Inspection Reports for Inspired Living at Alpharetta
11450 MORRIS ROAD, ALPHARETTA, GA, 30005.0
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 9, 2025, found no deficiencies. Earlier inspections showed a mixed pattern, with some substantiated complaints involving issues such as failure to enforce policies for resident placement and oversight, inadequate safeguards for resident property leading to theft, and delays in reporting exploitation. Deficiencies primarily involved resident care, documentation, staff training, and protection of resident property. Several complaint investigations were substantiated, including an elopement incident and failure to provide CPR, but fines, immediate jeopardy findings, or license actions were not listed in the available reports. The facility’s recent clean inspection suggests some improvement following earlier issues.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
25 residents
Based on a February 2024 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 9, 2025
Visit Reason
The purpose of this visit was to investigate allegation intake GA00251838.
Complaint Details
Investigation of allegation intake GA00251838 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Aug 1, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00248683 and #GA00248654 through an unannounced visit on 8/1/2024.
Complaint Details
The investigation was triggered by complaints regarding theft of money from Resident #2's apartment and failure to provide health records to Resident #1's legal representative. Resident #2 reported missing cash between $60 and $250 on 6/20/2024. Staff D, a new trainee, was seen on video entering Resident #2's apartment with a key fob without authorization. The police were not called. Staff A delayed reporting the incident to the Department until 7/17/2024. Resident #1's legal representative made multiple requests for health records between 7/24/2024 and 8/5/2024 but had not received them by the time of the inspection.
Findings
The facility failed to ensure the administrator carried out governing body policies, failed to provide reasonable safeguards for resident property resulting in theft of money from Resident #2, failed to provide Resident #1's legal representative with requested health records, and failed to report exploitation of Resident #2 to the Department within 24 hours.
Deficiencies (4)
Failure to ensure the rules and policies adopted by the governing body were carried out by the administrator.
Failure to ensure reasonable safeguards for the protection and security of Resident #2's personal property, resulting in theft of cash money.
Failure to provide a copy of Resident #1's health records to the legal representative upon request.
Failure to report exploitation of Resident #2 to the Department within 24 hours.
Report Facts
Missing cash amount: 250
Incident report delay: 27
Staff employment duration: 4
Number of emails: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Observed reviewing video footage of Resident #2's apartment and responsible for reporting incident to Department. | |
| Staff D | New trainee who entered Resident #2's apartment with a key fob and was terminated. | |
| Staff E | Observed in office during tour and involved in communication about health records. | |
| BB | Interviewed staff member who provided details about the missing money incident and staff key fob usage. | |
| EE | Legal representative and power of attorney for Resident #1 who requested health records. |
Inspection Report
Complaint Investigation
Census: 25
Deficiencies: 2
Date: Feb 16, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243350, involving an elopement incident of Resident #1 from assisted living on 1/31/24.
Complaint Details
The investigation was triggered by intake #GA00243350 regarding Resident #1's elopement on 1/31/24. The complaint was substantiated as the resident eloped from assisted living and was found by police and fire department without injury.
Findings
The facility failed to ensure effective enforcement of policies requiring Resident #1's placement in a specialized memory care unit, resulting in the resident eloping from assisted living and being found in a wooded area without injury. Protective care and watchful oversight were inadequate for Resident #1, who was initially admitted to assisted living despite medical evaluation recommending memory care placement.
Deficiencies (2)
Failure to ensure the administrator enforced policies for Resident #1's placement in a specialized memory care unit.
Failure to provide protective care and watchful oversight for Resident #1, leading to elopement.
Report Facts
Residents observed: 25
Staff observed: 8
Date of elopement: Jan 31, 2024
Distance from facility: 0.3
Temperature high: 54
Temperature low: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1's placement and elopement incident | |
| Staff C | Interviewed about Resident #1's absence and search efforts | |
| Staff D | Observed Resident #1 walking toward front door on day of elopement | |
| Staff E | Observed Resident #1 walking outside and in lobby area | |
| AA | Interviewed about notification and Resident #1's move to memory care |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 13, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00238206. An onsite visit was made to the facility on 9/13/23.
Complaint Details
Investigation of intake #GA00238206 with no deficiencies found or rules cited.
