Inspection Reports for Northstar Place
3250 QUICK WATER LANDING NW, KENNESAW, GA, 30144
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 31, 2023, found no deficiencies. Earlier inspections showed a pattern of occasional deficiencies related mainly to resident care, including issues with medication administration, resident dignity, supervision, and financial protections. Notable substantiated complaints involved staff misconduct such as verbal abuse and financial exploitation, with staff terminated in those cases, but no fines or enforcement actions were listed in the available reports. Most complaint investigations were unsubstantiated, and no immediate jeopardy findings or license actions were reported. The facility’s record suggests improvement over time, with recent inspections free of cited violations.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 31, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00235045.
Complaint Details
Investigation of intake #GA00235045 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 15, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00230147 and #GA00231813.
Complaint Details
Investigation of intakes #GA00230147 and #GA00231813; no violations found.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 13, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00222830.
Complaint Details
Investigation started on 2022-03-22 and was completed on 2022-07-13. No rule violations were found.
Findings
No rule violation was cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 30, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00222134.
Complaint Details
Investigation was started on 2022-03-21, an onsite visit was completed on 2022-03-22, and the investigation/inspection was completed on 2022-06-29.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 1
Date: Feb 10, 2022
Visit Reason
The purpose of this visit was to investigate complaint intakes #00221040 and #00221153 at the facility.
Complaint Details
The visit was complaint-related, investigating intakes #00221040 and #00221153. Staff C was confirmed to have taken money from Resident #1 and Resident #2, with Staff C terminated on 1/24/2022.
Findings
The facility failed to ensure residents' rights to manage their own financial affairs and be free from coercion, with findings that Staff C took money from two residents and was subsequently terminated.
Deficiencies (1)
Facility failed to ensure residents' rights to manage their own financial affairs and be free from coercion; Staff C took money from two residents.
Report Facts
Residents involved: 2
Resident census: 9
Amount taken: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Confirmed to have taken money from residents and was terminated | |
| Staff A | Interviewed regarding theft incident | |
| Staff F | Reported Staff C's misconduct to management |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 29, 2021
Visit Reason
The purpose of this inspection was to investigate intake GA00213705 and conduct a compliance inspection. The investigation started on 2021-05-03, included an unannounced visit on 2021-05-21, and was completed on 2021-06-29.
Complaint Details
Investigation of intake GA00213705 was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control processes; no specific deficiencies or findings are detailed.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 10, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA002000947 with on-site visits conducted on 2019-12-02 and 2019-12-10.
Complaint Details
The investigation was complaint-related, intake # GA002000947. The allegation of verbal abuse by Staff C towards Resident #1 was substantiated. Local law enforcement was involved, and Staff C was terminated on 2019-11-20.
Findings
The facility failed to treat a resident with dignity, kindness, consideration, and respect as evidenced by substantiated verbal abuse by Staff C towards Resident #1. Staff C was suspended and subsequently terminated following the investigation and involvement of local law enforcement.
Deficiencies (1)
Failure to treat each resident with dignity, kindness, consideration and respect, including verbal abuse of Resident #1 by Staff C.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Reported the verbal abuse allegation and spoke with Staff C; involved in investigation. | |
| Staff B | Received report from Resident #1 about fear of Staff C and communicated with Staff A. | |
| Staff C | Alleged perpetrator of verbal abuse, suspended and terminated following investigation. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 8, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00199713 with an on-site visit made to the facility on 10/8/19 and the investigation completed on 10/21/19.
Complaint Details
Investigation of intake # GA00199713 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 19, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00198724. An on-site visit was made to the facility on 8/19/19 and the investigation was completed on 9/12/19.
Complaint Details
The visit was complaint-related, investigating intake # GA00198724. The complaint involved a medication error and staff behavior forcing a resident to take medications not prescribed to them, causing fear.
Findings
The facility failed to ensure that residents received adequate and appropriate care as required by law, specifically involving a medication error where a resident was administered medications not prescribed to them. Additionally, the facility failed to treat the resident with dignity and respect, as staff reportedly forced the resident to take medications against their will.
Deficiencies (2)
Facility failed to ensure each resident received care and services which were adequate, appropriate and in compliance with applicable federal and state law and regulations for 1 of 2 residents (Resident #1) involving a medication error where staff administered Levothyroxin 50 mcg and Pantoprazole 40 mg not prescribed to Resident #1.
Facility failed to treat each resident with dignity, kindness, consideration and respect as evidenced by staff forcing Resident #1 to take medications not belonging to him/her and causing fear.
Report Facts
Deficiencies cited: 2
Medication dosage: 50
Medication dosage: 40
Resident admission date: Aug 31, 2016
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 24, 2019
Visit Reason
The purpose of this visit was to investigate incident #GA00197421.
Complaint Details
Investigation of incident #GA00197421 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 15, 2019
Visit Reason
The purpose of this visit was to investigate intake numbers GA00196680, GA00196472, and GA00196985.
