Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 2
Sep 5, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50004215 and #GA50005428, with an onsite visit made on 2025-08-27 and inspection completed on 2025-09-05.
Findings
The facility failed to ensure all staff met the minimum age requirement, with one staff member being 16 years old. Additionally, the facility failed to obtain a new prescription within 48 hours for one resident, resulting in a missed medication dose and an emergency room visit.
Complaint Details
The visit was complaint-related, investigating intake #GA50004215 and #GA50005428. The medication error for Resident #1 was reported and corrected once identified. Resident #1 missed a dose due to the facility not faxing the prescription to the pharmacy timely, resulting in an emergency room visit but no adverse reaction.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure all staff were at least 17 years old; one staff member was 16 years old. | SS= D |
| Facility failed to obtain a new prescription within 48 hours for one resident, leading to a missed medication dose. | SS= D |
Report Facts
Residents observed: 35
Staff observed: 9
Sampled staff: 4
Sampled residents: 3
Missed medication doses: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Identified as a part-time server hired on 2025-06-12 who was 16 years old and resigned before the inspection. | |
| Staff A | Interviewed and stated Staff D was hired part-time and had resigned. | |
| Staff B | Interviewed regarding medication procurement and administration for Resident #1. | |
| Staff C | Identified as the staff who did not fax the prescription to the pharmacy on 2025-08-01. | |
| AA | Interviewed and provided information about Resident #1's return from hospital and medication issues. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 23, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection (GA50003826) triggered by concerns related to resident safety in the memory care unit.
Findings
The facility failed to provide protective care and watchful oversight for 2 of 3 residents (Resident #2 and Resident #3) who eloped from the memory care unit. Staff interviews revealed that the emergency exit door alarm was working but staff did not hear it, allowing residents to leave the secured area unsupervised.
Complaint Details
Complaint inspection (GA50003826) conducted due to resident elopement incidents. Investigation completed on 7/25/2025.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide protective care and watchful oversight meeting the needs of residents, evidenced by two residents eloping from the memory care unit. | SS= D |
Report Facts
Residents involved: 2
Inspection start date: Jul 23, 2025
Investigation completion date: Jul 25, 2025
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 12, 2025
Visit Reason
The visit was conducted to perform a compliance visit and complaint inspection (GA50003076) at the assisted living community.
Findings
The facility failed to comply with applicable fire and safety rules as required by the Office of the Safety Fire Commissioner. Specifically, fire drill logs were missing for the period August 2024 to December 2024, which was confirmed during a staff interview.
Complaint Details
The inspection was complaint-related under inspection number GA50003076.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Missing fire drill logs for August 2024 to December 2024. | SS= D |
Report Facts
Fire drill log months missing: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed on 6/12/25 regarding missing fire drills. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 16, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50000496.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of intake #GA50000496; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 30, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00248259.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation was completed on 7/30/24 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 30, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00248592 following a complaint.
Findings
An onsite visit was made to the facility on 7/30/24. The resident named in the complaint is not and has never been a resident at this facility.
Complaint Details
Investigation of complaint intake #GA00248592 found that the resident named in the complaint was not and has never been a resident at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 27, 2023
Visit Reason
The purpose of the administrative review is to investigate intake #GA00230220, #GA00232052, and #GA00231481.
Findings
The investigation started on 2023-02-21 and was completed on an unspecified date.
Complaint Details
Investigation of complaint intakes #GA00230220, #GA00232052, and #GA00231481.
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 2
Sep 29, 2022
Visit Reason
A visit was made to the facility on 9/29/22 to investigate intake #GA00222886, #GA00222812, and #GA00223241. The investigation was completed on 10/11/22.
Findings
The facility failed to keep the interior clean and in good repair, including water damage and disrepair in bathroom cabinets in rooms 122 and 522, with musty odors and visible damage noted.
Complaint Details
Visit was complaint-related to investigate intake numbers GA00222886, GA00222812, and GA00223241.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Bathroom of room 122 was in disrepair with missing sections of wood overlay, water damage, brown/black substance on wood molding and walls, musty damp odor inside sink cabinet, sagging cabinet floor, and water damage on cabinet back. | D |
| Room 522 bathroom cabinet was removed for repair due to leaking under the sink. | D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding building condition and repairs. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 1, 2022
Visit Reason
The visit was conducted to perform a compliance inspection and investigate intake #GA00220808.
Findings
No rule violations were cited during the investigation completed on 2/1/22.
Complaint Details
Investigation of intake #GA00220808 found no rule violations.
Inspection Report
Deficiencies: 0
Dec 7, 2020
Visit Reason
The purpose of this inspection was to conduct a CHOW inspection.
Findings
No rules violations were cited as a result of this inspection.
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