Inspection Reports for Brookside Cartersville

60 MASSELL DRIVE SE, CARTERSVILLE, GA, 30121

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Inspection Report Summary

The most recent inspection on March 20, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to resident care communication, such as failure to notify hospice after a resident’s fall, and safety issues including inadequate staffing and incomplete fire drills. Some complaints were substantiated, including mold and water damage affecting resident well-being and failure to report a serious injury requiring hospital treatment. Most complaint investigations without deficiencies were unsubstantiated, and no fines or enforcement actions were listed in the available reports. The overall trend suggests some improvement, with the most recent inspection showing no deficiencies after a period of mixed findings.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 20, 2025

Visit Reason
An on-site visit was made to the facility on 3/20/25 for a compliance inspection and to investigate complaint #GA50001347.

Complaint Details
Investigation of complaint #GA50001347 was conducted and completed on 3/20/25.
Findings
The investigation started and was completed on 3/20/25. No further findings or deficiencies are detailed in the provided report.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: May 21, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00245904 and conduct the compliance inspection. An on-site visit was made to the facility on 5/21/24 and the investigation was completed on 5/23/24.

Complaint Details
Investigation was conducted based on intake #GA00245904.
Findings
The facility failed to complete fire drills as required by the physical plant health and safety standards. Documented fire drills were only completed on 12/23 and 3/4/24 on the 1st shift, with no further documentation available.

Deficiencies (1)
Facility failed to complete fire drills as required by the rule; documented drills only on 12/23 and 3/4/24 on 1st shift with no additional documentation.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Mar 28, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00244014. An on-site visit was made to the facility on 3/28/24, and the investigation was completed on 4/23/24.

Complaint Details
Investigation of intake #GA00244014. The complaint was substantiated based on findings of water damage and mold in multiple rooms.
Findings
The facility failed to maintain the health, safety, and well-being of the residents as evidenced by water damage and mold on drywall in multiple rooms (#1, 2, 9, 24, and 18). The mold remediation work was delayed pending approval, and the facility manager did not respond to follow-up.

Deficiencies (1)
Facility failed to maintain for the health, safety, and well-being of residents due to water damage and mold on drywall in several rooms.
Report Facts
Rooms with water damage and mold: 5 Inspection visit date: Mar 28, 2024 Investigation completion date: Apr 23, 2024

Employees mentioned
NameTitleContext
BBPerson who made onsite visit and reported water damage and mold

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Feb 13, 2024

Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00242713 and #GA00243085.

Complaint Details
Investigation of complaint intakes #GA00242713 and #GA00243085 found that the facility did not notify hospice staff about Resident #2's fall and hospitalization on October 11, 2023, despite the resident being enrolled in hospice since 10/6/23. Interviews with staff and hospice confirmed the lack of notification.
Findings
The facility failed to contact the hospice for directions regarding care after a resident's fall and change in condition. Specifically, for Resident #2, hospice was not notified after a fall resulting in hospitalization, despite the resident being enrolled in hospice services.

Deficiencies (1)
Failure to contact hospice for directions regarding care after resident's change in condition and fall.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Sep 6, 2023

Visit Reason
The purpose of this visit was to investigate intake GA00238232 and conduct the compliance inspection.

Complaint Details
Investigation of intake GA00238232 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 17, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00237256 and #GA00237237. An on-site visit was made to the facility on 08/17/2023, and the investigation was completed on 08/22/2023.

Complaint Details
Investigation was initiated due to intake #GA00237256 and #GA00237237. The incident involved Resident #1 being hit in the face by Resident #3, requiring hospital treatment. The incident was not reported to the department and no incident report was available.
Findings
The facility failed to report a serious injury that required medical treatment for one sampled resident (Resident #1) who was hit by his/her roommate and sent to the hospital. Interviews and record reviews confirmed the incident was not reported to the department and no incident report was available.

Deficiencies (1)
Facility failed to report a serious injury that required medical treatment for 1 of 1 sampled residents (Resident #1).

Inspection Report

Complaint Investigation
Census: 16 Deficiencies: 1 Date: Jul 20, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00236149, #GA00236101, and #GA00236189. An on-site visit was made to the facility on 7/20/23 as part of the investigation that started on 7/13/23 and was completed on 8/17/23.

Complaint Details
Investigation was complaint-related based on intake numbers #GA00236149, #GA00236101, and #GA00236189. The complaint was substantiated by findings of inadequate staffing and medication room access issues.
Findings
The facility failed to provide adequate staffing to meet the specific health, safety, and care needs of one of two sampled residents. During the investigation, it was found that Staff B allowed a hospice nurse to access the medication room due to absence of the Executive Director and med tech, and there was no documentation that Staff B administered medication.

Deficiencies (1)
Facility failed to provide staffing to meet the specific residents' health, safety, and care needs for 1 of 2 sampled residents.
Report Facts
Resident census: 16 Facility staff present: 4

Employees mentioned
NameTitleContext
Staff BOpened medication room for hospice nurse and was involved in medication access incident
Staff AInterviewed and stated not employed at the time of incident
AAProvided care for Resident #1 and described medication room access issues

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 9, 2023

Visit Reason
The purpose of this visit was to investigate intakes #GA00233508.

Complaint Details
Investigation of intake #GA00233508 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 20, 2023

Visit Reason
The purpose of this visit was to investigate intakes #GA00232969.

Complaint Details
Investigation of intake #GA00232969 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 14, 2023

Visit Reason
The purpose of this visit was to investigate intakes #GA00230079 and GA00230086.

Complaint Details
Investigation of intakes #GA00230079 and GA00230086 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.

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