Complaint Details
Investigation was completed on 2019-05-23 with no violations found.
Findings
No violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 15, 2019
Visit Reason
The purpose of this visit was to investigate intake # GA00196985 with an onsite visit made on 5/15/19 and the investigation completed on 5/23/19.
Complaint Details
Investigation of intake # GA00196985 was completed with no rule violations cited.
Findings
No rule violations were cited for this visit.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 11, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00195571, with on-site visits made on 2019-04-04 and 2019-04-05 and the investigation completed on 2019-04-11.
Complaint Details
Investigation was triggered by intake #GA00195571. Resident #3 eloped on 2019-03-19 due to unsecured memory care unit exit doors after a lightning strike on 2019-03-08. Documentation of hourly hallway checks was missing for the time of elopement. Staffing was insufficient to monitor the exit doors as required.
Findings
The facility failed to maintain hot water temperature below 120 degrees Fahrenheit, admitted and retained residents who were not ambulatory or capable of self-preservation with minimal assistance, and failed to ensure adequate care and services for residents, including one resident who eloped due to unsecured memory care unit exit doors after a lightning strike. Documentation of hallway checks was missing and staffing was inadequate to monitor exit doors.
Deficiencies (3)
Facility failed to maintain heated water temperature not exceeding 120 degrees Fahrenheit.
Facility admitted and retained residents who were not ambulatory or capable of self-preservation with minimal assistance (5 of 7 sampled residents).
Facility failed to ensure each resident received adequate care and services, including failure to secure memory care unit exit doors leading to elopement of Resident #3.
Report Facts
Number of sampled residents not ambulatory: 5
Number of sampled residents: 7
Water temperature measured: 121.4
Date of resident elopement: Mar 19, 2019
Distance resident found from facility: 0.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff H | Witnessed water temperature measurement and provided information about water temperature checks and power outage affecting memory care unit exit doors. | |
| Staff A | Reported residents needing total assistance and staffing issues related to monitoring memory care unit exit doors. | |
| Staff E | Observed Resident #3 missing and searched for resident during elopement incident. | |
| Staff G | Reported missing documentation of hallway checks on 3/19/19. | |
| AA | Reported unsecured memory care exit doors and resident behavior related to elopement. | |
| DD | Reported prior attempts by Resident #3 to leave facility and unsecured doors after lightning strike. | |
| LL | Provided information about residents' mobility and assistance needs. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 20, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00192732.
Complaint Details
Investigation was completed on 2018-11-14 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 11, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00191638 regarding resident supervision and safety.
Complaint Details
Investigation of complaint #GA00191638 found substantiated failure to provide adequate supervision for Resident #1, leading to injury.
Findings
The facility failed to ensure adequate supervision for one resident with advanced dementia, resulting in the resident slipping in the shower and fracturing two ribs while being assisted by one staff member. Following the incident, the care plan was updated to require two-person assistance for showering.
Deficiencies (1)
Facility failed to ensure residents were supervised consistent with their needs, resulting in a resident slipping and fracturing ribs during shower assistance.
Report Facts
Resident age: 88
Incident date: Sep 19, 2018
Assistance change: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed about incident where Resident #1 slipped during shower assistance | |
| Staff A | Interviewed confirming Resident #1 fell and fractured ribs during shower |
Inspection Report
Renewal
Deficiencies: 0
Date: Apr 17, 2018
Visit Reason
The purpose of this visit was to conduct a relicensure inspection and to investigate facility reported incident #GA00186978.
Findings
No violations were cited as a result of the inspections conducted on 4/11/18, 4/12/18, and completed on 4/17/18.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 10, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00183723. The investigation began on 2018-01-09 and was completed on 2018-01-10.
Complaint Details
Investigation of complaint GA00183723 found no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 12, 2017
Visit Reason
The purpose of this visit was to investigate complaints #GA00182664, #GA00182801, #GA00182813, and #GA00183673.
Complaint Details
Investigation of four complaints with no rule violations cited.
Findings
No rule violations were cited as a result of the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 9, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00178105.
Complaint Details
Complaint GA00178105 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Feb 27, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA00171652. An on-site visit was made to the facility on 2/27/17, with the investigation completed on 3/6/17.
Complaint Details
The visit included an investigation of complaint #GA00171652. The complaint investigation was completed on 3/6/17.
Findings
The facility failed to ensure that written informed consents included the names of proxy caregivers authorized to provide health maintenance activities for 2 of 2 residents sampled. Additionally, the facility failed to provide a written plan of care for proxy caregiver services for 2 of 5 sampled residents.
Deficiencies (2)
The facility failed to ensure the written informed consent included the names of the proxy caregiver(s) authorized to provide health maintenance activities for 2 of 2 residents sampled (Resident #2, Resident #3).
The facility failed to ensure a plan of care for proxy caregiver services was written for each resident receiving such services, for 2 of 5 sampled residents (Resident #2, Resident #3).
Report Facts
Residents sampled: 5
Residents with deficiencies: 2
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