Inspection Reports for Oaks at Maple Ridge
4500 S Stadium Dr, Columbus, GA 31909, United States, GA, 31909
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 9, 2021, found no deficiencies. Earlier inspections showed a mixed record, with some citations related to medication documentation, resident care, staffing levels, and abuse prevention. Inspectors cited issues such as failure to maintain adequate staff-to-resident ratios, insufficient protective oversight leading to a resident eloping, incomplete medication records, and a substantiated case of verbal abuse by staff resulting in termination and additional training. Complaint investigations were mostly unsubstantiated except for the abuse case and the staffing-related elopement incident. The facility’s recent clean inspection suggests improvement following earlier deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 0
Jul 9, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Routine
Deficiencies: 0
Jul 9, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Routine
Deficiencies: 0
Jul 9, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 26, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00206032.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began on 2020-07-01 and was completed on 2020-08-26. No rule violations were found.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 2
Mar 30, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00203438, which involved a complaint regarding staffing and protective care at the facility.
Findings
The facility failed to maintain the required minimum on-site staff to resident ratio during waking and non-waking hours, resulting in insufficient supervision. This failure contributed to Resident #1 eloping from the facility and being found off premises by law enforcement. The facility also failed to provide adequate protective care and watchful oversight to meet the needs of residents.
Complaint Details
Investigation started on 2020-03-18 and completed on 2020-03-30 regarding intake #GA00203438. Resident #1 eloped on 2020-02-26 at approximately 8:30 p.m. and was returned by law enforcement. The facility had only two staff on duty during the night shift, which was insufficient to meet resident needs. The front door alarm was not active at the time of the incident. Resident #1 was combative upon return and was signed out by family for the night.
Deficiencies (2)
| Description |
|---|
| Failed to provide minimum on-site staff to resident ratio of 1:15 awake direct care staff during waking hours and 1:25 during non-waking hours for residents with minimal care needs. |
| Failed to provide protective care and watchful oversight meeting the needs of residents, evidenced by Resident #1 eloping and being found off premises. |
Report Facts
Resident census: 39
Staff on night shift: 2
Resident assistance levels: 7
Resident assistance levels: 15
Resident assistance levels: 12
Resident assistance levels: 5
Temperature: 49
Temperature: 47
Distance: 500
Distance: 1
Inspection Report
Original Licensing
Deficiencies: 0
Jan 22, 2020
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Dec 11, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 2/7/19 compliance inspection and complaint investigation.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Feb 7, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake #GA00194200.
Findings
The facility failed to update the Medication Assistance Record (MAR) each time medications were offered or taken for 2 of 8 sampled residents. Additionally, the facility failed to ensure that each resident received adequate and appropriate care and services in compliance with state law for 1 of 8 sampled residents.
Complaint Details
The visit was triggered by complaint intake #GA00194200. The complaint was substantiated as evidenced by failures in medication documentation and care provision.
Severity Breakdown
SS=D: 1
SS=J: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #2 and Resident #3. | SS=D |
| Failed to ensure that Resident #3 received adequate, appropriate care and services in compliance with state law and regulations. | SS=J |
Report Facts
Medications not documented as offered or taken: 8
Sampled residents: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Stated Resident #3 was asleep and medications were not given or re-offered within the scheduled hour. | |
| Staff C | Admitted to forgetting to document medication administration on the MAR. |
Inspection Report
Follow-Up
Deficiencies: 0
May 16, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 02/20/18 complaint investigation GA00184815.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Follow-up to complaint investigation GA00184815; no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 12, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00184815, which involved allegations of abuse and neglect at the facility.
Findings
The investigation found that the facility failed to protect a resident from mental and verbal abuse by Staff D, who made racially offensive statements and threatened the resident. Staff D was suspended and terminated, and all staff received additional training on abuse and neglect.
Complaint Details
Complaint #GA00184815 was substantiated based on interviews and record review showing Staff D's abusive behavior toward Resident #1, including racial slurs and threats. Staff D was suspended on 01/29/18 and terminated on 02/01/18. The facility provided additional staff training on 02/09/18.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to provide each resident the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation. | D |
Report Facts
Complaint number: 184815
Staff suspension date: Jan 29, 2018
Staff termination date: Feb 1, 2018
Staff training date: Feb 9, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in abuse and neglect finding; suspended and terminated for abusive behavior | |
| Staff B | Witnessed Staff D's abusive statements | |
| Staff C | Reported Staff D's threats and behavior toward Resident #1 | |
| Staff A | Facility staff who suspended and terminated Staff D and oversaw investigation |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 22, 2017
Visit Reason
The purpose of this visit was to investigate complaint # GA00174580.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint # GA00174580 was investigated and found to have no rule violations.
Inspection Report
Annual Inspection
Deficiencies: 1
Mar 20, 2017
Visit Reason
The purpose of this visit was to conduct the annual inspection of the assisted living facility.
Findings
The facility failed to ensure that all residents were able to transfer from one location to another, specifically for 1 of 4 sampled residents who was chair/bedbound and unable to transfer independently.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure that all residents were able to transfer from one location to another for 1 of 4 sampled residents (#1) who was chair/bedbound and receiving total care. | SS= D |
Report Facts
Sampled residents: 4
Resident #1 admission date: Dec 6, 2014
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Interviewed regarding Resident #1's inability to transfer |
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