Inspection Reports for Canterfield of Kennesaw
4381 Bells Ferry Rd, Kennesaw, GA 30144, United States, GA, 30144
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 17, 2025, found no deficiencies. Earlier complaint investigations also generally found no rule violations, with the exception of a few past inspections that cited deficiencies related to staff training, resident protections, and medication management. Prior issues included failure to ensure sufficient specially trained staff in the memory care unit, improper use of physical restraints, financial exploitation by a staff member, and lapses in medication administration and monitoring. There were no fines, immediate jeopardy findings, or license actions listed in the available reports, and most complaint investigations were unsubstantiated except for the noted cases. The inspection history shows improvement over time, with recent inspections consistently free of cited deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 17, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50005104 through an unannounced on-site visit.
Complaint Details
Investigation of intake #GA50005104; no violations were found.
Findings
There were no rule violations cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 5, 2024
Visit Reason
The purpose of this visit was to investigate allegation intake GA00247953.
Complaint Details
Investigation of allegation intake GA00247953 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 3, 2024
Visit Reason
The purpose of this visit was to investigate intake numbers GA00247689 and GA00246883.
Complaint Details
Investigation was conducted for two intake numbers; no rule violations were found.
Findings
There were no rule violations cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 15, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA002455158.
Complaint Details
Investigation began on 2024-04-04 and was completed on 2024-04-15. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00229128 and #GA00228917.
Complaint Details
Investigation of intakes #GA00229128 and #GA00228917 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Sep 20, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00227569. The onsite visit was made on 2022-09-20, with the inspection started on 2022-09-20 and completed on 2022-09-29.
Complaint Details
The complaint investigation was triggered by intake #GA00227569 regarding Staff C's unauthorized use of Resident #1's credit card for two hotel charges in August 2020. Resident #1 admitted giving the card to Staff C. Staff C was terminated after allegations. The facility did not report the incident to the Department. The credit card company refunded the charges. Police were notified but could not arrest Staff C because Resident #1 gave the card voluntarily.
Findings
The facility failed to ensure personnel files contained required continuing education and criminal background checks for one staff member. Additionally, the facility failed to protect a resident from financial exploitation by a staff member who used the resident's credit card without proper authorization and failed to report this serious incident to the Department.
Deficiencies (4)
Personnel file did not include a minimum of sixteen hours of job-related continuing education training for employee's second year of employment for Staff C.
Personnel file lacked evidence of a satisfactory fingerprint record check or criminal history background check for Staff C.
Facility failed to ensure residents' right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation; Staff C financially exploited Resident #1 by using the resident's credit card for unauthorized charges.
Facility failed to report serious incidents including abuse, neglect, or exploitation of a resident to the Department.
Report Facts
Continuing education hours documented: 3
Unauthorized credit card charges: 166.42
Total refunded amount: 332.92
Loan amount mentioned: 1000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Staff member who lacked required training and background checks, financially exploited Resident #1, and was terminated. | |
| Staff A | Interviewed staff who could not locate Staff C's file and was unaware the incident had to be reported to the Department. | |
| Staff B | Interviewed staff who assisted Resident #1 by contacting the credit card company and reported the incident to police. | |
| Staff F | Interviewed staff who reported Resident #1 was upset about the credit card misuse and shared information about loans to Staff C. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 21, 2020
Visit Reason
The purpose of this visit was to investigate allegation Intake #GA00205118.
Complaint Details
Investigation of allegation Intake #GA00205118 found no rules violations.
Findings
No rules violation were cited as a result of this investigation.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 7, 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 measures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 26, 2020
Visit Reason
The purpose of this visit was to investigate complaint #GA00203710, initiated on 2020-03-24 and completed on 2020-03-26.
Complaint Details
Investigation of complaint #GA00203710 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Feb 27, 2020
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake GA00202716.
Complaint Details
The visit was complaint-related, investigating intake GA00202716. An elder abuse case was filed after an incident involving Resident #5 and a sitter (AA) who physically mistreated the resident. Staff interviews confirmed lack of specific training for unique resident needs and improper use of physical restraints on residents.
Findings
The facility failed to ensure that the memory care unit was staffed with sufficient specially trained staff to meet the unique needs of residents. There were incidents of improper treatment of Resident #5, including physical mistreatment by a sitter. The facility also failed to ensure residents were treated with dignity, kindness, and respect, and failed to protect residents from physical restraints, as evidenced by the use of bedrails on three residents without proper justification.
Deficiencies (3)
Facility failed to ensure that the contained unit was staffed with sufficient specially trained staff to meet the unique needs of the residents in the unit.
Facility failed to ensure each resident was treated with dignity, kindness, consideration and respect and given privacy in the provision of assisted living care.
Facility failed to ensure each resident is given the right to be free from physical restraints for 3 residents in the memory care unit (Residents #6, #7, #8).
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 29, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00200043 regarding medication administration and management at the assisted living community.
Complaint Details
Investigation of complaint #GA00200043 found substantiated issues with medication administration and procurement, including failure to monitor staff and failure to obtain timely medication refills.
Findings
The investigation found that the administrator failed to monitor staff performance to ensure safe and timely medication administration. Resident #1 did not receive prescribed cancer medication, Tagrisso, for nine days due to failure to obtain timely medication refills, resulting in missed doses.
Deficiencies (2)
Administrator failed to monitor staff performance to ensure medications were administered safely and on time.
Community failed to obtain timely refill of prescribed medication, causing interruption in routine dosing for Resident #1.
Report Facts
Days medication missed: 9
Date of survey completion: Oct 29, 2019
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 15, 2019
Visit Reason
The purpose of this visit was to investigate complaint GA00197921.
Complaint Details
Complaint GA00197921 was investigated and found to have no violations.
Findings
No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 20, 2019
Visit Reason
The visit was conducted to perform a compliance inspection and to investigate complaint intakes #GA00193421 and GA00194261.
Complaint Details
Investigation of complaint intakes #GA00193421 and GA00194261 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Oct 11, 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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