Inspection Reports for Fountainview Ctr for Alzheimer
2631 NORTH DRUID HILLS ROAD N E, GA, 30329
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 3, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for the facility identified as Fountainview Center for Alzheimer, indicating a regulatory inspection was completed.
Findings
The report contains initial comments but does not provide detailed findings or deficiencies within the provided page.
Inspection Report
Re-Inspection
Census: 106
Deficiencies: 0
Jul 3, 2025
Visit Reason
A revisit survey was conducted on 7/2/2025 to verify correction of deficiencies cited during the 5/16/2025 recertification survey with complaints.
Findings
All deficiencies cited as a result of the 5/16/2025 recertification survey with complaints were found to be corrected.
Inspection Report
Life Safety
Census: 102
Capacity: 120
Deficiencies: 0
May 21, 2025
Visit Reason
The visit was conducted as a Life Safety Code Survey to assess compliance with fire safety regulations and related standards.
Findings
The facility was found to be in substantial compliance with the requirements for participation in Medicare/Medicaid under 42 CFR Subpart 483.90(a) and the NFPA 101 Life Safety Code 2012 edition. The Emergency Preparedness Plan was also reviewed and found to be in substantial compliance.
Inspection Report
Routine
Deficiencies: 2
May 16, 2025
Visit Reason
A State Licensure survey was conducted at Fountainview Center for Alzheimer's Disease from May 13, 2025, through May 16, 2025, to assess compliance with state health regulations.
Findings
The survey revealed deficiencies including failure to prevent and treat pressure ulcers for one resident, and failure to implement nonpharmacological interventions for pain management for another resident. The facility lacked specific care policies including pain management and opioid medication use.
Deficiencies (2)
| Description |
|---|
| Failure to prevent and provide treatment for a resident's pressure ulcer, including inadequate repositioning and use of a non-specialized wheelchair cushion. |
| Failure to ensure nonpharmacological interventions were implemented for a resident with chronic pain, placing the resident at risk for unmanaged pain and unnecessary medication use. |
Report Facts
Sampled residents reviewed for pressure ulcers: 24
Residents sampled with pressure ulcer deficiency: 1
Residents sampled with pain management deficiency: 1
Pressure ulcer size: 1.2
Pressure ulcer size: 0.5
Pressure ulcer size: 0.2
Pressure ulcer necrotic tissue percentage: 20
Hydrocodone dosage: 5.325
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide 1 | Certified Nurse Aide | Interviewed regarding Resident 91's repositioning and wheelchair use |
| Certified Nurse Aide 2 | Certified Nurse Aide | Interviewed about Resident 91 being placed in bed |
| Licensed Practical Nurse 1 | Licensed Practical Nurse | Interviewed about Resident 91's wheelchair use and repositioning |
| Licensed Practical Nurse 3 | Licensed Practical Nurse, Wound Nurse | Interviewed about wheelchair cushion and wound care for Resident 91 |
| Director of Nurses | Director of Nurses | Interviewed about wheelchair cushion and pain management policies |
| Licensed Practical Nurse 2 | Licensed Practical Nurse | Interviewed about Resident 5's pain and nonpharmacological interventions |
Inspection Report
Routine
Census: 100
Deficiencies: 5
May 16, 2025
Visit Reason
A standard survey was conducted at Fountainview Center for Alzheimer's Disease from May 13, 2025, through May 16, 2025, to assess compliance with Medicare/Medicaid regulations.
Findings
The facility was found not in substantial compliance with regulations, with deficiencies including failure to monitor psychotropic medication side effects, inadequate pressure ulcer prevention and treatment, lack of nonpharmacological pain interventions, inaccurate nursing staffing postings, and an ineffective antibiotic stewardship program.
