Inspection Report Summary
The most recent inspection on March 25, 2025, found no deficiencies. Earlier inspections generally showed no rule violations, with only a few substantiated complaints over several years. Deficiencies previously cited involved staff not following care plans related to fall prevention, verbal abuse by a staff member, and medication inventory issues leading to unauthorized use. Complaint investigations were mostly unsubstantiated, except for these isolated cases, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history suggests improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
92% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 25, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001782, with an onsite visit made on 3/25/2025 as part of the investigation started on 3/24/2025 and completed on 3/26/2025.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA50001782 was conducted with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 13, 2025
Visit Reason
The purpose of this survey was to conduct a compliance inspection and investigate complaints #GA5000451 and GA5000419.
Findings
No rule violations were cited during the inspection and investigation completed on 3/14/2025.
Complaint Details
Investigation of complaints #GA5000451 and GA5000419 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 26, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00238312 with an onsite visit made to the facility on 9/26/23.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00238312; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 23, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00224648 and GA00224684 with an onsite visit made to the facility on 6/23/22.
Findings
The investigation was completed on 7/22/22 with no rule violations cited as a result of this investigation.
Complaint Details
Investigation of intake GA00224648 and GA00224684 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 29, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00222277 with an onsite visit made to the facility on 3/29/22.
Findings
The investigation started on 3/21/22 and was completed on 4/7/22. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00222277; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 18, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00220022. An onsite visit was made to the facility on 1/18/22.
Findings
The inspection was started on 1/10/22 and completed on 1/18/22. No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00220022 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 11, 2022
Visit Reason
The purpose of this survey was to investigate complaint #GA00218894. The investigation started on 2021-12-03, with an onsite visit on 2021-12-10, and was completed on 2022-01-11.
Findings
The facility failed to ensure staff followed the care plan for Resident #1, who was at risk for falls. The resident was found on the floor after an unobserved fall incident, and staff did not perform safety checks as required every two hours.
Complaint Details
Investigation of complaint #GA00218894 regarding failure to follow care plan and resident supervision. The complaint was substantiated based on findings that staff did not perform required safety checks and Resident #1 was found on the floor after a fall.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure staff followed the care plan as a guide of care and services to Resident #1, who was at risk for falls and required safety checks every two hours. | SS= D |
Report Facts
Date of incident: Sep 14, 2021
Number of sampled residents with deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| AA | Interviewed staff aware of findings and reported promised safety checks | |
| Staff B | Interviewed staff who stated Resident #1 was found on the floor |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 12, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00212643, which started on 2021-03-29 and was completed on 2021-04-12.
Findings
The facility failed to ensure each resident's right to be free from verbal abuse for 2 of 4 residents in the sample (Resident #1 and Resident #2). Staff C was verbally aggressive towards residents, resulting in termination after investigation.
Complaint Details
Investigation was initiated due to intake #GA00212643 regarding verbal abuse allegations. The complaint was substantiated with findings that Staff C was verbally aggressive and loud towards residents, causing fear and distress.
Severity Breakdown
Category One: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure residents' right to be free from verbal abuse for 2 of 4 residents. | Category One |
Report Facts
Residents in sample: 4
Residents affected: 2
Dates of investigation: Investigation started 2021-03-29 and completed 2021-04-12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in verbal abuse findings and terminated for resident abuse | |
| Staff E | Provided investigation statement recounting events involving Staff C and Resident #2 | |
| Staff B | Interviewed regarding Resident #1's report of verbal aggressiveness from Staff C | |
| Staff A | Confirmed findings of facility investigation and Staff C termination |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 12, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00211197. The investigation was started on 2021-02-11 and completed on 2021-02-12.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00211197 found no rule violations.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 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 procedures.
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 10, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00202454, which started on 2020-02-07 and was completed on 2020-02-10.
Findings
The facility failed to conduct appropriate inventory of medications, resulting in the loss and unauthorized use of 87 tablets of Tramadol belonging to Resident #1. Investigations including video footage, interviews, and drug tests indicated suspicious actions by an employee, and the incident was reported to the County police department.
Complaint Details
Investigation was initiated due to intake #GA00202454 regarding misappropriation of property. The allegation was substantiated by facility incident reports, video footage, interviews with staff CC and DD, and a drug test. The employee admitted to taking the Tramadol due to pain.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to conduct appropriate inventory of medications resulting in loss and unauthorized use of medications for 1 of 3 sampled residents. | SS= D |
Report Facts
Tablets of Tramadol missing: 87
Date of incident report submission: Jan 27, 2020
Date of medication missing: Jan 23, 2020
Inspection Report
Routine
Deficiencies: 0
Oct 10, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection.
Findings
No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 4, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00190877.
Findings
No rule violations were cited during the complaint investigation.
Complaint Details
Complaint GA00190877 was investigated and found to have no rule violations.
Inspection Report
Original Licensing
Deficiencies: 0
Jul 13, 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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