Inspection Report Summary
The most recent inspection on September 16, 2025, found no deficiencies. Earlier inspections showed a pattern of some issues, including failure to maintain adequate nurse staffing from July to August 2024, and concerns about resident care such as delayed response to call pendents and a substantiated complaint involving rough handling of a resident and failure to report abuse in early 2024. The main themes of deficiencies involved staffing oversight and resident care practices, particularly related to dignity and timely assistance. Complaint investigations were mostly substantiated when deficiencies were found, with corrective actions taken such as staff termination, but enforcement actions like fines or license suspensions were not listed in the available reports. The inspection history suggests improvement over time, with the most recent surveys showing no cited violations.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50005077 with an onsite visit made on 2025-09-16 and the investigation completed on 2025-09-19.
Complaint Details
Investigation of intake #GA50005077 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Routine
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
The purpose of this visit was to complete a compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
The purpose of this visit was to conduct a follow-up visit to verify correction of previous deficiencies.
Findings
No violations were cited as a result of this follow-up survey conducted on 12/19/2024.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247292 and GA00249941. The onsite visit was made on 10/4/24, with the inspection started on 10/4/24 and completed on 10/29/24.
Complaint Details
The visit was complaint-related, investigating intake #GA00247292 and GA00249941.
Findings
The facility failed to ensure that a registered professional nurse or licensed practical nurse was on-site to support care and oversight of the residents from July 2024 to August 2024, as evidenced by staff interviews and lack of nurse staffing records during that period.
Deficiencies (1)
Failure to ensure that a registered professional nurse or licensed practical nurse was on-site to support care and oversight of the residents from July 2024 to August 2024.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding nurse staffing; stated facility did not have a nurse from July to August 2024. | |
| Staff C | Interviewed and stated they had not had a nurse for a few weeks. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 26, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00246585, #GA00246671, and #GA00246705. An onsite visit was made to the facility on 6/26/24, with the investigation starting on 6/26/24 and completing on 7/12/24.
Complaint Details
The investigation was complaint-driven based on intake numbers #GA00246585, #GA00246671, and #GA00246705. The complaint involved alleged rough handling of Resident #1 by Staff D on 1/17/24. Staff D was suspended and later terminated on 1/20/24. The facility did not report the abuse to the state as required.
Findings
The facility failed to operate in a manner that respected the personal dignity and human rights of one sampled resident, as a caregiver was reported to have roughly handled the resident during a diaper change. The facility terminated the staff member involved but failed to report the abuse to the state as required by law.
Deficiencies (2)
Facility failed to respect the personal dignity and human rights of Resident #1, evidenced by rough handling during a diaper change by Staff D.
Facility failed to report resident abuse to the Department in accordance with the Long-Term Care Resident Abuse Reporting Act for Resident #1.
Report Facts
Investigation start date: Jun 26, 2024
Investigation completion date: Jul 12, 2024
Staff termination date: Jan 20, 2024
Incident date: Jan 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Caregiver terminated for resident abuse | |
| Staff A | Facility staff who reported and terminated Staff D, but did not report to the state | |
| AA | Interviewed individual contacted by facility regarding the abuse report |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 14, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00218382 and GA00218781, with an onsite visit made on 2022-11-09. The investigation started on 2022-11-08 and was completed on 2022-12-14.
Complaint Details
The visit was complaint-related, investigating intake GA00218382 and GA00218781. The complaint was substantiated based on findings of delayed response to resident call pendents, including an incident on 9/10/22 where a resident waited 30 minutes for help and had to call a family member.
Findings
The facility failed to ensure adequate and appropriate care for one sampled resident, specifically regarding excessive call response times for resident pendents. Incident reports and interviews revealed that a resident waited up to 30 minutes for assistance after pushing the pendent, with call response times documented between 16 and 19 minutes on multiple dates.
Deficiencies (1)
Failure to ensure each resident received adequate care and services, including lack of policy for call response times and excessive delays in responding to resident pendents.
Report Facts
Resident pendent response time: 19
Resident pendent response time: 18
Resident pendent response time: 16
Resident pendent response time: 18
Resident pendent response time: 19
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