloped: 0.8
Temperature: 92
Temperature: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Demonstrated the Wanderguard alarm system and provided information about staffing and resident care. | |
| Staff B | Last saw Resident #1 before elopement and provided breakfast to the resident. | |
| Staff C | Assigned to Resident #1 on the day of elopement; reported alarm did not alert during elopement but sounded upon return. | |
| Staff D | Night shift staff who observed Resident #1 wandering and provided information on alarm bracelet use. | |
| HH | Interviewed family member who described Resident #1's elopement and concerns about staffing and safety. | |
| II | Witness who found Resident #1 on the sidewalk and contacted family. |
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 process.
Findings
The report focuses on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 7, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate complaint #GA00193603.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint #GA00193603 was investigated and found to have no rule violations.
Inspection Report
Original Licensing
Deficiencies: 0
Mar 30, 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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