Inspection Reports for Legacy Ridge at Buckhead

The purpose of this visit was to complete the compliance inspection and investigate intake #GA50004063.

No rule violations were cited as a result of this inspection.

Investigation of intake #GA50004063; no violations found.

The inspection was conducted to investigate complaint intakes #GA50003636 and #GA50002831 regarding the care and oversight of residents at the facility.

The facility failed to provide protective care and watchful oversight for one resident who was found inside the walk-in freezer. The resident was assessed with no injuries, but the incident revealed inadequate supervision.

The visit was complaint-related, investigating two intake complaints (#GA50003636 and #GA50002831). Resident #1 was found in the freezer on 3/27/25 by Staff D, with no injuries noted. The resident has Alzheimer's disease and requires observation per care plan.

The visit was conducted to investigate intake #GA00215656 through an unannounced inspection starting on 2024-11-12 and completed on 2024-11-15.

No rule violations were cited during the investigation.

Investigation of intake #GA00215656 with no rule violations found.

The visit was conducted to investigate intake #GA00250314 with an onsite visit made on 10/2/24.

No rule violations were cited as a result of this investigation.

Investigation of intake #GA00250314 was completed with no rule violations found.

The purpose of this visit was to investigate intake #GA00249642. An unannounced visit was made on 2024-09-19 and the inspection was completed on 2024-09-24.

No rule violations were cited during the inspection.

Investigation of intake #GA00249642 with no rule violations cited.

The purpose of this visit was to investigate intake #GA00248232. An unannounced visit was made on 7/31/2024 and the inspection was completed on 8/8/2024.

The facility failed to provide medication administration services in accordance with physicians' orders for 1 of 3 sampled residents (Resident #1). Specifically, Resident #1 did not receive the correct dosage of medications including Farxiga and Memantine, with documentation showing missed or late medication administration and resulting in stroke-like symptoms.

Investigation of intake #GA00248232 revealed medication errors for Resident #1, including missed doses and incorrect dosages, with substantiation based on observations, record reviews, and multiple staff interviews confirming the issues.

The visit was conducted to investigate complaint intakes #GA00245196 and GA00244909 with an onsite visit on 2024-05-16 and investigation completion on 2024-05-24.

The facility failed to ensure timely procurement of medication refills, resulting in an interruption in routine dosing for one sampled resident due to acetaminophen not being available in the medication cart as prescribed.

The investigation was initiated based on complaint intakes #GA00245196 and GA00244909.

The purpose of this visit was to investigate intake #GA00243594.

No rule violation was cited as a result of this investigation.

Investigation of intake #GA00243594 with no rule violations found.

The purpose of this visit was to investigate intake #GA00240676 with an onsite visit made on 12/5/23 and inspection completed on 12/6/23.

No rule violations were cited during the inspection.

Investigation of intake #GA00240676 with no rule violations found.

The purpose of this visit was to investigate intake #GA00237749 with an onsite visit made on 9/5/23.

The facility failed to report serious incidents involving two residents within 24 hours after the incidents occurred, specifically for Resident #2 and Resident #3, who both experienced falls resulting in injuries and hospitalizations.

Investigation of intake #GA00237749. Staff B did not report the incident for Resident #3 to the Department and was unaware of the need to report these incidents at the time they occurred.

The purpose of this visit was to investigate intake #GA00236339 and #GA00236373 with an onsite visit made and inspection completed on 08/03/2023.

No rule violations were cited during the inspection.

Investigation of intake #GA00236339 and #GA00236373 with no rule violations found.

The purpose of this visit was to investigate intake #GA00235123 with an onsite visit made on 2023-05-30 and the inspection completed on 2023-06-09.

No rule violations were cited during the investigation.

Investigation of intake #GA00235123 with no rule violations cited.

The purpose of this visit was to investigate intake #GA00226856. An onsite visit was made on 2022-09-20 and the investigation was completed.

The facility failed to provide protective care and watchful oversight for 1 of 3 sampled residents (Resident #1), who exhibited wandering behavior and was involved in an incident causing injury to himself and a direct care staff (DD). The investigation included observations, record reviews, and multiple staff interviews regarding the incident on 2022-08-09.

The visit was complaint-related to intake #GA00226856. The complaint involved an incident on 2022-08-09 where Resident #1 wandered into another resident's room, struck a direct care staff (DD) with a water bottle causing injury, and was sent for emergency assessment. The investigation included interviews with multiple staff and review of incident reports. Resident #1 was discharged on 2022-09-15 after exhibiting behaviors and hospitalization.

The purpose of this visit was to investigate intake #GA00220546 with an onsite visit made on 1/26/22 and the investigation completed on 2/4/22.

No rule violations were cited during the investigation.

Investigation of intake #GA00220546 found no rule violations.

The purpose of this visit was to investigate intake #GA00213395 with an onsite visit made on 4/19/21 and the investigation completed on 4/28/21.

There were no rule violations cited as a result of this inspection.

Investigation of intake #GA00213395 with no rule violations found.

The purpose of this inspection was to conduct an initial inspection for licensing.

No rules violations were cited as a result of this inspection.