Inspection Reports for Hamilton Place Personal Living, LLC
2215 OLD HAMILTON PL, GAINESVILLE, GA, 30507
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 7, 2025, found a deficiency related to staff training in dementia-specific orientation within the first 30 days of employment in the memory care center. Earlier inspections showed a pattern of deficiencies involving staff training and housekeeping standards, as well as issues with reporting serious injuries and medication management. Prior reports also noted concerns with staffing levels, resident care including hygiene assistance, medication administration, and property security, with some substantiated complaints of physical abuse and staff misconduct. Enforcement actions such as staff termination for theft were documented, but fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges in staff training and care practices, with no clear trend of consistent improvement or worsening over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
6 residents
Based on a May 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 7, 2025
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA50004803, #GA50005401, #GA50005650, and #GA50006348 with an onsite visit conducted on 10/7/2025.
Complaint Details
The visit was complaint-related, investigating four specific complaint intakes as listed in the report.
Findings
The facility failed to ensure that all staff received at least four hours of dementia-specific orientation within the first 30 days of working in the memory care center, as required by training regulations effective July 1, 2021.
Deficiencies (1)
Failure to ensure general orientation of at least four hours was completed within the first 30 days for staff working in the memory care center, including training on Alzheimer's Disease and other dementias.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The purpose of the survey was investigation #GA50004212, #GA50003965, and #GA50003964.
Complaint Details
Investigation of complaints #GA50004212, #GA50003965, and #GA50003964 with no rule violations cited.
Findings
No rule violations were cited during the onsite visit.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 23, 2025
Visit Reason
The purpose of this survey was to investigate complaints #GA50001402, GA50001918, GA50002512, and GA50002588. The onsite visit and investigation were completed on 4/23/2025.
Complaint Details
Investigation was conducted based on multiple complaint numbers (#GA50001402, GA50001918, GA50002512, GA50002588).
Findings
The facility failed to ensure housekeeping standards were clean and sanitary, as evidenced by the smell of urine in the memory care unit hallway and common area observed during the tour and confirmed by staff interviews.
Deficiencies (1)
Facility failed to ensure housekeeping standards were clean and sanitary; memory care unit hallway and common area smelled of urine.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 10, 2025
Visit Reason
The purpose of this survey was to investigate complaints #GA50000359, GA00251945, GA00252290, and GA50000662.
Complaint Details
Investigation of four complaint cases with no rule violations cited.
Findings
The onsite visit was conducted on 2024-03-07. No rule violations were cited.
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Dec 4, 2024
Visit Reason
The purpose of this survey was to investigate complaints #GA00250308, #GA00250300, and #GA00250926 and conduct a compliance inspection with onsite visits on 12/4/24 and 12/5/24.
Complaint Details
The inspection was complaint-driven based on investigation of complaints #GA00250308, #GA00250300, and #GA00250926.
Findings
The facility failed to maintain personnel files with required trainings for sampled staff, including current certification in emergency first aid, cardiopulmonary resuscitation (CPR), emergency evacuation procedures, infection control, and at least sixteen hours of annual training. Multiple staff files lacked documentation of these trainings.
Deficiencies (5)
Failed to maintain personnel files with current certification in emergency first aid for 2 of 4 sampled staff (Staff B and Staff D).
Failed to maintain personnel files with evidence of certification in cardiopulmonary resuscitation (CPR) for 2 of 4 sampled staff (Staff B and Staff D).
Failed to maintain staff files with training in emergency evacuation procedures for 2 of 4 sampled staff (Staff C and Staff D).
Failed to maintain staff files with training in infection control for 2 of 4 sampled staff (Staff C and Staff D).
Failed to provide personnel files with at least sixteen hours of training per year for 3 of 4 sampled staff (Staff B and Staff C).
Report Facts
Sampled staff count: 4
Staff lacking first aid training: 2
Staff lacking CPR training: 2
Staff lacking emergency evacuation training: 2
Staff lacking infection control training: 2
Staff lacking 16 hours annual training: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00249296 and #GA0024884.
Complaint Details
Investigation of intake #GA00249296 and #GA0024884 with no violations cited.
