Inspection Reports for Brookdale Columbus
3607 WEEMS ROAD, COLUMBUS, GA, 31909
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 26, 2024, found no deficiencies. Earlier inspections showed a pattern of some deficiencies related mainly to medication administration errors and admission of residents not meeting ambulatory criteria. Substantiated complaints included missed medications in the memory care center and inappropriate admission of a bedridden resident requiring 24-hour nursing supervision. Complaint investigations were mostly unsubstantiated except for these issues, and enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record suggests improvement in recent inspections following prior citations for care and admission practices.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 26, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00248953.
Complaint Details
Investigation of intake #GA00248953 with no rule violations found.
Findings
An on-site visit was made on 08/26/2024. No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 18, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00240830.
Complaint Details
Investigation of intake #GA00240830 with no rule violations found.
Findings
An on-site visit was made on 12/18/23. No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 16, 2023
Visit Reason
The visit was conducted to investigate complaint intake numbers GA00239347, GA00239352, and GA00239365. The allegations were substantiated.
Complaint Details
Complaint intake #GA00239347, GA00239352, and GA00239365 were investigated and the allegations were substantiated.
Findings
The facility failed to administer medications to 3 out of 4 residents in the memory care center as required. Medication administration errors occurred on multiple dates in September 2023, and staff acknowledged overlooking the medications due to rushing.
Deficiencies (1)
Failed to give medications to 3 out of 4 residents in the memory care center as required.
Report Facts
Residents affected: 3
Dates medications missed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D stated he/she was rushing and overlooked medication administration |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 25, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00238643. An on-site visit was made on 9/25/23 and completed 9/26/23.
Complaint Details
Investigation of intake #GA00238643 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 22, 2023
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00237921. An on-site visit was made on 8/22/2023, with the investigation completed on 8/31/2023.
Complaint Details
Investigation was initiated due to intake #GA00237921. The complaint was substantiated based on observation, record review, and interviews indicating inappropriate admission of a non-ambulatory resident.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by Resident #1 who was bedridden and required 24-hour nursing supervision. Staff interviews and record reviews confirmed Resident #1 was not appropriate for admission and was bed bound for 2 years.
Deficiencies (1)
Facility failed to ensure admission and retention of only ambulatory residents capable of self-preservation with minimal assistance, as Resident #1 was bedridden and required 24-hour nursing supervision.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 16, 2022
Visit Reason
The visit was conducted to investigate complaint intakes #GA00224770, #GA00224114, #GA00223803, and #GA00223514 with an on-site visit on 6/16/22 and investigation completion on 7/14/22.
Complaint Details
The investigation was complaint-driven based on multiple intakes. The findings included substantiated deficiencies related to staffing and medication administration failures.
Findings
The facility failed to maintain minimum staffing requirements on multiple night shifts in April and May 2022, and failed to provide ordered antibiotic medication to Resident #1, resulting in untreated urinary tract infection symptoms for a period of time.
Deficiencies (2)
Failed to maintain minimum staffing requirement of at least one registered nurse, licensed practical nurse, or certified medication aide on-site during night shifts on multiple dates in April and May 2022.
Failed to provide ordered antibiotic medication (Cephalexin) as prescribed for Resident #1, resulting in untreated urinary tract infection symptoms.
Report Facts
Dates without minimum staffing: 16
Medication doses not given: 12
Medication doses given: 3
Medication supply received: 15
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 5, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00222420. An on-site visit was made to the facility on 4/5/2022, and the investigation was completed on 4/22/2022.
Complaint Details
Investigation of intake #GA00222420 regarding failure to report a serious incident involving Resident #3.
Findings
The facility failed to report a serious incident involving Resident #3 within 24 hours as required. Resident #3 sustained a head injury from a fall on 3/31/2022 and was sent to the hospital, but the Department was not notified of the incident.
Deficiencies (1)
Failed to report a serious incident using the complaint intake system within 24 hours following the occurrence or learning of the incident for Resident #3.
Report Facts
Incident report date: Mar 31, 2022
Investigation completion date: Apr 22, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding failure to notify Department of incident |
Inspection Report
Monitoring
Deficiencies: 0
Date: 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
Date: Oct 17, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate complaint #GA00199851.
Complaint Details
Investigation of complaint #GA00199851; no violations found.
