Inspection Reports for Dahlonega Assisted Living & Memory Care
55 MECHANICSVILLE ROAD, DAHLONEGA, GA, 30533.0
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 2, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to staffing levels, resident care, medication management, and documentation. Several complaint investigations substantiated issues such as inadequate nursing coverage, delayed responses to resident needs, medication discrepancies, and failure to report incidents properly, though some complaints were unsubstantiated. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s record shows some improvement with the most recent inspection being free of deficiencies after prior reports noted various issues.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
13 residents
Based on a February 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 2, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50004645 and #GA50005562, with the investigation beginning on 2025-08-25, an onsite visit on 2025-08-27, and completion on 2025-08-28.
Complaint Details
Investigation of intake #GA50004645 and #GA50005562 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Mar 19, 2025
Visit Reason
The purpose of this visit was to investigate intakes #GA50001026, #GA00252358, #GA50000560, #GA50000193, and to conduct the compliance inspection.
Complaint Details
The visit was complaint-related, investigating multiple intakes (#GA50001026, #GA00252358, #GA50000560, #GA50000193).
Findings
The inspection found that the administrator or on-site manager failed to ensure that staff received required initial training within the first 60 days of employment on residents' rights, identification of abuse, neglect or exploitation, general infection control principles, and emergency preparedness for multiple staff members.
Deficiencies (3)
Failure to ensure 3 of 8 staff received training within the first 60 days on residents' rights and identification of abuse, neglect, or exploitation.
Failure to ensure 2 of 9 staff received training within the first 60 days on general infection control principles including hand hygiene and attendance policies when ill.
Failure to ensure 2 of 9 staff received training within the first 60 days on emergency preparedness.
Report Facts
Staff without required training on residents' rights: 3
Staff without required training on infection control: 2
Staff without required training on emergency preparedness: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in deficiencies for lack of training on residents' rights, infection control, and emergency preparedness | |
| Staff F | Named in deficiencies for lack of training on residents' rights and infection control | |
| Staff G | Named in deficiencies for lack of training on residents' rights, infection control, and emergency preparedness | |
| Staff B | Interviewed and aware of findings | |
| Staff I | Interviewed and aware of findings |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 3, 2024
Visit Reason
The purpose of this visit was to investigate allegations intakes GA00246018 and GA00245432.
Complaint Details
Investigation of allegations intakes GA00246018 and GA00245432 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244140.
Complaint Details
Investigation started on 2024-03-12, onsite visit was made on 2024-03-12, and investigation was completed on 2024-04-02.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 7
Date: Feb 19, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243894. An onsite visit was made to the facility on 2/19/24 to investigate a complaint regarding staffing and resident care.
Complaint Details
The investigation was initiated due to intake #GA00243894 concerning staffing shortages and resident care issues. The complaint included allegations of inadequate nursing coverage, improper medication administration, lack of supervision, failure to update care plans, failure to notify responsible parties after incidents, and failure to report abuse.
Findings
The facility failed to provide the required minimum nursing staffing hours for memory care residents, did not properly document medication administration and training related to morphine for a hospice resident, failed to provide adequate supervision and update care plans after incidents, did not take appropriate immediate action or notify responsible parties after adverse events, and failed to report resident abuse to the Department as required.
Deficiencies (7)
Failed to ensure minimum nursing staffing hours of 16 hours per week for memory care residents.
Failed to document date, time, and location of initial morphine dose administered by licensed hospice professional.
Failed to document training provided by licensed hospice for morphine administration.
Failed to document circumstances when hospice was unavailable to administer morphine.
Failed to ensure adequate, appropriate care and services in compliance with state law for Resident #1, including supervision and care plan updates after incidents.
Failed to take immediate appropriate action and notify responsible parties after adverse changes or incidents for Residents #1 and #2.
Failed to report abuse of Resident #1 to the Department and law enforcement as required.
