Inspection Reports for Lakes at Gainesville Assisted Living
2435 Limestone Pkwy, Gainesville, GA 30501, United States, GA, 30501
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Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 5, 2025
Visit Reason
The purpose of this visit was to investigate complaint #GA50004070 and #GA50004108.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaints #GA50004070 and #GA50004108 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 1, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001568, involving a complaint about the facility's response to a resident's sudden change in condition.
Findings
The investigation found that the facility failed to initiate cardiopulmonary resuscitation (CPR) for Resident #1 who became unresponsive and was not enrolled in hospice nor had a DNR or advance directive. Staff did not perform CPR despite the resident not showing obvious signs that resuscitation would be futile.
Complaint Details
The complaint investigation was triggered by intake #GA50001568. The resident was found unresponsive on 2/9/25, and staff failed to initiate CPR despite the resident not being on hospice and having a POLST form indicating to attempt resuscitation. Staff reported panic and uncertainty about performing CPR.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to initiate cardiopulmonary resuscitation when resident became unresponsive and was not enrolled in hospice and had no DNR or advance directive. | SS= D |
Report Facts
Date of resident admission: Feb 16, 2021
Date of incident: Feb 9, 2025
Date of POLST form: Nov 26, 2024
Time of incident: 1700
Time of EMS call: 1706
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Caregiver who found Resident #1 unresponsive and did not initiate CPR due to panic | |
| Staff B | Interviewed staff who confirmed Staff C did not initiate CPR and called emergency services | |
| Staff E | Staff aware of the finding as of 4/7/25 |
Inspection Report
Routine
Deficiencies: 1
Feb 18, 2025
Visit Reason
The purpose of this visit was to conduct the compliance inspection at Lakes at Gainesville Assisted Living.
Findings
The facility failed to comply with applicable fire and safety rules as evidenced by only two fire drills conducted in 2024 and staff's inability to locate additional fire drill records due to lack of proficiency with the system and absence of a maintenance director.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to comply with applicable fire and safety rules published by the Office of the Safety Fire Commissioner, including insufficient fire drills conducted in 2024. | SS= D |
Report Facts
Fire drills conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding fire drill records and facility maintenance staffing |
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