Inspection Report Summary
The most recent inspection on September 10, 2025, found no deficiencies. Earlier inspections showed a pattern of some deficiencies related mainly to memory care certification, staff training, documentation, and staffing ratios, but many complaint investigations were completed with no violations cited. Inspectors noted issues such as operating a memory care unit without proper certification, incomplete staff training, missing tuberculosis screenings, and medication administration record inaccuracies in prior reports. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s inspection history suggests improvement over time, with recent investigations consistently finding no rule violations.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
59% 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 10, 2025
Visit Reason
The purpose of this visit was to investigate intake GA50005164.
Complaint Details
Investigation started on 2025-09-10 and was completed on 2025-09-19. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
The purpose of this visit was to conduct intake #GA50000682, an investigation initiated on 3/19/25 and completed on 3/24/25.
Complaint Details
Investigation was started on 3/19/25 and completed on 3/24/25 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: Oct 29, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250388 with an on-site visit made on 10/29/2024.
Complaint Details
Investigation of intake #GA00250388; no rule violations were found.
Findings
The investigation was completed on 10/30/2024 with no rule violations cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 10, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00249535.
Complaint Details
Investigation of intake #GA00249535 regarding operation of uncertified memory care center.
Findings
The facility failed to ensure that no memory care center was operated and no resident admitted without a current certificate. A memory care unit was observed without certification, and staff was unaware that certification was required.
Deficiencies (1)
Facility operated a memory care unit without a current certificate as required by regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and stated unawareness that memory care had to be certified. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 10, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00241856 with an onsite visit made to the facility on 2024-01-10.
Complaint Details
Investigation started on 2024-01-08 and completed on 2024-01-25. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 8, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240331 and GA00240370.
Complaint Details
The visit was complaint-related, investigating two intakes (#GA00240331 and GA00240370). No violations were found.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00237310, with an onsite visit made on 9/25/23 as part of an investigation started on 9/14/23 and completed on 10/2/23.
Complaint Details
Investigation of intake #GA00237310; no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 8, 2023
Visit Reason
The visit was conducted to investigate complaint intakes #GA00232571, #GA00233059, and #GA00232650 with an on-site visit on 3/8/2023.
Complaint Details
Investigation of complaint intakes #GA00232571, #GA00233059, and #GA00232650 was completed with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 16, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00224372.
Complaint Details
Investigation of intake #GA00224372 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: May 5, 2022
Visit Reason
Onsite visits were made to the facility on 5/4/22 and 5/5/22 to investigate Intakes #GA00223223 and #GA00224372. The investigation was completed on 5/5/22.
Complaint Details
The visit was conducted to investigate complaint intakes #GA00223223 and #GA00224372. The investigation found multiple deficiencies related to staff training, documentation, and regulatory compliance.
Findings
The facility failed to ensure staff received initial training within 60 days of employment, failed to display the memory care unit certificate in a visible location, failed to obtain required tuberculosis screenings for residents, and failed to include findings from the National Sex Offender Registry in residents' files.
Deficiencies (4)
Failed to ensure staff received Initial Training for All Staff within the first 60 days of employment, including residents' rights and abuse reporting requirements for 1 of 5 sampled staff (Staff E).
Failed to display the memory care unit certificate in a conspicuous place visible to residents and visitors.
Failed to obtain physical examination documentation reflecting freedom from active tuberculosis within 30 days prior to admission for 2 of 3 sampled residents (Resident #2 and Resident #3).
Failed to ensure residents' files included findings from a search of the National Sex Offender Registry for 2 of 3 sampled residents (Resident #2 and Resident #3).
Report Facts
Staff sampled: 5
Residents sampled: 3
Residents without TB screening: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in deficiency for lack of initial training | |
| Staff C | Interviewed regarding Staff E's training status | |
| Staff A | Interviewed regarding missing memory care certificate | |
| AA | Interviewed regarding missing TB screenings for residents |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 10, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00221851.
Complaint Details
Investigation was opened on 2022-03-09, onsite visit was made on 2022-03-10, and the investigation was completed on 2022-03-30.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 17, 2022
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00220166 and GA00220712, with the investigation beginning on 2022-01-10 and completed on 2022-02-04.
Complaint Details
Investigation of complaint intakes #GA00220166 and GA00220712 revealed substantiated issues including failure to respond timely to call pendants, resulting in falls and prolonged wait times, and failure to properly document medication administration for multiple residents.
Findings
The facility failed to provide protective and watchful oversight to meet residents' needs, including issues with the call pendant system leading to long wait times for assistance and multiple falls. Additionally, the facility failed to maintain accurate Medication Administration Records (MAR) for 3 of 4 sampled residents, with many instances of medications not being documented as offered or taken.
Deficiencies (2)
Failure to provide protective and watchful oversight to meet residents' needs, evidenced by long wait times for call pendant responses and falls.
Failure to update Medication Administration Records (MAR) each time medication was offered or taken for 3 of 4 sampled residents.
Report Facts
Call pendant presses: 252
Call pendant wait time: 10
Medication administration missing entries: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Received call from police about Resident #1 fall and reported issues with call pendants and staffing. | |
| Staff A | Reported issues with call light system, pendants, and staffing. | |
| FF | Resident/individual who reported falls and long wait times for assistance. |
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 3
Date: Sep 27, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00217205. An onsite visit was made on 9/27/21 and the investigation was completed on 10/7/21.
Complaint Details
Investigation of intake #GA00217205. The complaint was substantiated based on findings of expired certifications and inadequate staffing ratios.
Findings
The facility failed to ensure that staff had current certifications in emergency first aid and CPR for 1 of 7 sampled staff. Additionally, the community did not maintain the required minimum on-site staff to resident ratio during the night shift on 8/29/21 in the Memory Care unit, where only one staff was present for 24 residents, including 3 residents requiring incontinent care.
Deficiencies (3)
Failed to ensure staff had current certification in emergency first aid for 1 of 7 sampled staff (Staff F).
Failed to ensure staff had current certification in cardiopulmonary resuscitation (CPR) for 1 of 7 sampled staff (Staff F).
Failed to maintain minimum on-site staff to resident ratio during waking and non-waking hours, specifically one awake direct care staff per 15 residents during waking hours and one per 25 during non-waking hours, with findings showing only one staff for 24 residents on night shift in Memory Care.
Report Facts
Residents in Memory Care: 24
Staff sampled: 7
Residents requiring incontinent care: 3
Staff on night shift: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Staff member lacking current emergency first aid and CPR certifications | |
| Staff A | Interviewed staff who confirmed expired certifications and enrollment in training | |
| Staff G | Interviewed staff who worked alone during understaffed night shift in Memory Care |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 13, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA0021591 and GA00215895.
Complaint Details
Investigation of complaint intakes #GA0021591 and GA00215895 resulted in no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 14, 2021
Visit Reason
The visit was conducted to investigate intake #GA00213976, which started on 2021-05-18 and was completed on 2021-06-14.
Complaint Details
Investigation of intake #GA00213976 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 0
Date: May 3, 2021
Visit Reason
The purpose of this visit was to conduct the CHOW initial inspection.
Findings
No rule violations were cited as a result of this inspection.
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