Report Facts
Resident census: 13
Morphine administration dates: 7
Incident report date: Jan 26, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding staffing shortages, medication administration, care plan deficiencies, and failure to notify responsible parties | |
| Staff B | Provided written statement describing abuse incident involving Residents #1 and #2 | |
| Staff F | Administered initial dose of morphine to Resident #1 without hospice notification or training | |
| Staff G | Administered morphine to Resident #1 without hospice training | |
| AA | Interviewed regarding morphine administration and hospice notification failures | |
| BB | Interviewed regarding failure to notify hospice agency after morphine administration | |
| CC | Reported abuse incident to BB |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239783.
Complaint Details
Investigation of intake #GA00239783 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 6, 2023
Visit Reason
The purpose of this visit was to investigate complaints #GA00236256 and #GA00235585. An onsite visit was made on 7/6/23 and the investigation was completed on 7/25/23.
Complaint Details
The investigation was initiated due to complaints #GA00236256 and #GA00235585 regarding medication discrepancies and resident care concerns. The complaint was substantiated based on record review and interviews.
Findings
The facility failed to ensure proper medication inventory and record keeping for Resident #2, resulting in unaccounted narcotic doses and staff termination for gross negligence. Additionally, the facility failed to ensure adequate care and medication management for Resident #1, who was found unresponsive and had several medications missing or delayed.
Deficiencies (2)
Failed to ensure medications were inventoried appropriately to prevent loss and unauthorized use, with missing narcotic doses for Resident #2.
Failed to ensure Resident #1 received adequate care and medication management, with incomplete physical exam documentation and missing medications.
Report Facts
Unaccounted narcotic doses: 40
Medication delivery amount: 100
Dates of hospitalization: Resident #1 hospitalized from 6/16/23 to 6/27/23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Terminated for gross negligence in medication administration and record keeping related to controlled drug discrepancies | |
| Staff B | Interviewed regarding notification of missing narcotics and follow-up on missing medications for Resident #1 | |
| Staff D | Interviewed regarding Resident #1's unresponsive condition and medication availability | |
| Staff I | Interviewed regarding narcotic counts and observations of narcotic log irregularities | |
| Staff J | Aware of findings related to Resident #1 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 21, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00227017, with the investigation beginning on 2022-09-14 and an onsite visit conducted on 2022-09-21.
Complaint Details
The complaint investigation was substantiated by findings including delayed response times to resident calls for assistance, with some calls taking over an hour to be answered, and residents being left unattended in distressing situations.
Findings
The facility failed to ensure keypad lock instructions were posted outside the memory care unit and failed to provide adequate and timely care to residents, including delayed responses to assistance calls and insufficient staffing on certain days.
Deficiencies (2)
Keypads used to lock and unlock exits did not have directions for their operation posted on the outside of the door to allow individuals access to the unit.
Facility failed to ensure each resident received adequate, appropriate care and services in compliance with state law and regulation for 5 of 7 sampled residents.
Report Facts
Response time: 10
Response time: 43
Response time: 102
Response time: 17
Response time: 25
Response time: 39
Response time: 44
Response time: 47
Response time: 14
Response time: 68
Staff count: 4
Staff count: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Confirmed staffing levels and reviewed pendant reports and video footage related to resident care incidents. | |
| Staff B | Interviewed regarding keypad code posting and resident care incidents. | |
| AA | Interviewed about resident care incidents and assistance limitations. |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Sep 2, 2022
Visit Reason
The purpose of this survey was to investigate intake #GA00226457. An onsite visit was made to the facility on 9/2/2022, and the investigation was completed on 9/23/2022.
Complaint Details
The investigation was initiated due to intake #GA00226457 concerning Resident #1 who fell in the bathroom on 11/11/2021, waited for staff assistance, sustained a head injury and concussion, and whose incident was not properly reported or communicated to family or physician.
Findings
The facility failed to have a valid licensed administrator, failed to have a memory care certificate, and failed to provide adequate care and timely response to a resident who fell, resulting in a head injury and concussion. The facility also failed to report the serious injury and notify the resident's family or physician as required.