Findings
No rule was cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 25
Deficiencies: 1
Date: Jun 15, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00235715. An onsite visit was made on 6/15/23 and the inspection was completed on 6/23/23.
Complaint Details
Investigation of intake #GA00235715 regarding failure to initiate CPR for Resident #1 who was found non-responsive and expired on 5/30/23. The resident was full code but CPR was not administered. The death was unexpected and no autopsy was performed.
Findings
The facility failed to initiate cardiopulmonary resuscitation (CPR) for 1 of 3 sampled residents (Resident #1) who expired unexpectedly on 5/30/23. Staff interviews and record reviews confirmed the resident was full code, but CPR was not administered and emergency services were not called.
Deficiencies (1)
Failure to initiate cardiopulmonary resuscitation for Resident #1 who expired.
Report Facts
Residents observed: 25
Staff observed: 7
Sampled residents: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 26, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA0023413. The onsite visit was made on 4/26/23.
Complaint Details
Investigation of intake #GA0023413 with no violations cited.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 11, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00233390.
Complaint Details
Investigation of intake #GA00233390 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 27, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00229254 and #GA00229592. An onsite visit was made on 12/27/22 and the investigation was completed on 12/29/22.
Complaint Details
Investigation of intakes #GA00229254 and #GA00229592 with no rule violations cited.
Findings
No rule violations were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 15, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00228147 with an onsite visit made on 11/15/22 and the investigation completed the same day.
Complaint Details
Investigation of intake #GA00228147; no rule violations were found.
Findings
No rule violations were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 26, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00215713. The survey was started on 2021-07-23 and completed on 2021-07-28.
Complaint Details
Investigation of intake #GA00215713 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 11, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00206627, which began on 2020-07-27 and was completed on 2020-08-11.
Complaint Details
Investigation of intake #GA00206627 found no rule violations.
Findings
No rule violation was cited as a result of this inspection.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review was to monitor COVID 19 cases and assess infection control processes.
Findings
The report focused on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 23, 2020
Visit Reason
The purpose of this visit was to conduct the annual inspection and investigate intake #GA00201959.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Sep 26, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00199490.
Complaint Details
The visit was complaint-related, investigating complaint #GA00199490.
Findings
The facility failed to ensure that staff received required training within the first 60 days of employment, including emergency preparedness, emergency first aid, and cardiopulmonary resuscitation (CPR). Additionally, the facility failed to obtain a compliant criminal history background check for one staff member and failed to develop individual written care plans within 14 days of admission for three residents.
Deficiencies (5)
Failure to ensure staff received emergency preparedness training within the first 60 days of employment for 1 of 5 sampled staff (Staff G).
Failure to ensure staff hired to provide hands-on personal services received emergency first aid training within the first 60 days of employment for 2 of 5 sampled staff (Staff A and Staff G).
Failure to ensure staff hired to provide hands-on personal services received cardiopulmonary resuscitation (CPR) training within the first 60 days of employment for 1 of 5 sampled staff (Staff A).
Failure to obtain a criminal records check determination in compliance with O.C.G.A § 31-7-250 et seq. for 1 of 5 sampled staff (Staff B).
Failure to develop individual written care plans within 14 days of admission and require staff to use the care plan as a guide for delivery of care for 3 of 8 residents sampled (Resident #3, Resident #5, Resident #7).
Report Facts
Sampled staff: 5
Sampled residents: 8
Residents without timely care plans: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiencies related to emergency first aid and CPR training. | |
| Staff B | Named in deficiency related to criminal background check. | |
| Staff G | Named in deficiencies related to emergency preparedness and emergency first aid training. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 1, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00196182. An onsite visit was made on 5/1/19 and the investigation was completed on 5/2/19.
Complaint Details
The investigation was triggered by intake #GA00196182 concerning bruising on Resident #1. The complaint was substantiated as the facility failed to provide adequate care and failed to notify the resident's family of the bruising and change in condition.
Findings
The facility failed to ensure that Resident #1 received adequate and appropriate care and services in compliance with state law, as evidenced by unexplained bruising and lack of proper notification to the resident's family. Additionally, the facility failed to notify the resident's next of kin/legal representative about the change in condition related to bruising.
Deficiencies (2)
Failure to provide adequate and appropriate care and services to Resident #1, resulting in unexplained bruising and lack of supervision.