Findings
No violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 3, 2024
Visit Reason
The purpose of this survey was to investigate complaints #GA00246913, #GA00246626, GA00247106, GA00247312, GA00247450, and GA00247610.
Complaint Details
The visit was complaint-related, investigating multiple complaint numbers, with no rule violations found.
Findings
No rule violations were cited during the onsite visit.
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 1
Date: May 8, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00245718 and #GA00246221 with onsite visits on 5/2/24 and 5/8/24, completing the investigation on 5/8/24.
Complaint Details
Investigation was conducted based on complaint intakes #GA00245718 and #GA00246221. The deficiency was substantiated as the facility failed to report a serious injury for Resident #1.
Findings
The facility failed to report a serious injury requiring medical treatment for one resident who sustained a facial laceration from a fall on 4/11/24, which required sutures. Staff interviews confirmed the injury was not reported due to lack of awareness of reporting requirements.
Deficiencies (1)
Failure to report a serious injury requiring medical treatment for 1 of 6 residents (Resident #1) after a fall resulting in a facial laceration requiring sutures.
Report Facts
Residents present during investigation: 6
Dates of onsite visits: 5/2/24 and 5/8/24 (dates of onsite visits)
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed on 5/2/24 and stated unawareness of reporting requirement for Resident #1's injury |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
The purpose of this survey was to investigate complaints #GA00244230 and GA00243294.
Complaint Details
Investigation of complaints #GA00244230 and GA00243294 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 6, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00242888 and #GA00242708.
Complaint Details
Investigation began on 2024-02-05, an onsite visit was made on 2024-02-06, and the investigation was completed on 2024-02-06. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 8
Date: Oct 25, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00239659 and #GA00238422 and conduct a compliance inspection at the facility.
Complaint Details
The visit was complaint-related, investigating intakes #GA00239659 and #GA00238422. The investigation started on 2023-10-23 and was completed on 2023-11-01.
Findings
The facility failed to maintain plumbing and bathroom fixtures in good working order, keep floors and walls clean and in good repair, maintain daily cleaning and sanitation of kitchen and bathroom areas, meet minimum staffing requirements with a certified medication aide onsite at all times, ensure timely medication refills, properly dispose of unused medications, keep the kitchen clean and disinfected, and ensure residents received adequate and appropriate care including medication administration.
Deficiencies (8)
Exhaust fan in Resident #1's bathroom was not operable.
Broken and detached floor tiles in Resident #6's room; floors in Resident #6 and #9 rooms had loose dirt; baseboard separated from wall in memory care dining area.
Bathrooms and kitchen areas were not cleaned and sanitized daily; dark brown splattered substances found in Resident #1 and #3 bathrooms; kitchenette sink drain filled with food particles.
Facility failed to maintain minimum staffing requirements; no certified medication aide (CMA) onsite at all times in memory care.
Refills of prescribed medications were not obtained timely causing interruption in routine dosing for Resident #3.
Failed to properly dispose of unused medication (Buspirone) for Resident #4.
Kitchen and food storage areas were not kept clean and disinfected; food particles and stains found in memory care refrigerator, microwave, and main kitchen coolers.
Residents #2, #3, and #4 did not receive prescribed medications as documented on MARs without explanation or notification to staff.
Report Facts
Medication unavailability duration: 11
Discontinued medication date: Oct 17, 2023
Missed medication doses: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding unawareness of exhaust fan issue, cleaning and repair plans, medication availability, and staffing compliance | |
| Staff B | Present during tours and interviews; acknowledged issues with cleaning, staffing, medication administration, and disposal | |
| Staff E | Certified Medication Aide (CMA) | Observed providing medication assistance; reported as only CMA on duty during certain shifts |
| Staff I | Interviewed about housekeeping responsibilities and cleaning | |
| Staff J | Interviewed about kitchen cooler cleanliness |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Feb 21, 2023
Visit Reason
The purpose of this survey was to investigate complaint numbers #GA00231549 and #GA00230000 during an onsite visit on 2/21/2023.
Complaint Details
The investigation was complaint-related, focusing on allegations of physical abuse involving Resident #5. The complaint was substantiated based on observations, interviews, and record reviews confirming Staff D slapped the resident's hand causing a bruise.
