Inspection Reports for Dunwoody Place

The purpose of this visit was to investigate intake #GA50003649 and #GA50003117, with the investigation starting and an onsite visit occurring on 6/5/2025.

The facility failed to ensure that each resident was free from mental, verbal, sexual, and physical abuse, neglect, and exploitation, specifically for one resident (Resident #1). Staff C was observed being rough and rushing care on 5/14/2025, leading to suspension and retraining.

Investigation was initiated due to intake #GA50003649 and #GA50003117. The complaint was substantiated by observations and interviews confirming abuse and neglect by Staff C.

The purpose of this visit was to complete the compliance inspection and investigate intake #GA50001264 during an unannounced visit on 2/26/2025.

No rule violations were cited during the inspection.

Investigation of intake #GA50001264; no rule violations were found.

The purpose of this visit was to complete the compliance inspection and investigate intake #GA00240522, with an onsite visit made on 2023-11-28 and inspection completed on 2023-12-08.

The facility failed to ensure adequate services for one of three sampled residents (Resident #1), specifically related to medication administration where pills were found on the floor and medication was not observed after the resident discharged. Staff interviews revealed in-service training was conducted to address medication administration and prevent dropped pills.

Investigation of intake #GA00240522 related to medication administration issues for Resident #1, including dropped pills and lack of documentation.

The purpose of this visit was to investigate intake #GA00220842.

No violations were cited as a result of this visit.

Investigation of intake #GA00220842 with no violations cited.

The purpose of this visit was to investigate intake #GA00221893 and conduct the compliance inspection. The investigation started on 2022-03-07 and was completed on 2022-03-16.

No rule violations were cited as a result of this investigation.

Investigation of intake #GA00221893 was conducted with no rule violations cited.

The purpose of this inspection was to investigate intake # GA00217493.

No rule violations were cited as a result of this inspection.

Investigation began on 2021-02-20 and was completed on 2021-09-23. No rule violations were found.

The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00212238.

The facility failed to ensure that the written admission agreements disclosed medication handling responsibilities for 6 sampled residents. Additionally, the facility failed to obtain timely medication refills for 1 resident, resulting in interruption of routine dosing. This resident developed multiple macerated ulcers and swelling, was hospitalized, and later passed away. The facility also failed to ensure adequate and appropriate care for this resident.

Investigation of intake #GA00212238 regarding medication handling and care deficiencies for Resident #1, including failure to timely refill Lasix medication leading to health decline and death.

The purpose of this visit was to investigate intake #GA00207176, which involved allegations of financial theft from Resident #1's bank card.

The facility failed to ensure the health and safety of Resident #1 by not preventing financial exploitation. Two unauthorized charges totaling $1,095.77 were made on Resident #1's bank card. Despite video footage review, the individual responsible was not identified. The resident appeared confused about the incident and declined to secure valuables in a locked safe. The investigation was ongoing at the time of the report.

The investigation was initiated due to intake #GA00207176 regarding financial theft involving Resident #1's bank card. The complaint was substantiated with evidence of two unauthorized charges totaling $1,095.77. The resident was confused and unable to provide details. The facility had prior similar incidents and was unable to identify the perpetrator. The investigation was ongoing.

The purpose of this inspection was to investigate intake # GA00205999, which involved allegations of financial theft and exploitation of Resident #1's bank card.

The investigation found that the facility failed to ensure the health and safety of residents by not preventing financial exploitation of Resident #1. Five unauthorized $500 ATM cash advances totaling $2,518.15 were made using Resident #1's bank card by Staff D, who was subsequently terminated. The police and Department were notified, and the resident was reimbursed.

The complaint investigation was substantiated based on record review, staff interviews, and video evidence showing Staff D made unauthorized ATM withdrawals using Resident #1's bank card. Staff D was terminated and law enforcement was involved.

The purpose of this review is to monitor COVID 19 cases and assess infection control processes.

The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.

The visit was conducted to investigate complaint intakes #GA00200210, #GA00200121, and #GA00200170 through an unannounced visit on 10/21/2019, with the investigation completed on 10/25/2019.

The facility failed to ensure residents received adequate and appropriate care, as evidenced by delayed response to a call button, insufficient staffing levels, and residents not being prepared for bed or breakfast on time due to staff shortages.

The investigation was triggered by complaint intakes #GA00200210, #GA00200121, and #GA00200170. Resident #05 and staff interviews confirmed staffing shortages leading to delayed care and missed opportunities for timely assistance with activities of daily living.

The purpose of this visit was to investigate intake #GA00198794.

The facility failed to include a statement in the admission agreement that residents and their representatives must be informed in writing at least 30 days prior to any increase in charges related to personal services for 4 of 4 residents reviewed. The admission agreement only provided for 60 days notice for room and board charges, but immediate charges for increased care services were noted.

Investigation of intake #GA00198794 regarding failure to provide proper written notice of fee increases related to personal services.

The purpose of this visit was to investigate intake GA00197596.

There were no rule violations cited as a result of this visit.

Investigation of intake GA00197596 with no rule violations cited.

The purpose of the visit was to conduct the initial inspection of the facility.

There were no rule violations cited as a result of this inspection.