Failure to notify resident's next of kin/legal representative of change in resident's condition related to bruising.
Report Facts
Dates of bruising observations: 4
Number of echymotic areas reported: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Noted bruises on Resident #1 and communicated with family; unaware of bruises on buttocks and leg | |
| Staff D | Observed bruising during morning shower on 4/15/19 and completed body check form | |
| Staff E | Noted severe bruises on Resident #1 on 4/15/19 | |
| Staff A | Reported no documentation of resident checks and stated residents were checked routinely | |
| AA | Resident #1's family member who reported bruising and lack of notification |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 26, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00195218. An onsite visit was made on 3/26/19, and the investigation was completed on 4/9/19.
Complaint Details
Investigation of intake #GA00195218 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 14, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00194994. An onsite visit was made on 3/14/19 and the investigation was completed on 3/15/19.
Complaint Details
Investigation was triggered by intake #GA00194994 regarding neglect of Resident #2, including failure to check soiled briefs and prevent ingestion of inappropriate items. The complaint was substantiated based on record review and staff interviews.
Findings
The facility failed to utilize the resident's individual written care plan as a guide for care delivery and failed to ensure adequate and appropriate care in compliance with state law. Specifically, Resident #2 was found to have inadequate monitoring and care, including failure to check soiled briefs and prevent ingestion of inappropriate items, with no documentation of required room checks.
Deficiencies (2)
Facility failed to utilize the resident's individual written care plan and require staff to use it as a guide for care delivery.
Facility failed to provide care and services which are adequate, appropriate, and in compliance with state law and regulations.
Report Facts
Date of resident admission: May 1, 2018
Date of physician evaluation: Apr 29, 2018
Date of resident pre-move in evaluation: Apr 30, 2018
Date of Individual Service Plan: Jan 19, 2019
Date shift apartment checklist created: Feb 26, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding family report and documentation of room checks | |
| Staff B | Interviewed regarding incident of resident ingesting condiment packets and tea bags | |
| Staff C | Interviewed regarding resident removing soiled briefs and staff checking laundry basket |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 20, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up inspection to a compliance inspection and a complaint investigation conducted on 11/7/18 and 11/15/18.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 27, 2018
Visit Reason
The purpose of this visit was to investigate complaint Intake GA00192337.
Complaint Details
Complaint Intake GA00192337 was investigated and found to have no violations.
Findings
No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Dec 6, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00192614 and conduct the compliance inspection with on-site visits on 11/7/18 and 11/15/18, completed on 12/6/18.
Complaint Details
The visit was complaint-related for complaint #GA00192614. The complaint involved failure to provide required staff training, incomplete resident personal item inventories, and failure to report a serious injury to the Department. The investigation included on-site visits and interviews confirming these deficiencies.
Findings
The facility failed to ensure staff received required training within the first 60 days of employment in areas including Residents' Rights, emergency preparedness, emergency first aid, and CPR for multiple sampled staff. Additionally, the facility failed to ensure tuberculosis screening documentation for one staff member, maintain inventories of residents' personal items for five sampled residents, and report a serious injury to the Department within 24 hours for one resident.
Deficiencies (7)
Failed to ensure staff received training within the first 60 days on Residents' Rights and identification of abuse, neglect, or exploitation for 3 of 6 sampled staff.
Failed to ensure staff received training within the first 60 days on emergency preparedness for 2 of 6 sampled staff.
Failed to ensure staff hired to provide hands-on personal services received emergency first aid training within the first 60 days for 3 of 6 sampled staff.
Failed to ensure staff hired to provide hands-on personal services received CPR certification within the first 60 days for 3 of 6 sampled staff.
Failed to ensure staff received tuberculosis screening within 12 months prior to providing care for 1 of 6 sampled staff.
Failed to include an inventory of valuable personal items in resident files for 5 of 6 sampled residents.
Failed to report a serious injury to a resident requiring medical attention to the Department within 24 hours for 1 of 1 resident.
Report Facts
Sampled staff: 6
Sampled residents: 6
Serious injury incident date: Oct 23, 2018
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 17, 2018
Visit Reason
The purpose of this visit was to investigate facility reported incident #GA 00189710.
Complaint Details
Investigation of facility reported incident #GA 00189710 with no violations cited.
Findings
No violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Nov 1, 2017
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
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