The most recent inspection on February 17, 2021, found no deficiencies. Earlier inspections showed some issues, including insufficient staff assistance with hygiene and concerns about staff behavior affecting residents’ dignity in 2019, as well as medication documentation problems in 2018 and admission of a resident not meeting ambulatory requirements in 2017. Complaint investigations were mostly unsubstantiated except for the 2019 case, which identified hygiene and dignity concerns. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history suggests some past challenges with resident care and documentation, but the facility appears to have addressed these issues by the most recent inspection.
Deficiencies (last 4 years)
Deficiencies (over 4 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The visit was conducted to perform a compliance inspection and investigate intake #GA00194990, with an onsite visit on 2019-03-13 and investigation completed on 2019-04-08.
Findings
The facility failed to provide sufficient staff time to assist residents with daily hygiene, including baths, for 1 of 4 sampled residents. Additionally, the facility failed to operate in a manner that respects the personal dignity and human rights of 2 of 4 sampled residents, including disrespectful and rude behavior by staff and refusal to provide more than one bath per week.
Complaint Details
The investigation was initiated due to intake #GA00194990. Findings included insufficient hygiene assistance, disrespectful and rude staff behavior, forceful handling of a resident in a wheelchair, and threats by Staff A to evict a resident if transfers did not improve.
Severity Breakdown
Level D: 2
Deficiencies (2)
Description
Severity
Failed to provide sufficient staff time such that each resident was given assistance with daily hygiene, including baths, for 1 of 4 sampled residents.
Level D
Failed to ensure the home operated in a manner that respects the personal dignity and human rights of residents for 2 of 4 sampled residents.
Level D
Report Facts
Sampled residents: 4Residents with hygiene assistance deficiency: 1Residents with dignity/human rights deficiency: 2
Employees Mentioned
Name
Title
Context
Staff A
Named in findings related to refusing to give more than one bath a week, speaking negatively to residents, pushing a resident forcefully in a wheelchair, and threatening eviction.
CC
Interviewed staff who reported on catheter care and witnessed Staff A's behavior.
AA
Interviewed staff who reported on bathing schedules and residents' fear of speaking about poor services.
BB
Interviewed staff who observed Staff A's forceful pushing of a resident and rude speech.
The purpose of this visit was to conduct the relicensure inspection.
Findings
The facility failed to ensure that staff updated the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 6 sampled residents, with missing initials on multiple medication entries and no documentation explaining the omissions.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Staff failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #2 and Resident #4, with empty cells without initials on multiple medication entries.
D
Report Facts
Sampled residents: 6Residents with MAR issues: 2
Employees Mentioned
Name
Title
Context
Staff A
Interviewed regarding missing MAR initials for Residents #2 and #4
The purpose of this visit was to conduct a follow-up to the 10/03/16 annual inspection.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by Resident #4 who required more than minimal assistance to transfer and was in a wheelchair. A waiver application was submitted for this resident.
Severity Breakdown
F: 1
Deficiencies (1)
Description
Severity
The home admitted and retained a resident who was not ambulatory and required more than minimal assistance to transfer, contrary to admission requirements.
F
Report Facts
Previous citations: 2
Employees Mentioned
Name
Title
Context
Staff A interviewed regarding Resident #4's transfer assistance needs.
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