Findings
No rules violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 3, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00198980.
Complaint Details
Investigation of complaint #GA00198980 with no rules violations cited.
Findings
No rules violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 21, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00198715.
Complaint Details
Investigation of intake # GA00198715 with no rule violations cited.
Findings
No rule violations were cited for this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 29, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00198216.
Complaint Details
Investigation of complaint #GA00198216 with no violations found.
Findings
No rules violations were written as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 18, 2019
Visit Reason
The purpose of this visit was to investigate intake numbers GA00195610 and GA00195611 opened and completed on 2019-04-11.
Complaint Details
Investigation of intake # GA00195610 and GA00195611; no violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 27, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00195225.
Complaint Details
Investigation of intake # GA00195225 found no rule violations.
Findings
No rule violation was cited as a result of this investigation.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 4, 2019
Visit Reason
The purpose of this visit was to conduct a follow up to investigative complaints #GA00188705 and #GA00190002 completed on 7/24/18.
Complaint Details
Follow up to investigative complaints #GA00188705 and #GA00190002. No rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Dec 6, 2018
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA00193028. The complaint investigation began on 2018-12-06 and was completed on 2018-12-13.
Complaint Details
Complaint #GA00193028 was investigated during this visit. The complaint was opened on 2018-12-06 and completed on 2018-12-13.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained. Specifically, Resident #3 was bed bound, required total care, and was unable to self-propel to the nearest exit in case of emergency.
Deficiencies (1)
The home admitted and retained a non-ambulatory resident (Resident #3) who was bed bound, required total care, and could not self-preserve with minimal assistance.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 25, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 4/17/18 investigation.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 24, 2018
Visit Reason
The purpose of this visit was to investigate complaints #GA00188705 and #GA00190002, with the complaint opened on 05/31/2018 and the investigation completed on 07/24/2018.
Complaint Details
The visit was complaint-related, investigating complaints #GA00188705 and #GA00190002. The complaint was opened on 05/31/2018 and completed on 07/24/2018.
Findings
The facility failed to provide adequate personal assistance to residents unable to keep themselves neat and clean, as evidenced by urine and feces stains on mattresses and poor hygiene for three sampled residents. Additionally, the facility failed to retain records of an adverse change in condition for Resident #11, who was diagnosed with scabies, and there was a lack of proper communication and notification regarding the condition and treatment.
Deficiencies (2)
Facility failed to provide assistance to residents unable to keep themselves neat and clean for 3 of 3 sampled residents, including stained mattresses and poor hygiene.
Facility failed to retain a record of an adverse change in the physical condition of Resident #11 related to scabies treatment and failed to notify families.
Report Facts
Dates of pest control service slips/invoices: 12/13/2017 and 01/10/2018
Prescription date: 06/20/2018 for Premetherin Cream 5% for scabies treatment
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Mentioned in relation to resident care issues and supervision during scabies treatment | |
| Staff B | Reported rash on Resident #11 and communicated with doctor and supervisor | |
| Staff E | Aware of scabies issues and treatment, stated no incident reports or family notifications | |
| BB | Provided information about Resident #2 and communication issues regarding Resident #11 | |
| CC | Reported observations about Resident #3's condition | |
| AA | Reported on Resident #1's personal items and room condition | |
| FF | Received phone call about Resident #1's rash | |
| EE | Reported rash on Resident #11 in April 2018 | |
| Staff A | Unaware that Resident #11 was being treated for scabies |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 17, 2018
Visit Reason
The purpose of this visit was to investigate complaint # GA00187308. An on-site visit was made to the facility on 04/17/18 and the investigation was completed on 04/20/18.
Complaint Details
Complaint # GA00187308 was investigated. The complaint involved alleged abuse of Resident #1 by Staff C. The complaint was substantiated by observations, staff interviews, incident reports, and photographic evidence. Staff C was charged with Simple Battery, suspended, and terminated.
Findings
The facility failed to ensure that a resident (Resident #1) was free from abuse. Evidence included observed bruising on Resident #1's face, staff interviews, and incident and police reports indicating that Staff C hit Resident #1. Staff C was suspended and later terminated.
Deficiencies (1)
Facility failed to ensure that each resident had the right to be free from abuse for 1 of 6 sampled residents (Resident #1).
