Inspection Reports for Celebration Village Acworth
4460 Celebration Blvd, Acworth, GA 30101, United States, GA, 30101
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 1, 2025, found no deficiencies. Earlier inspections showed a generally clean record with isolated issues related primarily to medication management and staff background checks. Prior deficiencies included delays in medication refills causing interruptions in dosing and incomplete fingerprint background checks for some staff members. A substantiated complaint in June 2023 involved medication administration errors affecting 14 memory care residents, but no enforcement actions or fines were listed in the available reports. The facility’s inspection history suggests improvement over time, with recent investigations consistently finding no rule violations.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 1, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50004892.
Complaint Details
Investigation of intake #GA50004892 found no rule violations.
Findings
An on-site visit was conducted on 10/1/25, and the investigation was completed on 10/1/25. No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 27, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection related to allegations identified by complaint numbers GA50004010 and GA50004336.
Complaint Details
This inspection was complaint-related, triggered by complaints GA50004010 and GA50004336. The report does not explicitly state substantiation status.
Findings
The facility failed to obtain a satisfactory fingerprint records check for one of three sampled staff and failed to obtain timely refills of prescribed medications for two of three sampled residents, resulting in interruptions in routine dosing.
Deficiencies (2)
Failure to obtain a satisfactory fingerprint records check determination for one of three sampled staff (Staff D) as required by criminal background check regulations.
Failure to obtain refills of prescribed medication timely, causing interruptions in routine dosing for two of three sampled residents (Resident #1 and Resident #2).
Report Facts
Number of sampled staff with fingerprint check deficiency: 1
Number of sampled residents with medication refill deficiency: 2
Dates of inspection: 2025-08-20 to 2025-08-27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Staff member lacking satisfactory fingerprint records check | |
| Staff B | Interviewed regarding fingerprint check and medication issues | |
| Staff C | Interviewed and observed medication cart audit |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 27, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection (GA50005264).
Complaint Details
Complaint inspection conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The purpose of this visit was to conduct a relicense inspection and to investigate intake #GA50003530.
Complaint Details
Investigation of intake #GA50003530 was conducted and completed with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 9, 2025
Visit Reason
The purpose of this visit was to investigate intakes #GA50001493, GA50001900, and GA50002025.
Complaint Details
Investigation of three intakes (#GA50001493, GA50001900, and GA50002025) was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 10, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247406 with an onsite visit made to the facility on 7/10/2024.
Complaint Details
Investigation of intake #GA00247406; no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 24, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239986 and GA00239736.
Complaint Details
Investigation of intake #GA00239986 and GA00239736; no violations were found.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 5, 2023
Visit Reason
The visit was conducted to investigate intake #GA00238039 with an onsite visit made on 2023-08-23. The investigation started on 2023-08-23 and was completed on 2023-09-05.
Complaint Details
Investigation of intake #GA00238039 was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 1
Date: Jun 21, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00235071 and #GA00235257, with an onsite visit made on 6/21/2023 and the investigation completed on 7/18/2023.
Complaint Details
Investigation was initiated based on complaint intakes #GA00235071 and #GA00235257. The complaint was substantiated as the facility failed to administer medications properly to 14 residents on May 7, 2023.
Findings
The facility failed to ensure that all 14 memory care residents received adequate and appropriate care and services in compliance with state law and regulation. Specifically, on May 7, 2023, 14 residents did not receive their morning medications because Staff C only passed medications from one medication cart instead of both. All families and physicians were notified, residents were placed on a 72-hour close watch protocol, and no adverse effects were observed. Staff C was terminated on 5/8/2023.
Deficiencies (1)
Failure to ensure each resident received adequate and appropriate care and services, specifically medication administration errors affecting 14 memory care residents.
Report Facts
Residents affected: 14
Close watch protocol duration: 72
Staff C hire date: Nov 4, 2022
Staff C termination date: May 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Certified Nurse Assistant and Certified Medication Aid | Named in medication administration error and subsequent termination |
| Staff A | Reported the medication error and actions taken | |
| Staff B | Notified Staff A about the medication error |
Inspection Report
Original Licensing
Deficiencies: 0
Date: May 3, 2023
Visit Reason
The purpose of this visit was to conduct an initial inspection for a change of ownership.
Findings
No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 26, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00225580.
Complaint Details
Investigation was conducted related to intake GA00225580 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 11, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA00223511. An onsite visit was made to the facility on 5/11/2022 and the investigation was completed on 5/18/2022.
Complaint Details
Investigation was complaint-related intake GA00223511. The medication for Resident #1 was not started timely after hospital discharge paperwork and medication were left on staff desk. Staff A received corrective action. Resident #1's family, physician, and nurse practitioner were contacted and medication was started on 4/21/22.
Findings
The facility failed to ensure that refills of prescribed medications were obtained timely, resulting in an interruption in routine dosing for 1 of 1 sampled residents (Resident #1). Resident #1 did not sustain any injuries.
Deficiencies (1)
Failure to ensure timely refills of prescribed medications resulting in interruption of routine dosing for Resident #1.
Report Facts
Date of medication error: Feb 25, 2022
Date medication started: Apr 21, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Received corrective action related to medication error. | |
| Staff B | Interviewed regarding medication error and corrective action. |
Inspection Report
Routine
Deficiencies: 0
Date: May 19, 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
Deficiencies: 0
Date: Nov 18, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00208201.
Complaint Details
Investigation began 10/2/2020 and was completed 11/18/2020. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess the infection control process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures. No specific deficiencies or severity levels are detailed.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 2, 2020
Visit Reason
The purpose of this visit was to investigate complaint #GA00202784 with an onsite visit made on 3/2/2020 and the investigation completed on 6/22/2020.
Complaint Details
Investigation of complaint #GA00202784 completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Nov 20, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00200712.
Complaint Details
The visit was triggered by intake #GA00200712, which involved investigation of Resident #1 eloping from the memory care unit due to ineffective alarm systems and inadequate staff oversight.
Findings
The facility failed to obtain satisfactory criminal history background checks for 5 of 6 sampled staff. The facility also failed to have an effective automated alert system for the memory care unit exits, resulting in Resident #1 eloping. Additionally, the facility failed to provide watchful oversight consistent with residents' needs and failed to ensure residents were free from physical restraints, as bedrails were used on 4 sampled residents in the memory care unit.
Deficiencies (4)
Failed to obtain satisfactory Criminal Records Check (CRC) determination for 5 of 6 sampled staff.
Failed to have an effective automated device or system to alert staff to individuals entering or leaving the memory care unit in an unauthorized manner.
Failed to provide watchful oversight consistent with the residents' needs, resulting in Resident #1 eloping from the memory care unit.
Failed to ensure each resident is given the right to be free from physical restraints; bedrails were used on 4 sampled residents in the memory care unit.
Report Facts
Number of staff without satisfactory CRC: 5
Number of residents with bedrails used: 4
Date of Resident #1 elopement incident: Oct 28, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding criminal record checks, alarm system failure, and use of bedrails in memory care unit. | |
| Staff B | Sampled staff without satisfactory criminal records check. | |
| Staff C | Sampled staff without satisfactory criminal records check. | |
| Staff D | Sampled staff without satisfactory criminal records check. | |
| Staff E | Sampled staff without satisfactory criminal records check. | |
| Staff F | Sampled staff without satisfactory criminal records check. |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Feb 28, 2018
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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