The most recent inspection on February 26, 2025, found no deficiencies during a monitoring visit. Earlier inspections showed a mixed pattern, with some substantiated complaints including failure to notify a resident’s family after an incident, serving more residents than the licensed capacity, and insufficient staffing in the memory care unit. Complaint investigations prior to these issues were mostly unsubstantiated, with no rule violations cited. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The recent clean inspection suggests some improvement following prior citations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate complaint intakes #GA00248427 and GA00248461 through an unannounced onsite visit.
Findings
The facility failed to ensure immediate appropriate action was taken in response to an incident involving Resident #1 and Resident #2, including failure to notify the resident's family or legal representative about injuries sustained during the altercation.
Complaint Details
The investigation was initiated due to complaint intakes #GA00248427 and GA00248461. The complaint was substantiated as the facility did not notify the family of Resident #1 about the bruised lip and swollen hand observed after the incident on 7/6/2024.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to take immediate action and notify the representative or legal surrogate after an accident or sudden adverse change in Resident #1's condition following an altercation with another resident.
The purpose of this visit was to investigate intake #GA00247370 through an unannounced onsite visit conducted on 6/24/2024, with the investigation completed on 6/26/2024.
Findings
The facility was found to be serving more residents than its approved licensed capacity, with a census of 88 residents exceeding the licensed capacity of 86 beds as per the permit issued on 4/4/2022.
Complaint Details
Investigation was initiated based on intake #GA00247370. The complaint was substantiated by observation, record review, and staff interview confirming overcapacity.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility was serving more residents than its approved licensed capacity.
SS= D
Report Facts
Facility census: 88Licensed capacity: 86
Employees Mentioned
Name
Title
Context
Staff A interviewed and acknowledged awareness of overcapacity and planned to discuss with corporate
The purpose of this visit was to investigate intake #GA00241252 and #GA00241234.
Findings
The facility failed to provide two direct care staff persons on-site in the memory care unit at all times, as required. Observations and interviews confirmed that at times only one staff was present while residents were unattended, and no replacement staff were assigned during lunch breaks.
Complaint Details
Visit was complaint-related, investigating intake #GA00241252 and #GA00241234.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failed to provide two direct care staff persons on-site in memory care unit at all times.