Severity Breakdown
D: 4
C: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure targeted behaviors and potential side effects were monitored for administered psychotropic medications for one resident. | D |
| Failure to prevent and provide treatment for pressure ulcers for one resident, including inadequate repositioning and inappropriate wheelchair cushion. | D |
| Failure to ensure nonpharmacological interventions were implemented for pain management for one resident. | D |
| Failure to ensure daily nursing staffing data was posted accurately and reflected current staffing hours for three of four days. | C |
| Failure to maintain a functional Antibiotic Stewardship Program ensuring antibiotics met McGreer criteria and CDC guidance for one resident. | D |
Report Facts
Resident census: 100
Pressure ulcer size: 1.2
Pressure ulcer size: 0.5
Pressure ulcer size: 0.2
Pressure ulcer necrotic tissue: 20
Hydrocodone dose: 5
Hydrocodone dose: 325
Levaquin dose: 500
Levaquin duration: 3
Nursing staffing hours: 104
Nursing staffing hours: 217.5
Nursing staffing hours: 120
Nursing staffing hours: 255
Nursing staffing hours: 120
Nursing staffing hours: 232.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN 5 | Licensed Practical Nurse | Confirmed no monitoring of psychotropic medication side effects for Resident 82 |
| Director of Nursing | Director of Nursing | Confirmed no monitoring of psychotropic medication side effects for Resident 82; confirmed wheelchair cushion issue and staffing sheet inaccuracies |
| LPN 3 | Wound Nurse | Confirmed sacrum wound was facility acquired and discussed wheelchair cushion for Resident 91 |
| CNA 1 | Certified Nurse Aide | Reported Resident 91 was placed in bed late in the afternoon |
| Staffing Coordinator | Staffing Coordinator | Completed nurse staffing information sheets and acknowledged errors |
| Medical Director | Medical Director | Prescribed antibiotic prophylactically for Resident 95 despite not meeting McGreer criteria |
Inspection Report
Abbreviated Survey
Census: 108
Deficiencies: 0
Dec 30, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint number GA00250990.
Findings
The complaint was substantiated, but no regulatory violations were cited during the survey.
Complaint Details
Complaint GA00250990 was substantiated.
Report Facts
Complaint number: 1
Inspection Report
Abbreviated Survey
Census: 117
Deficiencies: 0
Aug 16, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00248344.
Findings
The complaint was unsubstantiated, and no regulatory violations were cited during the survey.
Complaint Details
Complaint GA00248344 was investigated and found to be unsubstantiated.
Inspection Report
Deficiencies: 0
Mar 12, 2024
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for the Fountainview Center for Alzheimer, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not provide specific findings or deficiencies in the provided page.
Inspection Report
Re-Inspection
Census: 111
Deficiencies: 0
Mar 12, 2024
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 1/18/2024 Recertification Survey.
Findings
All deficiencies cited as a result of the 1/18/2024 Recertification Survey were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Mar 5, 2024
Visit Reason
A Follow-Up Survey was conducted as a desk review to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted in the follow-up survey.
Inspection Report
Life Safety
Census: 113
Capacity: 120
Deficiencies: 3
Jan 18, 2024
Visit Reason
The inspection was a Life Safety Code Survey conducted to assess compliance with 42 CFR Subpart 483.90(a), Life Safety from Fire, and the related NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with life safety requirements, including issues with door locking mechanisms that could delay occupant removal, corridor doors not properly resisting smoke passage due to excessive gaps, and improper storage of oxygen cylinders with full and empty cylinders intermixed.
Severity Breakdown
E: 2
D: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Egress doors were equipped with locks requiring keys or tools from the egress side, and not all staff had immediate access to keys, delaying rapid occupant removal. | E |
| Corridor doors had gaps exceeding the maximum allowable distance, failing to resist the passage of smoke. | E |
| Oxygen cylinders were stored improperly with full and empty cylinders intermixed instead of segregated. | D |
Report Facts
Census: 113
Total Capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member who confirmed findings during facility tour and interviews |
Inspection Report
Annual Inspection
Census: 114
Deficiencies: 3
Jan 18, 2024
Visit Reason
The inspection was a Licensure Survey conducted from January 15, 2024 through January 18, 2024 to assess compliance with state regulations for Fountainview Center for Alzheimer.
Findings
The facility was found deficient in multiple areas including failure to have a documented water management program to prevent Legionella growth affecting all 114 residents, failure to implement a comprehensive person-centered care plan for a resident's restorative rehabilitation involving a hand splint, and failure to properly manage and store nutritional supplements and maintain cleanliness in food storage areas.
