Inspection Reports for Pine Shadows Manor
202 Bryant Dr, Sylvester, GA 31791, GA, 31791
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Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 22, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA222302. The on-site visit was made on 3/22/2022 and the investigation was completed on 4/5/2022.
Findings
The facility failed to ensure that staff demonstrated proper infection control practices during care delivery for 1 of 4 sampled residents. Specifically, Staff B administered insulin without gloves and reused the same alcohol wipe before and after injection on Resident #4.
Complaint Details
Investigation was initiated due to intake #GA222302. The complaint was substantiated based on observation and interviews confirming improper infection control practices by staff.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff failed to use proper infection control practices by not wearing gloves and reusing the same alcohol wipe during insulin administration on Resident #4. | SS= D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Observed administering insulin without gloves and reusing alcohol wipe; admitted to forgetting gloves and improper procedure. | |
| Staff A | Reported that Staff B admitted to the mistake and stated staff should always wear gloves and follow infection control training. |
Inspection Report
Annual Inspection
Deficiencies: 2
Feb 5, 2019
Visit Reason
The purpose of this visit was to conduct an annual compliance inspection.
Findings
The facility failed to ensure that one of three sampled staff (Staff C) obtained current certification in emergency first aid and cardiopulmonary resuscitation (CPR) within the first sixty days of employment, as required.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure Staff C obtained current certification in emergency first aid within the first sixty days of employment. | SS= D |
| Failure to ensure Staff C obtained current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency within the first sixty days of employment. | SS= D |
Report Facts
Number of staff sampled: 3
Number of staff without required certifications: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in deficiencies for lack of first aid and CPR certification | |
| Staff B | Interviewed and stated Staff C lacked required certifications |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 10, 2017
Visit Reason
The visit was conducted to investigate complaints #GA00177398 and #GA00178133, with the investigation beginning on 2017-07-28 and completing on 2017-08-10.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaints #GA00177398 and #GA00178133 found no rule violations.
Inspection Report
Annual Inspection
Deficiencies: 0
Apr 19, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection.
Findings
No rule violations were cited as a result of this inspection.
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