The most recent inspection on September 19, 2025, was a complaint investigation that found no rule violations. Earlier inspections generally showed no deficiencies, with most complaint investigations resulting in no cited violations. One prior complaint investigation in January 2022 identified deficiencies related to inadequate policies and delayed responses concerning a resident with multiple fractures, but no fines or enforcement actions were listed in the available reports. The main themes of past deficiencies involved resident protection and timely communication with legal representatives. The facility’s record shows mostly unsubstantiated complaints and no recent deficiencies, indicating improvement over time.
Deficiencies (last 8 years)
Deficiencies (over 8 years)0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate allegations of intake GA50004240, with an on-site visit made on 2025-08-20 and the investigation completed on 2025-09-11.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of allegations of intake GA50004240 was completed with no rule violations cited.
The visit was conducted to perform a compliance inspection and to investigate intake #GA00222724, with the investigation starting on 2022-04-11 and completing on 2022-04-13.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake #GA00222724 was conducted and completed with no rule violations found.
The purpose of this visit was to investigate complaint intakes #GA00220609 and #GA00220548, with the investigation starting on 2022-01-25 and completed on 2022-04-26.
Findings
The facility failed to ensure effective policies and procedures to protect Resident #1, who was admitted to the hospital with multiple fractures of unknown origin. The facility did not report any falls or injuries prior to hospitalization, failed to conduct timely physical assessments, and delayed notifying the resident's family about bruising and injuries. The investigation revealed possible elder abuse and inadequate response to the resident's adverse condition.
Complaint Details
Investigation was initiated due to complaints regarding multiple fractures sustained by Resident #1 while residing at the facility. The family member filed a police complaint. The investigation included interviews with staff, the Wellness Director, Nurse Practitioner, EMS paramedic, and family members. The resident was found with bilateral arm fractures, a dislocated hip, broken leg, and broken ribs, with no reported falls or injuries documented by the facility prior to hospitalization.
Severity Breakdown
D: 2
Deficiencies (2)
Description
Severity
Administrator failed to ensure policies and procedures were effective and enforced to ensure compliance with rules and community policies.
D
Facility failed to immediately take appropriate actions to address the needs of Resident #1, including timely notification of the legal representative in case of accident or sudden adverse change.
D
Report Facts
Resident age: 92Date of hospital admission: Jan 5, 2022Number of fractures: 6Medication doses: 2
Employees Mentioned
Name
Title
Context
Staff J
Documented swelling and bruising on Resident #1 and notified Wellness Director
Wellness Director
Responsible for resident assessments and communication with Nurse Practitioner
Resident #1's Nurse Practitioner
Nurse Practitioner
Suggested ER visit and communicated with Wellness Director
Administrator
Provided statements regarding Resident #1's condition and facility response
EMS paramedic
Emergency Medical Service Paramedic
Responded to emergency call and documented injuries
Staff I
Checked on Resident #1 and reported findings to Wellness Director
Staff F
Called Staff I to check on Resident #1
Staff C
Directed by Wellness Director to check on Resident #1
CC
Family member contacted by facility regarding Resident #1's injuries
BB
Family member contacted by facility regarding Resident #1's injuries
Staff D
Decided Resident #1's arm was broken and called EMS
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA00199978, with the investigation starting on 2019-10-16 and completing on 2019-10-18.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00199978 was conducted with no rule violations cited.
The purpose of this visit was to investigate complaints GA 00191672 and GA00191006 with on-site visits made on 2018-09-13 and 2018-10-11, and the investigation completed on 2018-10-16.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaints GA 00191672 and GA00191006 with no rule violations found.
Inspection Report Deficiencies: 0Jul 23, 2018
Visit Reason
The document is a statement of deficiencies and plan of correction for Oaks at Post Road, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.
The purpose of this visit was to conduct an annual inspection of the assisted living community.
Findings
The facility failed to maintain an effective infection control program, failed to ensure residents were free from physical restraints, and failed to report allegations of abuse and neglect to the Department as required.
Severity Breakdown
SS= D: 3
Deficiencies (3)
Description
Severity
Facility failed to have an effective infection control program with staff demonstrating proper infection control practices during medication administration.
SS= D
Facility failed to ensure residents are free from physical restraints, as Resident #1 was observed restrained in a broda chair with limited freedom of movement.
SS= D
Facility failed to report allegations of abuse, neglect, or exploitation of residents to the Department as required by law.
SS= D
Report Facts
Date of survey completion: Jan 9, 2018Staff C hire date: Jul 3, 2015Staff C CMA registry active until: Mar 6, 2019Date of written notice to Staff C: Oct 3, 2017Date of verbal warning to Staff C: Sep 21, 2015Date of counseling session for Staff C: Apr 3, 2017Date of final written warning to Staff C: Oct 3, 2017
Employees Mentioned
Name
Title
Context
Staff C
Certified Medication Aide
Named in infection control and abuse reporting deficiencies
Staff B
Interviewed regarding infection control and abuse reporting
Staff A
Interviewed regarding physical restraint use
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.