Inspection Report Summary
The most recent inspection on May 8, 2024, found no deficiencies. Earlier inspections showed a mixed record with some deficiencies related to medication supervision, resident exploitation, and resident mistreatment. Inspectors cited issues including failure to assist residents with self-administered medications, staff exploitation of residents through borrowing money, and inadequate protection of a resident from abuse. Complaint investigations were mostly unsubstantiated except for substantiated cases of exploitation and mistreatment, which led to staff terminations but no listed fines or enforcement actions. The facility’s recent clean inspection suggests improvement following earlier concerns.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
May 8, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00245725.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake #GA00245725 completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 14, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00229477.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00229477 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 16, 2022
Visit Reason
The purpose of this visit was to investigate intake GA0022245.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA0022245 with no rule violations cited.
Inspection Report
Re-Inspection
Deficiencies: 1
Dec 27, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00219931 and conduct the re-licensure inspection.
Findings
The facility failed to provide assistance or supervision for self-administered medications to residents who required it, resulting in Resident #1 ingesting both his/her own and Resident #2's medications, causing a lowered heart rate and requiring hospital transport.
Deficiencies (1)
| Description |
|---|
| Failure to provide assistance or supervision of self-administered medications to residents requiring it, leading to medication errors and adverse health effects. |
Report Facts
Training hours: 8
Incident time: 1320
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in medication error finding; dispensed medications improperly. | |
| Staff A | Reported details of medication error and resident condition. | |
| Staff C | Observed resident vitals and reported on incident. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 8, 2021
Visit Reason
The purpose of this investigation was to investigate complaint #GA00210806.
Findings
No rules violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2021-02-08 and was completed on 2021-02-18. No rules violations were found.
Inspection Report
Monitoring
Deficiencies: 0
Apr 7, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 13, 2020
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00203051.
Findings
The facility failed to ensure that two residents were free from exploitation, as Staff C borrowed money from Resident #1 and Resident #2 and did not repay it. Staff C was terminated following the investigation.
Complaint Details
Investigation of complaint intake #GA00203051 found substantiated exploitation of two residents by Staff C who borrowed money and did not repay it. Staff C was terminated on 2/20/2020.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure residents' right to be free from exploitation; Staff C borrowed money from two residents and did not repay it. | SS= D |
Report Facts
Amount borrowed: 20
Date of Staff C termination: Feb 20, 2020
Staff C hire date: Jan 12, 2018
Resident #1 admission date: Dec 14, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in exploitation finding for borrowing money from residents and termination | |
| Staff A | Interviewed regarding Staff C borrowing money from Resident #1 | |
| MM | Interviewed regarding Resident #1 reporting Staff C borrowing money |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 11, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00193093.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00193093 with no rule violations cited.
Inspection Report
Annual Inspection
Deficiencies: 0
Nov 6, 2017
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
No violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 15, 2017
Visit Reason
The purpose of this visit was to investigate complaints #GA00174744, GA00174765, GA00174779, and GA00175058 at the facility.
Findings
The facility failed to ensure that Resident #4 was treated with dignity and respect and failed to protect the resident from mental, verbal, and physical abuse. Two staff members were implicated in mistreatment and were terminated following the investigation and review of a video tape. The resident was examined and found to have a quarter-sized bruise on the left outer thigh.
Complaint Details
The investigation was complaint-driven based on multiple complaints alleging mistreatment of Resident #4 by staff members. The complaints included rude behavior, misuse of the resident's hair brush, and physical abuse as evidenced by a video tape. Both implicated employees were terminated and the video was turned over to local law enforcement. The resident was examined and found to have a bruise. The complainant did not want to press charges.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure each resident was treated with dignity, kindness, consideration and respect, including privacy and freedom to use the bathroom at all hours. | SS= D |
| Failure to provide each resident the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation. | SS= D |
Report Facts
Date of incident: May 1, 2017
Date of termination: May 6, 2017
Size of bruise: 0.25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and reported on complaints and actions taken | |
| Staff B | Alleged to be rude to resident, used resident's hair brush, moved pending investigation, terminated | |
| Staff C | Alleged to have hit resident, rough handling observed on video, terminated | |
| Staff D | RN | Interviewed, observed resident before and after incident, reported no bruising prior to incident |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 27, 2017
Visit Reason
The purpose of this visit was to investigate complaint Intake GA 00172852.
Findings
No violations were cited as a result of this investigation.
Complaint Details
Complaint Intake GA 00172852 was investigated and found to have no violations.
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