Deficiencies (3)
| Description |
|---|
| Failure to have a documented water management program to monitor and prevent growth of opportunistic water-borne pathogens such as Legionella. |
| Failure to implement the comprehensive person-centered plan of care for resident R53 by not applying the prescribed hand splint, placing the resident at risk of worsening contractures. |
| Failure to discard containers of buttermilk with expired expiration dates, failure to date nutritional supplements when removed from freezer and when opened, and failure to clean drawers containing food products. |
Report Facts
Residents affected: 114
Resident reviewed for restorative care: 1
Expired buttermilk containers: 2
Undated thawed nutritional supplement cartons: 3
Shelf life of thawed nutritional supplements: 14
Undated opened oral nutritional supplement containers: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Confirmed lack of documented water management system and described water monitoring practices. | |
| Administrator | Verified unawareness of requirement for water management program. | |
| LPN 2 | Licensed Practical Nurse | Cared for resident R53 and stated she had not seen the left hand splint for a while. |
| CNA 2 | Certified Nursing Assistant | Regularly cared for resident R53 and did not recall last application of hand splint. |
| Therapy Director | Stated CNAs were responsible for applying R53's left hand splint daily. | |
| MDS Coordinator | Verified physician's order and care plan responsibilities for resident R53's hand splint. | |
| Cook 1 | Confirmed expired buttermilk containers. | |
| Dietary Manager | Confirmed undated nutritional supplements and unclean drawers, and provided manufacturer's shelf life information. |
Inspection Report
Routine
Census: 114
Deficiencies: 6
Jan 18, 2024
Visit Reason
A standard survey was conducted from 1/15/2024 through 1/18/2024 to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to issue correct Medicare beneficiary notices, failure to implement care plans such as applying hand splints, inadequate pressure ulcer prevention and treatment, unsanitary food storage practices, and lack of a documented water management program to prevent waterborne pathogens.
Severity Breakdown
Level D: 3
Level F: 2
Level G: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to issue correct Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNFABN) Medicare Form 10055 to residents R86 and R20. | Level D |
| Failed to implement comprehensive care plan by not applying hand splint to resident R53's contracted left hand. | Level D |
| Failed to implement pressure injury interventions for residents R37 and R98, resulting in development and worsening of pressure ulcers. | Level G |
| Failed to apply left-hand splint to resident R53 to prevent worsening contractures. | Level D |
| Failed to discard expired buttermilk, date nutritional supplements when thawed and opened, and clean food drawers in resident dining areas. | Level F |
| Failed to have a documented water management program to monitor and prevent growth of opportunistic water-borne pathogens. | Level F |
Report Facts
Facility census: 114
Expired buttermilk containers: 2
Undated nutritional supplement cartons: 3
Undated opened nutritional supplement containers: 2
Braden score: 15
Braden score: 12
Wound measurements: 0.5
Wound measurements: 0.6
Wound measurements: 0.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Failed to transcribe physician's verbal order for treatment to resident R98's left hip pressure ulcer |
| Social Services Director | Social Services Director | Admitted to using wrong Medicare form CMS-R-131 instead of CMS-10055 for Medicare Part A termination notices |
| Director of Nursing | Director of Nursing | Acknowledged resident R37 developed pressure ulcer due to health decline and contractures |
| Medical Director | Medical Director | Confirmed resident R37's pressure ulcer development and resident R98's end stage condition |
| Dietary Manager | Dietary Manager | Confirmed failure to date nutritional supplements and clean food drawers |
| Maintenance Director | Maintenance Director | Confirmed lack of documented water management program and incomplete documentation of water flushing |
| MDS Coordinator | MDS Coordinator | Verified care plan responsibility for applying resident R53's left hand splint |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Dec 28, 2023
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00239744.
Findings
The complaint #GA00239744 was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00239744 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Census: 39
Inspection Report
Follow-Up
Deficiencies: 0
Jan 4, 2023
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
Inspection Report
Life Safety
Census: 92
Capacity: 120
Deficiencies: 1
Oct 5, 2022
Visit Reason
An unannounced Emergency Preparedness survey and a Life Safety Code Federal Monitoring Survey were conducted following a prior state survey. The visit was to assess compliance with emergency preparedness and life safety code requirements.
Findings
The facility was found in substantial compliance with emergency preparedness requirements but not in substantial compliance with life safety code requirements. A deficiency was identified related to the failure to install required fire extinguisher placard/signage in the kitchen.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to install fire extinguisher placard/signage indicating the use order of the Ansul hood extinguishing system and fire extinguishers in the kitchen. | D |
Report Facts
Certified beds: 120
Census: 92
Fire extinguishing devices affected: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Present when the fire extinguisher signage deficiency was identified |
Inspection Report
Plan of Correction
Deficiencies: 1
Sep 12, 2022
Visit Reason
The inspection was conducted to evaluate the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 09/05/2022 and 09/11/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period. | F |
Report Facts
Reporting period: 7
Inspection Report
Life Safety
Census: 93
Capacity: 120
Deficiencies: 0
Aug 16, 2022
Visit Reason
The visit was conducted as a Life Safety code survey to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 Edition.
Findings
The facility was found to be in substantial compliance with the Life Safety code requirements and the Emergency Preparedness Program met the requirements set forth in 42 CFR 483.73.
