Inspection Reports for Brookdale Lawrenceville
1000 RIVER CENTRE PLACE, LAWRENCEVILLE, GA, 30043
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 6, 2020, focused on monitoring COVID-19 cases and infection control processes and did not identify any deficiencies. Earlier inspections showed some deficiencies related mainly to staff qualifications, resident admission criteria, proxy caregiver consents and plans of care, and medication management. Complaint investigations found issues such as missing physical exams and criminal background checks for staff, incomplete care plans for proxy caregivers, and a medication administration error without a proper physician’s order. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows some recurring issues in staff documentation and resident care planning, but the most recent report indicates attention to infection control without new deficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
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 process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Oct 23, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA00192101. The onsite visit was made on 10/23/18 and 10/25/18, with the investigation completed on 10/26/18.
Complaint Details
Investigation of complaint #GA00192101 regarding compliance with workforce qualifications, resident admission criteria, proxy caregiver consents and plans of care, and staff competency evaluations.
Findings
The facility failed to meet multiple regulatory requirements including ensuring employees had current physical examinations and tuberculosis screenings prior to employment, obtaining satisfactory criminal records checks before employment, admitting only ambulatory residents capable of self-preservation, executing informed consent for proxy caregivers, developing written plans of care for proxy caregivers, and maintaining evidence of annual skills competency evaluations for staff.
Deficiencies (6)
Failed to ensure each employee received a physical examination and TB screening within 12 months prior to employment for 1 of 5 sampled staff (Staff B).
Failed to obtain a satisfactory criminal records check prior to employment for 1 of 5 sampled staff (Staff E).
Failed to admit and retain only ambulatory residents capable of self-preservation with minimal assistance for 2 of 6 sampled residents (Resident #1 and Resident #4).
Failed to execute an informed consent for a proxy caregiver to provide health maintenance activities for 1 of 5 residents sampled (Resident #2).
Failed to ensure a written plan of care was developed for proxy caregivers for 4 of 6 sampled residents (Resident #2, Resident #3, Resident #4, Resident #6).
Failed to provide evidence of routine evaluations of continued skills competencies by licensed healthcare professionals for 3 of 5 sampled staff (Staff E, Staff F, Staff G).
Report Facts
Number of sampled staff with missing physical exam and TB screening: 1
Number of sampled staff without criminal records check: 1
Number of sampled residents admitted who were non-ambulatory: 2
Number of sampled residents without informed consent for proxy caregiver: 1
Number of sampled residents without written plan of care for proxy caregivers: 4
Number of sampled staff without annual medication skill competency training: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in deficiency for missing physical exam and TB screening and interview statements regarding resident self-preservation | |
| Staff E | Named in deficiency for missing criminal records check and missing annual medication skill competency training | |
| Staff F | Named in deficiency for missing annual medication skill competency training | |
| Staff G | Named in deficiency for missing annual medication skill competency training | |
| Staff A | Interviewed regarding staff health screenings, criminal records checks, proxy caregiver consents, and plans of care |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Aug 24, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of Brookdale Lawrenceville.
Findings
The facility failed to admit and retain only ambulatory residents capable of self-preservation with minimal assistance, failed to ensure timely refills of prescribed medications for 3 of 4 sampled residents, failed to ensure a written plan of care for proxy caregiver services for 3 of 4 sampled residents, and failed to provide evidence of routine evaluations of continued skills competencies for 2 of 4 staff.
Deficiencies (4)
Failed to admit and retain only ambulatory residents capable of self-preservation with minimal assistance for 1 of 4 residents (Resident #3).
Failed to ensure timely refills of prescribed medications for 3 of 4 sampled residents (Resident #1, Resident #2, Resident #3).
Failed to ensure a written plan of care for proxy caregiver services was written for each resident receiving such services for 3 of 4 sampled residents (Resident #1, Resident #2, Resident #3).
Failed to provide evidence of routine evaluations of continued skills competencies by an appropriately licensed healthcare professional for 2 of 4 staff (Staff D and Staff E).
Report Facts
Sampled residents: 4
Residents with medication refill issues: 3
Residents without proxy care plans: 3
Staff without routine skills competency evaluations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff AA | Observed pushing Resident #3 in wheelchair and interviewed regarding care | |
| Staff B | Interviewed regarding medication refills and proxy care plans | |
| Staff D | File reviewed showing outdated skills competency checklist | |
| Staff E | File reviewed showing outdated skills competency checklist |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 5, 2017
Visit Reason
The purpose of this visit was to investigate a self-reported incident #GA00175042.
Complaint Details
Investigation of a self-reported incident #GA00175042 regarding medication administration without proper physician's order.
Findings
The facility failed to ensure that a specific written physician's order for mixing a medication was obtained prior to administering or assisting medication to a resident. Staff mixed Sertraline HCL 100 mg tablet with apple sauce without a physician's order for one of two sampled residents.
Deficiencies (1)
Failure to obtain a specific written physician's order for mixing medication prior to administration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C observed mixing medication without a physician's order and interviewed regarding the incident. |
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