Inspection Reports for Mayfield Oaks
43 Mayfield Rd, Alpharetta, GA 30009, United States, GA, 30009
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 2
Sep 26, 2023
Visit Reason
The visit was conducted to investigate intake #GA00238509 and to perform a compliance inspection at the facility.
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.
Complaint Details
The visit was complaint-related, investigating intake #GA00238509. Substantiation status is not explicitly stated.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Governing body failed to provide oversight for medication management, procurement, and professional oversight; Staff C altered prescribed narcotic medications for residents. | SS= D |
| Facility failed to document mandatory fire drills to ensure safe evacuation within 13 minutes. | SS= D |
Report Facts
Number of residents sampled: 5
Fire drills missing: 6
Fire drill evacuation time: 13
Non-ambulatory residents allowed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication administration authorization and inability to provide fire drill documentation. | |
| Staff B | Interviewed regarding medication administration authorization. | |
| Staff C | Authorized to administer medications and found to have altered prescribed narcotic medications. |
Inspection Report
Follow-Up
Deficiencies: 0
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
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.
Severity Breakdown
D: 2
E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to obtain a satisfactory criminal records check prior to employment for 1 of 6 staff sampled (Staff B). | D |
| Facility failed to ensure hot water did not exceed 120 degrees Fahrenheit in 3 of 7 resident bathrooms. | D |
| Facility failed to report a serious injury to a resident that required medical treatment for 1 of 6 residents sampled (Resident #2). | E |
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
| Name | Title | Context |
|---|---|---|
| Staff B | Named in failure to obtain satisfactory criminal records check | |
| Staff A | Interviewed regarding deficiencies including criminal records check, hot water temperature, and injury reporting |
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