Deficiencies (5)
Facility failed to have an administrator with a valid license from the State Board.
Facility failed to ensure the memory care center would not operate without a certificate.
Facility failed to ensure each resident received adequate care and services; Resident #1 fell and waited about 20 minutes before staff responded, resulting in a head injury and concussion.
Facility failed to ensure immediate action was taken after an accident, including notifying the resident's representative or legal surrogate.
Facility failed to report to the Department the serious injury to Resident #1 that required medical attention.
Report Facts
Resident fall response time: 10
Resident fall incident date: Nov 11, 2021
Incident report date: Jul 29, 2022
Resident medication frequency: 3
Staff lunch break duration: 55
Staff lunch break duration: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Administrator / Executive Director | Named in findings for lacking valid state administrator license and aware of deficiencies |
| Staff B | Named in relation to work schedule and lunch break during resident fall incident | |
| Staff C | Med-tech | Named in relation to resident fall incident response and failure to complete incident report |
| Staff D | Named in relation to work schedule and failure to complete incident report | |
| AA | Interviewed regarding Resident #1 fall incident | |
| BB | Interviewed regarding Resident #1 fall history and lack of family notification |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 3, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00218702. An onsite visit was made to the facility on 11/3/21, with the investigation starting on 11/2/21 and completing on 11/3/21.
Complaint Details
Investigation of intake #GA00218702 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 6, 2021
Visit Reason
The purpose of this visit was to conduct a follow-up to the survey on 4/30/21 and to investigate intake #GA00216181. The survey was started on 8/4/21 and completed on 8/6/21.
Complaint Details
Investigation included intake #GA00216181.
Findings
The facility failed to include in the resident's file an inventory of valuable personal items brought to the assisted living community for one out of five sampled residents (Resident #1). Interviews confirmed the absence of a personal inventory sheet in the resident's file.
Deficiencies (1)
Facility failed to include in the resident's file an inventory of valuable personal items brought to the assisted living community for Resident #1.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Aug 4, 2021
Visit Reason
The purpose of this visit was to conduct a follow up inspection to the 4/30/21 compliance and investigation survey.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 7, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00213142 following an allegation involving Resident #1.
Complaint Details
The investigation was triggered by an intake alleging that a caregiver became frustrated and shoved Resident #1 to the floor on 3/18/21. The incident was captured on security camera footage and involved a physical and verbal exchange between Resident #1 and Staff C. Staff C was counseled and additional training was provided. Resident #1 had diagnoses of dementia and atrial fibrillation.
Findings
The facility failed to ensure that Resident #1 was treated with dignity, kindness, consideration, and respect, resulting in a physical altercation where Staff C pushed Resident #1, causing the resident to fall. Staff C was counseled for poor performance related to the incident.
Deficiencies (1)
Facility failed to ensure each resident was treated with dignity, kindness, consideration and respect and given privacy in the provision of assisted living care for 1 of 8 sampled residents (Resident #1).
Report Facts
Date of incident: Mar 18, 2021
Date of resident admission: Mar 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in the incident involving Resident #1 and was counseled for poor performance | |
| Staff D | Witnessed the incident and provided statements about Resident #1's agitation | |
| Staff B | Counseled Staff C and provided additional training | |
| Staff A | Reported the incident to the facility's corporate office |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 2, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00211286 and #GA00211291, with the investigation starting on 2021-01-27, an on-site visit on 2021-02-02, and completion on 2021-02-22.
Complaint Details
Investigation was complaint-related based on intake #GA00211286 and #GA00211291. The complaint involved denial of communication rights for Resident #1, which was substantiated by interviews and record review.
Findings
The facility failed to ensure that Resident #1 had the right to associate and communicate freely and privately with persons of their choice without censorship by staff. Interviews and record reviews revealed that Resident #1 was prevented from speaking with a specific individual (AA) due to instructions from the power of attorney and facility staff, violating resident rights.
