Inspection Reports for Dublin Square
504 Firetower Rd, Dublin, GA 31021, United States, GA, 31021
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 20, 2023, found no deficiencies. Earlier inspections showed a pattern of isolated issues including failure to provide timely medication refills, incomplete access to medical records for residents’ legal surrogates, and concerns about cleanliness related to floor odors. Prior reports also noted challenges with admission criteria compliance and a substantiated case of resident abuse resulting in staff termination, but no fines or enforcement actions were listed in the available reports. Most complaint investigations were unsubstantiated, with substantiated cases primarily involving resident rights and care documentation. The facility’s recent inspections indicate some improvement, as the latest visit found no deficiencies after a period of mixed findings.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 20, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00241322.
Complaint Details
Investigation of intake #GA00241322 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 1, 2023
Visit Reason
The visit was conducted to investigate complaint intakes #GA00241231 and #GA00241116, with an onsite visit on 2023-11-28 and investigation completion on 2023-12-01.
Complaint Details
The investigation was complaint-related, triggered by intakes #GA00241231 and #GA00241116. The complaint involved denial of access to medical records and provider contact information to the resident's power of attorney. Staff acknowledged the failure to provide requested information despite awareness of the power of attorney status.
Findings
The facility failed to ensure that a resident and his/her legal surrogate had access to all information in the medical records retained in the home. Specifically, requested provider contact information and medical records were not provided to the resident's power of attorney despite multiple requests.
Deficiencies (1)
Failure to ensure each resident and his/her representative or legal surrogate has the right of access to all information in the medical records retained in the home for 1 of 3 sampled residents.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 31, 2023
Visit Reason
The purpose of this visit was to investigate multiple complaint intakes (#GA00238689, #GA00238706, #GA00238901, #GA00238923, and #GA00239087). An onsite visit was made on 10/31/2023 and the investigation was completed on 11/7/2023.
Complaint Details
The investigation was based on multiple complaint intakes (#GA00238689, #GA00238706, #GA00238901, #GA00238923, and #GA00239087). Resident #1 reported not receiving sleeping medication for four nights, which was substantiated by medication administration records and staff interviews.
Findings
The facility failed to ensure timely refills of prescribed medications, resulting in interruption of routine dosing for one of three sampled residents (Resident #1). Specifically, Resident #1 did not receive Trazodone 100 mg for four nights due to delayed medication refill, which the resident reported caused increased blood pressure.
Deficiencies (1)
Failed to ensure timely refills of prescribed medications, causing interruption in routine dosing for Resident #1.
Report Facts
Medication refill count: 28
Nights medication not given: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding medication refill delay and unaware why Resident #1 ran out of medication early |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 29, 2023
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00237868, with an on-site visit made on 8/29/23 and the investigation completed on 9/5/23.
Complaint Details
Investigation was initiated due to intake #GA00237868. The complaint was substantiated based on observations and interviews regarding floor cleanliness and odor issues.
Findings
The facility failed to keep the floors clean, specifically a strong odor of urine was noted in Resident #1's room due to the resident not wearing incontinent briefs and frequent urination on the carpet. Despite regular shampooing, the odor persisted and requests to remove the carpet were made but not yet addressed.
Deficiencies (1)
Facility failed to keep the floors clean, including a strong odor of urine in Resident #1's room due to frequent urination on the carpet.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 4, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00229331 and #GA00229611.
Complaint Details
Investigation of intake #GA00229331 and #GA00229611 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 16, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00225880.
Complaint Details
Investigation of intake #GA00225880 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 13, 2021
Visit Reason
The purpose of this inspection was to investigate intake # GA00217905, beginning on 2021-09-07 and completed on 2021-09-13.
Complaint Details
Investigation of intake # GA00217905 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 4, 2021
Visit Reason
The purpose of this inspection was to investigate intake GA00213822 and conduct the compliance inspection. An on-site visit was made on 5/4/21, with the investigation beginning on 5/4/21 and completed on 5/6/21.
