The most recent inspection on April 24, 2025, found no rule violations during a complaint investigation. Prior inspections showed mostly no deficiencies, with one substantiated complaint in March 2025 related to staff not completing the required continuing education hours. Earlier reports cited issues with medication administration documentation and timely medication refills in 2020, which led to missed doses and a hospital admission, but no enforcement actions or fines were listed in the available reports. Most complaint investigations were unsubstantiated, and no license suspensions or fines were noted. The inspection history suggests some improvement in compliance with medication management and staff training over time.
Deficiencies (last 6 years)
Deficiencies (over 6 years)0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate complaint #GA0001680 and conduct the compliance inspection.
Findings
The facility failed to ensure that staff providing hands-on personal services, beginning with the second year of employment, completed the required minimum of sixteen hours of job-related continuing education annually for 2 of 5 staff reviewed.
Complaint Details
Investigation of complaint #GA0001680. The complaint was substantiated as the facility failed to meet ongoing staff training requirements.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Staff D had only eight hours of training for 2024, less than the required sixteen hours.
SS= D
Staff E had only three hours of training for 2024, less than the required sixteen hours.
SS= D
Report Facts
Staff reviewed: 5Staff with deficient training hours: 2Training hours for Staff D: 8Training hours for Staff E: 3
Employees Mentioned
Name
Title
Context
Staff D
Named in deficiency for insufficient training hours
Staff E
Named in deficiency for insufficient training hours
The purpose of this visit was to investigate complaint #GA00237454.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began on 2023-09-11, an onsite visit was made on 2023-09-13, and the investigation was completed on 2023-09-21. No rule violations were found.
The purpose of this visit was to investigate complaint #GA00231447.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began on 2023-01-19, an onsite visit was made on 2023-02-01, and the investigation was completed on 2023-02-01. No violations were found.
Inspection Report Original LicensingDeficiencies: 1Feb 8, 2022
Visit Reason
The purpose of this survey was to conduct an initial inspection of the facility, which began on 2022-02-03 and was completed on 2022-02-08.
Findings
The facility failed to have a memory care center certificate. During the tour on 2022-02-02, no certificate was observed, and staff confirmed the certificate had not yet been obtained but was applied for on 2022-02-08.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to have a memory care center certificate.
D
Employees Mentioned
Name
Title
Context
Staff A
Interviewed regarding lack of memory care center certificate and application status.
The purpose of the investigation was to investigate complaint #GA00209093, which started on 2020-10-16 and was completed on 2020-10-23.
Findings
The facility failed to update the Medication Administration Record (MAR) each time medication was offered or taken for 3 of 10 sampled residents (Residents #1, #2, and #9). Additionally, the facility failed to ensure timely refills of prescribed medications, resulting in interruptions in routine dosing for Resident #1. Interviews and record reviews confirmed multiple instances of missing staff initials on MARs and medication shortages causing residents to miss doses.
Complaint Details
Investigation of complaint #GA00209093. Interviews revealed residents did not receive prescribed diabetic medications timely, including insulin, resulting in high blood sugar and hospital admission for Resident #8. Staff reported borrowing insulin needles and glucose monitors from other residents due to medication shortages. Pharmacy delays were cited as cause for medication interruptions.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Facility failed to update the Medication Administration Record (MAR) each time medication was offered or taken for Residents #1, #2, and #9.
SS= D
Facility failed to ensure timely refills of prescribed medications, causing interruptions in routine dosing for Resident #1.