Report Facts
Certified Beds: 120
Census: 93
Inspection Report
Routine
Census: 93
Deficiencies: 0
Aug 16, 2022
Visit Reason
A standard survey was conducted at Fountainview Center for Alzheimer's from August 16, 2022 through August 18, 2022. Additionally, two complaints (GA00223447 and GA00220268) were investigated in conjunction with this survey.
Findings
The standard survey revealed that the facility was in compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B. Both complaints investigated were unsubstantiated.
Complaint Details
Two complaints (GA00223447 and GA00220268) were investigated and found to be unsubstantiated.
Inspection Report
Routine
Census: 74
Deficiencies: 0
Jan 29, 2021
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to assess the facility's compliance with relevant federal regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 infection control regulations, implementing CMS and CDC recommended practices for COVID-19.
Inspection Report
Abbreviated Survey
Census: 98
Deficiencies: 0
Jun 26, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted by Ascellon on behalf of the Georgia Department of Community Health on June 25-26, 2020 to assess compliance with COVID-19 related regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices for COVID-19 preparation.
Report Facts
Total census: 98
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 9, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00 1967553 and GA00 197559.
Findings
The complaints were unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
The complaints investigated were unsubstantiated with no deficiencies cited.
Inspection Report
Re-Inspection
Census: 116
Deficiencies: 0
Jul 8, 2019
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the previous standard survey conducted on 2019-05-09.
Findings
All deficiencies cited as a result of the 5/9/19 Standard Survey were found to be corrected during the revisit survey.
Inspection Report
Life Safety
Census: 114
Capacity: 120
Deficiencies: 0
May 8, 2019
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the National Fire Protection Association (NFPA) 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in substantial compliance with the Emergency Preparedness Plan requirements and Life Safety Code standards during the survey.
Inspection Report
Follow-Up
Deficiencies: 0
May 3, 2018
Visit Reason
A follow-up survey was conducted to verify that all previously cited tags had been corrected.
Findings
The follow-up survey noted that all previously cited tags have been corrected.
Inspection Report
Annual Inspection
Census: 118
Deficiencies: 0
Mar 29, 2018
Visit Reason
A standard survey was conducted at The Fountainview Center for Alzheimer's Disease from March 26, 2018 through March 29, 2018.
Findings
The standard survey revealed that the facility was in substantial compliance with the Health portion of Medicare/Medicaid regulations at 42 Code of Federal Regulations (C.F.R.) Part 483, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 118
Capacity: 120
Deficiencies: 1
Mar 26, 2018
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.70(a) and NFPA 101 Life Safety Code 2012 Edition requirements for participation in Medicare/Medicaid.
Findings
The facility was found not in substantial compliance due to failure to maintain two doors in the laundry room area; the doors would not close and latch properly, and one door was missing a door knob creating a smoke hole, posing a risk of smoke migration into the patient floor zone.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to maintain 2 doors in the laundry room area that would not close and latch properly, with one door missing a door knob creating a smoke hole. | SS= D |
Report Facts
Census: 118
Certified Beds: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings regarding doors in the laundry room area during the tour |
Inspection Report
Follow-Up
Deficiencies: 0
Jul 28, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The survey noted that all previously cited deficiencies had been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Jul 25, 2017
Visit Reason
A follow-up inspection was conducted to verify correction of previously identified deficiencies.
Findings
All deficiencies identified in the prior inspection had been corrected as of the follow-up visit.
Inspection Report
Life Safety
Census: 115
Capacity: 120
Deficiencies: 3
Jun 5, 2017
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found not in substantial compliance with fire safety requirements, including deficiencies in sprinkler system maintenance and testing, smoke barrier construction, and electrical safety equipment. These issues could place residents and staff at risk in the event of a fire.
Severity Breakdown
E: 2
D: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Sprinkler system maintenance and testing deficiencies including loaded sprinkler heads impairing activation in resident rooms and lack of 5-year inspection records. | E |
| Smoke barrier penetrations above doors on rated walls allowing smoke passage. | D |
| Multiple outlet power strips located unprotected on floors in general office and physical therapy areas, posing electrical shock risk. | E |
Report Facts
Residents at risk: 45
Residents at risk: 5
Census: 115
Total capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and observations |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 17, 2017
Visit Reason
The inspection was conducted as a Complaint Survey to investigate complaints #GA 00163198 and #GA 00159034 and to determine compliance with Federal and State Long Term Care regulations.
Findings
No deficiencies were cited during the complaint survey conducted at Fountainview Center for Alzheimer.
Complaint Details
The survey was conducted in response to complaints #GA 00163198 and #GA 00159034. No deficiencies were found, indicating the complaints were not substantiated.
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