Findings
The facility failed to display the most recent inspection report and plan of correction. Additionally, the facility failed to ensure a resident was free from physical abuse, as Staff D slapped Resident #5's hand during a transfer, resulting in a bruise and discoloration.
Deficiencies (2)
Facility failed to display the most recent inspection report and plan of correction.
Facility failed to ensure each resident was free from physical abuse for 1 of 5 sampled residents (Resident #5) involving Staff D slapping the resident's hand during transfer.
Report Facts
Sampled residents: 5
Incident date: Nov 25, 2022
Resident admission date: Mar 9, 2022
Resident death date: Jan 3, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in physical abuse finding involving slapping Resident #5's hand | |
| Staff B | Witness and assistant during transfer of Resident #5 | |
| Staff C | Witness and assistant during transfer of Resident #5 | |
| Staff A | Interviewed regarding inspection report display and made aware of abuse findings |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 6, 2022
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00229026 and #GA00229697 regarding medication administration and resident rights concerns at the facility.
Complaint Details
The investigation was complaint-driven based on intakes #GA00229026 and #GA00229697. The complaints involved medication administration failures and resident rights violations. The allegations concerning Staff C forcibly administering crushed medications were substantiated.
Findings
The facility failed to ensure timely medication availability for Resident #1, resulting in missed doses from 10/12/22 to 10/18/22. Additionally, allegations were substantiated that Staff C forcibly administered crushed medications to Resident #1 against their will, violating resident rights.
Deficiencies (2)
Failure to ensure medications were obtained timely, causing interruption in routine dosing for Resident #1.
Failure to ensure Resident #1's right to receive or reject medical care, with Staff C forcibly administering crushed medications.
Report Facts
Missed medication days: 7
Medications listed: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Failed to ensure medications were onsite and available, resigned effective 10/20/22. | |
| Staff C | Terminated for forcibly administering crushed medications to Resident #1 and failure to follow company policy. | |
| Staff E | Witnessed and reported Staff C's improper medication administration and resident agitation. | |
| Staff D | Witnessed Staff C forcibly administering crushed medications and provided statements. | |
| Staff F | Witnessed Staff C crush medications but did not know for whom. | |
| Staff A | Was aware of the findings. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 31, 2022
Visit Reason
The purpose of this survey was to investigate complaint #GA00226516. The onsite visit was conducted on 8/31/2022 to investigate allegations related to unauthorized charges on a resident's credit/debit card.
Complaint Details
The investigation was initiated due to complaint #GA00226516 regarding fraudulent charges on Resident #1's debit and credit cards by staff. The complaint was substantiated with evidence of over 65 unauthorized charges of $9.99 each and 32 unauthorized charges of $4.99 each, plus an additional fraudulent charge of $106.90. Staff B was identified as responsible and terminated for theft.
Findings
The facility failed to ensure reasonable safeguards for the protection and security of Resident #1's personal property, resulting in multiple unauthorized charges on the resident's credit and debit cards by Staff B, who was subsequently terminated for theft.
Deficiencies (1)
Facility failed to ensure reasonable safeguards for the protection and security of Resident #1's personal property, resulting in unauthorized charges on the resident's credit and debit cards.
Report Facts
Unauthorized charges: 65
Unauthorized charges: 32
Credit received: 1702.68
Fraudulent charge amount: 106.9
Date of Staff B termination: Jan 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Hired 3/1/2021, terminated 1/26/2022 for theft related to unauthorized use of Resident #1's credit/debit card | |
| Staff A | Reported the incident to law enforcement and was made aware of the findings | |
| Staff D | Reported that Staff B made online purchases using Resident #1's card | |
| Staff E | Informed by Resident #1 about unauthorized charges | |
| AA | Interviewed and stated Resident #1 reported fraudulent charges by staff |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 27, 2022
Visit Reason
The purpose of this survey was to investigate complaint numbers #GA00225586 and #GA00225488.
Complaint Details
Investigation of complaints #GA00225586 and #GA00225488 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 21, 2022
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00224761 and #GA00224928, with the investigation beginning on 2022-06-27, an on-site visit on 2022-06-29, and completion on 2022-07-21.