Complaint Details
Investigation of intake GA00213822 was conducted, focusing on the facility's admission and retention of ambulatory residents. The complaint was substantiated based on observations and interviews.
Findings
The facility failed to ensure the home admitted and retained only ambulatory residents capable of self-preservation with minimal assistance for 2 of 5 sampled residents. Observations and interviews showed that Resident #1 and Resident #2 could not ambulate or propel their own wheelchairs and required staff assistance during fire drills.
Deficiencies (1)
Facility failed to ensure only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as Residents #1 and #2 were non-ambulatory and required staff assistance.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 8, 2021
Visit Reason
The purpose of this inspection was to investigate intake GA00211576.
Complaint Details
Investigation began on 2021-02-05 and was completed on 2021-02-09. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 21, 2020
Visit Reason
The purpose of this inspection was to investigate intake GA00207909, which began on 2020-09-21 and was completed on 2020-09-24.
Complaint Details
The investigation was initiated due to intake GA00207909 regarding alleged abuse by Staff C towards Resident #1. The allegation was substantiated after review of records, interviews, and incident reports. Staff C grabbed Resident #1's wrists causing skin tears. Staff C was terminated.
Findings
The facility failed to implement policies and procedures to support residents' dignity, respect, choice, independence, and privacy, resulting in physical abuse of Resident #1 by Staff C. Resident #1 sustained skin tears on both wrists after Staff C grabbed the resident's wrists following the resident pinching Staff C's breasts. The allegation of abuse was substantiated and Staff C was terminated.
Deficiencies (2)
Facility failed to implement policies, procedures and practices to support core values of dignity, respect, choice, independence and privacy for Resident #1, resulting in physical abuse.
Facility failed to ensure residents were free from mental, verbal, sexual and physical abuse, neglect and exploitation for Resident #1.
Report Facts
Skin tears length: 0.25
Number of sampled residents: 4
Incident date and time: Aug 31, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in abuse incident involving Resident #1; terminated after investigation. | |
| Staff A | Conducted investigation into abuse incident and substantiated allegation. | |
| Staff E | Observed Resident #1's injuries and applied treatment; reported injury to Staff A. |
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 procedures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 25, 2020
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00202726.
Complaint Details
Investigation of intake #GA00202726 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 2, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00200911 and # GA00200953.
Complaint Details
Investigation of complaint intakes # GA00200911 and # GA00200953 with no rule violations cited.
Findings
No rule violations were cited for this visit.
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 9, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 3/5/19 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Routine
Deficiencies: 4
Date: Mar 5, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection of the facility.
Findings
The facility failed to obtain required physical examination reports within 30 days prior to admission for 1 of 6 sampled residents, failed to execute informed consent for proxy caregiver services for 1 of 6 sampled residents, failed to ensure written plans of care for proxy caregiver services for 2 of 6 sampled residents, and failed to provide evidence of routine evaluations of continued skills competencies for 5 of 5 sampled staff.
Deficiencies (4)
Failed to obtain a report of physical examination conducted by a licensed physician, nurse practitioner or physician's assistant dated within 30 days prior to the date of admission for Resident #6.
Failed to execute an informed consent for a proxy caregiver to provide health maintenance activities for Resident #6 before providing those services.
Failed to ensure a written plan of care for proxy caregiver services was developed for Residents #1 and #6.
Failed to provide evidence of routine evaluations of continued skills competencies by an appropriately licensed healthcare professional for 5 of 5 sampled staff.
Report Facts
Sampled residents: 6
Sampled staff: 5
Deficiencies related to proxy caregiver plans of care: 2
Inspection Report
Original Licensing
Deficiencies: 1
Date: Mar 7, 2017
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
The facility failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency for 1 of 3 sampled staff. Specifically, Staff A had documentation of CPR training completed online without evidence of return demonstration of competency.
Deficiencies (1)
Facility failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency for 1 of 3 sampled staff.
Report Facts
Number of sampled staff: 3
Number of staff with deficient CPR certification: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in CPR certification deficiency | |
| Staff D | Interviewed regarding CPR training knowledge |
Viewing
Loading inspection reports...
