Inspection Reports for Mayfield Oaks

43 Mayfield Rd, Alpharetta, GA 30009, United States, GA, 30009

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Inspection Report Summary

The most recent inspection on September 26, 2023, identified deficiencies related to medication management oversight and documentation of fire drills. Earlier inspections showed a mixed pattern, with prior reports citing issues such as incomplete criminal background checks, unsafe hot water temperatures, and failure to report a serious injury. Inspectors noted concerns mainly involving medication handling, staff oversight, and safety procedures. Complaint investigations were conducted, but the substantiation status of the most recent complaint was not explicitly stated, and no enforcement actions or fines were listed in the available reports. The facility’s inspection history shows recurring issues with regulatory compliance, particularly in medication oversight and safety documentation.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2019
2023

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Sep 26, 2023

Visit Reason
The visit was conducted to investigate intake #GA00238509 and to perform a compliance inspection at the facility.

Complaint Details
The visit was complaint-related, investigating intake #GA00238509. Substantiation status is not explicitly stated.
Findings
The facility failed to ensure proper oversight by the governing body regarding medication management and procurement, with staff altering prescribed medications for 4 of 5 sampled residents. Additionally, the facility failed to document mandatory fire drills required for safe evacuation.

Deficiencies (2)
Governing body failed to provide oversight for medication management, procurement, and professional oversight; Staff C altered prescribed narcotic medications for residents.
Facility failed to document mandatory fire drills to ensure safe evacuation within 13 minutes.
Report Facts
Number of residents sampled: 5 Fire drills missing: 6 Fire drill evacuation time: 13 Non-ambulatory residents allowed: 3

Employees mentioned
NameTitleContext
Staff AInterviewed regarding medication administration authorization and inability to provide fire drill documentation.
Staff BInterviewed regarding medication administration authorization.
Staff CAuthorized to administer medications and found to have altered prescribed narcotic medications.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Jan 10, 2019

Visit Reason
The purpose of this visit was to conduct a follow-up inspection to the 9/27/18 compliance inspection.

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

Inspection Report

Routine
Deficiencies: 3 Date: Sep 27, 2018

Visit Reason
The purpose of this visit was to conduct a compliance inspection of the facility.

Findings
The inspection identified deficiencies including failure to obtain a satisfactory criminal records check for one staff member prior to employment, hot water temperatures exceeding 120 degrees Fahrenheit in three resident bathrooms, and failure to report a serious injury to the Department as required.

Deficiencies (3)
Facility failed to obtain a satisfactory criminal records check prior to employment for 1 of 6 staff sampled (Staff B).
Facility failed to ensure hot water did not exceed 120 degrees Fahrenheit in 3 of 7 resident bathrooms.
Facility failed to report a serious injury to a resident that required medical treatment for 1 of 6 residents sampled (Resident #2).
Report Facts
Staff sampled: 6 Resident bathrooms inspected: 7 Resident bathrooms with hot water exceeding 120 F: 3 Residents sampled: 6 Incident date: Apr 16, 2018

Employees mentioned
NameTitleContext
Staff BNamed in failure to obtain satisfactory criminal records check
Staff AInterviewed regarding deficiencies including criminal records check, hot water temperature, and injury reporting

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