Complaint Details
Investigation was initiated due to complaint intakes #GA00224761 and #GA00224928. Resident #2 reported lack of assistance with showers and bathing, which was substantiated by interviews and record review.
Findings
The facility failed to provide sufficient staff time to assist Resident #2 with daily hygiene, including baths. Resident #2 had only two showers since admission on 2022-04-16, with reports from staff and the resident indicating inadequate bathing assistance and lack of scheduled showers.
Deficiencies (1)
Facility failed to provide sufficient staff time such that Resident #2 was given assistance with daily hygiene, including baths.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 5, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220030.
Complaint Details
Investigation of intake #GA00220030 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 1
Date: Oct 28, 2021
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00217981 and #GA00218433. The investigation started on 2021-10-27 and was completed on 2021-10-29, with an on-site visit on 2021-10-28.
Complaint Details
The investigation was initiated due to complaint intakes #GA00217981 and #GA00218433. The complaint involved inadequate staffing and supervision during an emergency involving Resident #4, who called 911 and required fire department intervention.
Findings
The facility failed to provide adequate staffing to meet residents' ongoing health, safety, and care needs. Specifically, on 9/28/21, only two staff members were on duty for 19 residents, resulting in a situation where the memory care unit was left unsupervised during a fire department response to a resident's 911 call.
Deficiencies (1)
Failed to provide staffing to meet residents' ongoing health, safety, and care needs, including leaving the memory care unit unsupervised during an emergency.
Report Facts
Resident census: 19
Staff on duty: 2
Resident admission date: Jun 1, 2020
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Sep 15, 2021
Visit Reason
The purpose of this inspection was to investigate intake GA00215944, with the investigation beginning on 2021-08-09, an on-site visit on 2021-08-12, and completion on 2021-09-15.
Complaint Details
The inspection was complaint-related, investigating intake GA00215944. The complaint included issues such as broken doors leading to elopement, unclean conditions, and staff mistreatment of residents. The complaint was substantiated based on observations and interviews.
Findings
The facility was found deficient in multiple areas including failure to maintain doors with proper latching hardware, failure to keep floors and walls clean and in good repair, failure to sanitize bathrooms daily, failure to utilize effective safety devices to prevent elopement of residents at risk, failure to develop individual service plans within 14 days of admission for certain residents, and failure to treat residents with dignity and respect.
Deficiencies (6)
Doors in private living spaces occupied by residents were not equipped with side-hinged permanently mounted doors with positively latching hardware, including a broken bathroom door knob in Resident #1's room.
Facility failed to keep floors and walls clean and in good repair, with observations of spiderwebs, mold spots, and black particles in resident rooms.
Facility failed to sanitize bathrooms daily and more often as needed; toilets, sinks, showers, and floors were observed unclean with residues and a used adult brief on the floor.
Facility failed to utilize appropriate effective safety devices to protect residents at risk of eloping; front and side doors were broken and unlocked for over two weeks, leading to Resident #3 eloping.
Facility failed to develop individual service plans within 14 days of admission for Residents #6 and #9.
Facility failed to treat Resident #01 with dignity, kindness, consideration, and respect; complaints of staff member Staff D being crude and mean were documented.
Report Facts
Residents at risk: 9
Residents with missing service plans: 2
Date of elopement incident: Jul 10, 2021
Work schedule date: Aug 11, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in findings related to mistreatment of Resident #01 and working during the time of complaints | |
| Staff A | Interviewed regarding cleaning and mold issues, aware of findings | |
| Staff B | Mentioned in relation to door repair work orders and monitoring doors | |
| Staff E | Interviewed about Resident #3 elopement and care plan usage | |
| AA | Interviewed confirming Resident #3 elopement and staffing issues | |
| CC | Interviewed regarding mold observations | |
| DD | Reported Staff D's behavior and complaints from Resident #01 | |
| EE | Reported complaints about Staff D from Resident #01 and others |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Jun 1, 2021
Visit Reason
The purpose of this visit was to conduct the change of ownership initial inspection. The survey was started on 2021-05-18 and completed on 2021-06-01.
Findings
No rule violations were cited as a result of this inspection.
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