Report Facts
Complaint number: 187308
Resident sample size: 6
Incident date: Apr 3, 2018
Incident report date: Apr 4, 2018
Police report date: Apr 5, 2018
Resident admission date: Feb 26, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named as the staff member who hit Resident #1 and was charged with Simple Battery | |
| Staff A | Interviewed Staff C and reported incident; involved in investigation | |
| Staff B | Witnessed incident, reported observations to Staff A |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 20, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00186229.
Complaint Details
Complaint #GA00186229 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 9, 2018
Visit Reason
The purpose of this visit was to conduct the annual inspection and investigate complaint #GA00183563. An on-site visit was made on 2018-01-09 and the survey was completed on 2018-01-26.
Complaint Details
The visit included investigation of complaint #GA00183563 related to Resident #1's injury and the facility's failure to provide timely medical attention, document the resident's condition, and report the incident to the Department.
Findings
The facility failed to ensure adequate care and services for Resident #1, including failure to monitor and document the resident's condition after an incident involving swelling, bruising, and redness. The facility also failed to document and maintain records of the home's response to the resident's adverse condition changes and failed to report a serious incident to the Department within 24 hours.
Deficiencies (3)
Failure to ensure each resident received adequate and appropriate care and services in compliance with federal and state law for Resident #1.
Failure to document and maintain a record of the home's response to a sudden adverse change in Resident #1's condition.
Failure to report a serious incident involving a resident within 24 hours to the Department.
Report Facts
Incident date: Dec 20, 2017
Hospitalization date: Dec 22, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding lack of medical attention and failure to report incident | |
| Staff B | Observed Resident #1's bruising | |
| Staff C | Observed redness and itching on Resident #1 and interviewed about documentation failure |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Nov 15, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to the 08/22/17 annual inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 11, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00179212.
Complaint Details
Complaint GA00179212 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Aug 22, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA00178429. An unannounced visit was made on 8/22/2017 and the survey was completed on 8/22/2017.
Complaint Details
Complaint #GA00178429 was investigated during this visit.
Findings
The facility failed to obtain required physical examinations within 30 days prior to admission for 2 of 3 residents, failed to complete resident needs assessments and written care plans within required timeframes, and failed to execute informed consent and written plans of care for proxy caregivers for 1 of 3 residents sampled.
Deficiencies (5)
Failed to obtain a physical examination by a licensed physician, nurse practitioner, or physician's assistant dated within 30 days prior to admission for 2 of 3 residents.
Failed to complete a resident needs assessment at the time of admission for 1 of 3 residents.
Failed to develop the resident's individual written care plan within 14 days of admission for 1 of 3 residents.
Failed to execute an informed consent for a proxy caregiver to provide health maintenance activities for 1 of 3 residents before providing those services.
Failed to ensure that a written plan of care is developed for the individual with a disability by a licensed healthcare professional for 1 of 3 residents receiving proxy care services.
Report Facts
Residents sampled: 3
Residents with physical exam deficiency: 2
Residents with needs assessment deficiency: 1
Residents with written care plan deficiency: 1
Residents with proxy caregiver informed consent deficiency: 1
Residents with proxy caregiver written plan of care deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding missing TB test, resident needs assessment, informed consent, and written plan of care |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 22, 2017
Visit Reason
The purpose of this visit was to investigate complaint #GA00174775.
Complaint Details
Investigation of complaint #GA00174775.
Findings
The report is a statement of deficiencies and plan of correction related to the complaint investigation; no specific findings or deficiencies are detailed in the provided page.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 23, 2017
Visit Reason
The purpose of this visit was to investigate complaint #GA00170377.
Complaint Details
Investigation of complaint #GA00170377 found the medication administration failure for resident #5.
Findings
The facility failed to ensure that one of five sampled residents (#5) received adequate and appropriate care, specifically that resident #5 did not receive prescribed medication Flavoxate 100 mg as ordered.
Deficiencies (1)
Facility failed to ensure resident #5 received prescribed medication Flavoxate 100 mg, 1 tablet 3 times a day, as it was not entered on the Medication Assistance Record and no order was received.
Report Facts
Residents sampled: 5
Medication dosage: 100
Medication frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A interviewed regarding medication administration failure |
Viewing
Loading inspection reports...
