Inspection Reports for Oaks at Savannah
7410 SKIDAWAY ROAD, SAVANNAH, GA, 31406
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 24, 2025, found no deficiencies. Earlier inspections showed a pattern of occasional deficiencies related mainly to resident care, such as insufficient assistance with grooming, and safety issues including fire safety compliance and staff documentation. Complaint investigations were mostly unsubstantiated, except for a few substantiated cases involving lack of protective oversight leading to resident elopements, failure to assess a resident after a fall, and incomplete personnel records. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record suggests some improvement over time, with the most recent inspections showing no cited violations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% 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 24, 2025
Visit Reason
The purpose of this visit was to investigate intakes #GA50005714 and #GA50005769.
Complaint Details
Investigation was started and completed on 09/24/2025 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 19, 2025
Visit Reason
The purpose of this visit was to investigate intakes #GA50005283 and #GA50005002.
Complaint Details
Investigation started on 2025-08-19 with an on-site visit at 11:00 am and completed the same day. No violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
The purpose of this visit was to investigate multiple intakes (#GA50004288, #GA50004357, #GA50004321, #GA50004650, and #GA50004242) with the investigation beginning on 2025-07-16 and completing on 2025-07-24, including an onsite visit on 2025-07-24.
Complaint Details
Investigation was initiated based on multiple intakes and included interviews and observations related to fire safety compliance.
Findings
The facility failed to comply with applicable local fire safety ordinances, specifically due to an expired elevator inspection tag and a non-operational internal telephone inside the elevator that could not be used in case of emergency.
Deficiencies (2)
Expired inspection tag dated 4/1/2025 posted inside the elevator.
Internal telephone inside the elevator was not operational and could not be used in case of emergency.
Report Facts
Intake numbers investigated: 5
Expired inspection tag date: Apr 1, 2025
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 8, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50003113.
Complaint Details
Investigation started on 2025-05-08 with an on-site visit at 12:00 pm and completed the same day. No deficiencies were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 30, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50002708.
Complaint Details
Investigation started on 2025-04-30 with an on-site visit at 11:30 am and completed the same day. No violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 16, 2025
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA50002154, #GA50002386, and #GA50002332. An onsite visit was made on 4/16/2025 to conduct the investigation.
Complaint Details
The visit was complaint-related, investigating intakes #GA50002154, #GA50002386, and #GA50002332. The investigation started on 4/16/2025 and was completed on 4/28/2025.
Findings
The facility staff failed to provide sufficient time to keep residents comfortable and clean, as evidenced by Resident #2 being observed with an unpleasant body odor and unkempt hair. Resident #2 required physical assistance with grooming and hygiene but was not adequately cared for.
Deficiencies (1)
Facility staff failed to provide sufficient time to keep residents comfortable and clean, specifically Resident #2 was observed with unpleasant body odor and unkempt hair.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001332 and #GA50001595.
Complaint Details
Investigation was unannounced and conducted on 2025-02-20; no rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Report Facts
Intake numbers investigated: 2
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 30, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA50000869.
Complaint Details
Investigation of intake #GA50000869 was completed with no rule violations cited.
Findings
No rule violation was cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 8, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00252389.
Complaint Details
Investigation of intake #GA00252389 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Oct 22, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00250161 and #GA00250257, with an onsite visit made on 10/22/2024 and the investigation completed on 10/30/2024.
Complaint Details
The visit was complaint-related, investigating intakes #GA00250161 and #GA00250257. The deficiencies were substantiated by observations, record reviews, and interviews.
Findings
The facility failed to maintain required documentation in personnel files for 1 of 6 sampled staff (Staff D), including employment history, a physical examination report with TB screening, and evidence of required trainings. Despite multiple requests and follow-ups, the facility did not provide these documents.
Deficiencies (3)
Failure to maintain documentation of employment history for Staff D.
Failure to include a report of physical examination and TB screening for Staff D.
Failure to include evidence of required trainings for Staff D.
Report Facts
Number of sampled staff with deficiencies: 1
Hire date of Staff D: Jul 26, 2021
Dates of document follow-up emails: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in deficiencies related to missing employment history, physical exam, and training documentation | |
| Staff A | Responsible for providing requested documents; did not provide missing documentation or explanation | |
| Staff B | Mentioned as attending conference with Staff A | |
| Staff H | Provided information during phone interview about Staff A and Staff B attending conference and document requests |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 29, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00249300. An onsite visit was made on 8/29/2024, and the investigation was completed on 9/5/2024.
Complaint Details
Investigation of intake #GA00249300 was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 1
Date: Jun 18, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00247005, #GA00246944, and #GA00246779 regarding protective care and oversight at the facility.
Complaint Details
The complaint investigation was triggered by allegations of lack of staff supervision resulting in the elopement of Resident #3 on 5/20/2024 and again on 6/9/2024. The allegation was substantiated due to sufficient evidence.
Findings
The facility failed to provide protective care and watchful oversight for one resident, resulting in two elopement incidents. The allegation of lack of staff supervision was substantiated based on observation, record review, and interviews.
Deficiencies (1)
Failure to provide protective care and watchful oversight for Resident #3, leading to elopement incidents.
Report Facts
Resident census: 23
Staff count: 3
Distance from facility: 550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in relation to failure to stop Resident #3 during first elopement and subsequently fired | |
| Staff A | Provided detailed account of elopement incidents and staff actions | |
| Staff C | Reported Resident #3 left the building twice | |
| Staff F | Retrieved Resident #3 during second elopement incident |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 26, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00236814 and #GA00237689 regarding the facility's failure to properly assess a resident after a fall.
Complaint Details
The investigation was triggered by complaints alleging the facility failed to assess Resident #1 after a fall on 6/30/2023. The complaint was substantiated by findings of inadequate assessment and delayed medical intervention.
Findings
The facility failed to complete a resident needs assessment for Resident #1 after a fall on 6/30/2023, resulting in delayed treatment of a stage 3 pressure ulcer with infection and other complications. The resident was eventually hospitalized with multiple diagnoses related to the injury and underlying conditions.
Deficiencies (1)
Failure to complete an assessment of Resident #1 after a fall on 6/30/2023, leading to untreated wound and subsequent hospitalization.
Report Facts
Dates of hospital visits: Resident #1 visited the emergency department on 7/14/2023 and 7/28/2023.
Stage 3 ulcer size: 2
Date of last assessment before fall: Last assessment was on 2/6/2023, prior to the fall on 6/30/2023.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 29, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234206.
Complaint Details
Investigation of intake #GA00234206 resulted in no rule violations.
Findings
No rule violations were found as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00230871.
Complaint Details
Visit was complaint-related to intake #GA00230871.
Findings
The facility failed to ensure that the administrator, director, or onsite manager obtained a satisfactory fingerprint records check determination prior to serving in that role, specifically for 1 of 3 sampled staff (Staff A).
Deficiencies (1)
Failure to ensure the administrator, director, or onsite manager obtained a satisfactory fingerprint records check determination prior to serving in that role for 1 of 3 sampled staff (Staff A).
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiency related to fingerprint records check; hired 8/9/2016 and promoted as administrator on 8/1/2021. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 1, 2021
Visit Reason
The purpose of this visit was to investigate intake GA00218533.
Complaint Details
Investigation of intake GA00218533 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 20, 2021
Visit Reason
The purpose of this visit was to investigate intake GA00218211.
Complaint Details
Investigation of intake GA00218211 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
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