Deficiencies per Year
4
3
2
1
0
Moderate
Inspection Report
Renewal
Deficiencies: 0
Aug 5, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 13, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00236236.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00236236 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Jul 12, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00215294.
Findings
The facility failed to ensure that each community had a full-time administrator providing day-to-day leadership, and failed to ensure proper documentation and record keeping using the Medication Assistance Record (MAR) for one of eight sampled residents regarding medication administration.
Complaint Details
Investigation was initiated due to intake #GA00215294. The medication discrepancy involved a missing documentation of Hydrocodone/Acetaminophen given on 6/15/2021 during the third shift, with a narcotic count off by one tablet. Staff C was suspended pending investigation and drug screening, which later returned negative. Staff C admitted to not notifying management or documenting the discrepancy.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure each community had a full-time administrator to provide day-to-day leadership. | D |
| Facility failed to ensure proper documentation and record keeping using the Medication Assistance Record (MAR) for Resident #1, including a missing documentation of Hydrocodone/Acetaminophen administration and a discrepancy in narcotic count. | D |
Report Facts
Deficiencies cited: 2
Medication dosage: 5
Medication count discrepancy: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Administrator for Skilled Nursing Facility and Assisted Living Community; provided statements about facility leadership and drug screening results. | |
| Staff B | Interviewed regarding notification and investigation of medication discrepancy. | |
| Staff C | Involved in medication count discrepancy; suspended pending investigation; admitted failure to notify management. | |
| Staff D | Interviewed regarding medication administration and narcotic count. | |
| Staff E | Involved in narcotic count verification. | |
| Staff F | Provided written statement about narcotic count discrepancy. |
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and assessing the facility's infection control processes.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 31, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00200204.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00200204 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 7, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate complaint GA00196246.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of complaint GA00196246 with no rule violations found.
Inspection Report
Follow-Up
Deficiencies: 0
May 15, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 1/25/18 annual inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 2
Jan 25, 2018
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
The facility failed to ensure fire evacuation drills were conducted in compliance with fire safety standards, with missing documentation of drills. Additionally, the facility failed to maintain proper food temperature standards, as hot foods were served below the required 140 degrees Fahrenheit.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure fire evacuation drills were rehearsed in compliance with fire safety standards; missing documentation of drills. | D |
| Failure to ensure hot foods leave the kitchen for serving at or above 140 degrees Fahrenheit, with observed soup temperature at 131.5 degrees Fahrenheit. | D |
Report Facts
Fire drills documented: 3
Measured food temperature: 131.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding missing fire drill documentation | |
| Staff C | Dietary supervisor | Observed and interviewed regarding food temperature deficiency |
| Staff D | Interviewed regarding handling of soup on steam table |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 22, 2017
Visit Reason
The purpose of this visit was to investigate complaint #GA00171377.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint #GA00171377 was investigated and found to have no rule violations.
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