Deficiencies (1)
Facility failed to ensure that Resident #1 had the right to associate and communicate freely and privately without censorship by staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| AA | Named in communication restriction findings related to Resident #1. | |
| BB | Interviewed regarding purchasing a cell phone for AA to communicate with Resident #1 and knowledge of power of attorney restrictions. | |
| HH | Interviewed about allowing Resident #1 to speak with AA when power of attorney permitted. | |
| II | Interviewed about awareness of staff being told not to allow AA to speak with Resident #1. | |
| JJ | Interviewed about being told by FF not to allow Resident #1 to talk to AA. | |
| FF | Named as instructing staff not to allow AA to speak with Resident #1. | |
| Staff A | Aware of the findings during interview on 2/22/2021. | |
| KK | Heard telling AA that he/she had been given orders not to let Resident #1 talk to him/her. | |
| Staff C | Mentioned as part of staff who did not support Resident #1's right to communicate freely. |
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 2
Date: Nov 6, 2020
Visit Reason
The purpose of this visit was to complete an initial inspection and to investigate complaints #GA00209053, #GA00209402, and #GA00209522. An on-site visit was made on 11/6/20 and the investigation was completed on 1/27/21.
Complaint Details
The investigation was complaint-driven based on complaints #GA00209053, #GA00209402, and #GA00209522. The complaints included concerns about staffing shortages and inadequate resident care. Interviews with staff and residents confirmed staffing shortages and delayed response times to resident calls. One resident moved out due to these issues.
Findings
The facility failed to provide the minimum required awake direct care staff to resident ratio during waking and non-waking hours, resulting in insufficient staff to meet residents' needs. Additionally, the facility failed to ensure sufficient staff times were provided so that 14 of 15 residents received prescribed services, treatments, medications, and diet. Response times to resident calls were often delayed, and staff shortages led to a resident moving out of the facility.
Deficiencies (2)
Failed to provide minimum on-site staff to resident ratio of one awake direct care staff per 15 residents during waking hours and one per 25 residents during non-waking hours.
Failed to ensure sufficient staff times for 14 of 15 residents to receive prescribed services, treatments, medications, and diet.
Report Facts
Resident census: 71
Insulin dependent diabetics: 4
Incontinent residents: 16
Wheelchair dependent residents: 8
Residents incapable of self preservation: 3
Residents requiring two-person assist for showers: 3
Residents at risk of elopement: 8
Staff scheduled 10/30/2020 1st shift: 6
Staff scheduled 10/30/2020 2nd shift: 4
Staff scheduled 10/31/2020 1st shift: 7
Staff scheduled 10/31/2020 2nd shift: 4
Staff scheduled 11/1/2020 1st shift: 5
Staff worked 10/30/2020 1st shift: 1
Staff worked 10/30/2020 2nd shift: 3
Staff worked 10/31/2020 1st shift: 4
Staff worked 10/31/2020 2nd shift: 2
Staff worked 11/1/2020 2nd shift: 4
Resident call response times 10/30/20: 8
Resident call response times 10/30/20: 6
Resident call response times 10/30/20: 1
Resident call response times 10/31/20: 3
Resident call response times 10/31/20: 2
Resident call response times 11/1/20: 4
Resident call response times 11/1/20: 1
Resident call response times 11/1/20: 1
Resident call response times 11/6/20: 3
Resident call response times 11/6/20: 1
Resident call response times 11/7/20: 4
Resident call response times 11/7/20: 1
Resident call response times 11/7/20: 2
Resident call response times 11/8/20: 6
Resident call response times 11/8/20: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Scheduled and worked shifts; reported working 80 hours some weeks and staying over when staff did not show up; aware of findings. | |
| Staff B | Aware of findings during interview on 1/27/21. | |
| Staff A | Reported by resident #01 as stating staff shortages caused lack of assistance. | |
| #01 | Resident who reported insufficient staff and falling while trying to shower. | |
| CC | Relative of a resident who moved out due to staff shortages and delayed response times. |
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