Inspection Reports for Elaine’s Personal Care Home II

626 E Riverbend Dr SW, Lilburn, GA 30047, USA, GA, 30047

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

59% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2019
2025
Inspection Report Renewal Deficiencies: 1 Feb 26, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure inspection of the facility on 2/26/25.
Findings
The facility failed to ensure that the hot water temperature did not exceed 120 degrees Fahrenheit, with a measured temperature of 127.5 degrees F in a resident bathroom.
Severity Breakdown
D: 1
Deficiencies (1)
DescriptionSeverity
The home must have an adequate hot water system that supplies heated water not exceeding 120 degrees Fahrenheit to residents. The facility failed to ensure this requirement was met as water temperature measured 127.5 degrees F.D
Report Facts
Water temperature: 127.5
Employees Mentioned
NameTitleContext
Staff AWitnessed water temperature reading and acknowledged it should have been below 120 degrees F
Inspection Report Routine Deficiencies: 0 May 8, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report Follow-Up Deficiencies: 2 Oct 29, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 4/26/18 investigation.
Findings
The facility failed to ensure it retained only ambulatory residents capable of self-preservation with minimal assistance, specifically Resident #4 who was bedbound and required total care. Additionally, the facility retained a resident who required physical restraints or confinement, as evidenced by the use of full bed rails for Resident #4.
Severity Breakdown
SS= D: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to retain only ambulatory residents capable of self-preservation with minimal assistance for Resident #4 who was bedbound and unable to stand or ambulate.SS= D
Facility retained a resident who required physical restraints or confinement, as Resident #4 was bedbound with full bed rails used for turning and fall prevention.SS= D
Employees Mentioned
NameTitleContext
Staff BInterviewed regarding Resident #4's condition and use of bed rails.
Inspection Report Complaint Investigation Deficiencies: 1 Apr 24, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00187646 with an on-site visit made on 4/24/18 and the investigation completed on 4/26/18.
Findings
The facility failed to ensure that Resident #1 was allowed to communicate freely and privately with persons of the resident's choice, restricting communication with friends from New York despite the resident's wishes and causing distress.
Complaint Details
Complaint #GA00187646 was investigated. The complaint involved denial of communication rights for Resident #1 with friends from New York. The investigation included interviews with friends, staff, and the resident, confirming restricted communication imposed by the responsible party and facility staff.
Severity Breakdown
SS= D: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to ensure each resident was allowed the right to communicate freely and privately with persons of the resident's choice for 1 of 3 sampled residents (Resident #1).SS= D
Inspection Report Routine Deficiencies: 2 Apr 12, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection of Elaine's Personal Care Home II.
Findings
The facility failed to maintain evidence of staff training and recertification for one of four sampled staff, and failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for one of four sampled residents.
Severity Breakdown
SS= D: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to include evidence of training and recertification for First Aid in the personnel file of one staff member.SS= D
Facility failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for one resident.SS= D
Report Facts
Sampled staff: 4 Sampled residents: 4 Deficiencies cited: 2
Employees Mentioned
NameTitleContext
Staff CStaff member whose personnel file lacked evidence of First Aid recertification
Staff AInterviewed staff who stated Staff C had recertification but card was not on file
Staff DInterviewed staff who confirmed medication was given but MAR was not updated

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