The most recent inspection on January 25, 2023, found no deficiencies. Earlier inspections showed some deficiencies related to resident care, including an incident where a staff member hit a resident, resulting in the staff’s suspension and termination, and issues with staff certification and verbal abuse that also led to staff termination. There was a substantiated complaint about the facility administrator lacking a valid license. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement with no deficiencies noted in the latest inspection after previous issues were addressed.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The visit was conducted to investigate intake #GA00224582 and to perform an annual inspection of the facility.
Findings
The facility failed to ensure adequate and appropriate care for one of five sampled residents (Resident #1) when Staff D was found to have 'hit' the resident. Staff D was suspended and later terminated for gross misconduct following the incident.
Complaint Details
The visit included investigation of intake #GA00224582 regarding an incident where Staff D hit Resident #1 on 5/29/2022. The incident was substantiated by interviews and record review. Staff D was terminated for gross misconduct.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to ensure each resident received care and services which were adequate, appropriate, and in compliance with state law and regulations for Resident #1 who was hit by Staff D.
SS= D
Report Facts
Date of incident: May 29, 2022Date of staff termination: Jun 20, 2022Date of resident discharge: Jun 30, 2022Number of sampled residents: 5
Employees Mentioned
Name
Title
Context
Staff D
Staff member who hit Resident #1 and was terminated for gross misconduct
Staff A
Interviewed staff who reported the incident and submitted complaint
Staff B
Interviewed staff who provided information about the incident and resident assessment
Staff C
Interviewed staff who witnessed the incident and reported it
Staff E
Interviewed staff who commented on Staff D's behavior and resident's agitation
FF
Family member
Family member of Resident #1 who was informed about the incident
The purpose of this visit was to investigate intake #GA00219154. An on-site visit was made on 12/2/21 and the investigation was completed on 12/10/21.
Findings
The facility failed to have an administrator with a valid license from the State Board. Observation showed a certification of completion but not the required license, and a search of the Georgia Secretary of State website showed no valid license for Staff A.
Complaint Details
Investigation was conducted for intake #GA00219154 regarding the licensure status of the facility administrator. The complaint was substantiated based on findings.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to have an administrator with a valid license from the State Board.
The purpose of this visit was to conduct an annual inspection and investigate intake #GA00212585, #GA00212544, and #GA00212704. The investigation started on 2021-03-10 and was completed on 2021-03-25.
Findings
The facility failed to ensure that staff hired to provide hands-on personal services had current CPR certification with return demonstration of competency for 2 of 4 sampled staff. Additionally, the facility failed to ensure residents were free from verbal abuse, with an incident involving Staff E verbally abusing Resident #3, leading to Staff E's termination.
Complaint Details
The inspection included investigation of complaint intakes #GA00212585, #GA00212544, and #GA00212704. The complaint involved verbal abuse of Resident #3 by Staff E, which was substantiated leading to Staff E's termination and law enforcement contact on 2021-03-17.
Severity Breakdown
D: 2
Deficiencies (2)
Description
Severity
Staff hired to provide hands-on personal services did not have current CPR certification with required return demonstration of competency for 2 of 4 sampled staff (Staff C and Staff D).
D
Facility failed to ensure residents were free from mental, verbal, sexual and physical abuse, neglect and exploitation for 1 of 3 sampled residents (Resident #1), including verbal abuse of Resident #3 by Staff E.
D
Report Facts
Complaint intakes investigated: 3Sampled staff for CPR certification: 4Sampled residents for abuse investigation: 3
Employees Mentioned
Name
Title
Context
Staff C
Hired 8/26/19, lacked current CPR certification with return demonstration
Staff D
Hired 5/28/19, lacked current CPR certification with return demonstration
Staff E
Involved in verbal abuse of Resident #3, terminated for violation of company policy
Staff A
Interviewed regarding CPR certification and Staff E termination
Staff F
Overheard verbal abuse incident and reported it
Staff G
Spoke with Staff E about incident after report from Staff H