Inspection Reports for Pine Shadows Manor

202 Bryant Dr, Sylvester, GA 31791, GA, 31791

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Inspection Report Summary

The most recent inspection on March 22, 2022, identified deficiencies related to infection control practices during insulin administration. Earlier inspections showed mostly clean results, except for a 2019 annual inspection that cited issues with staff certification in emergency first aid and CPR. The main themes of deficiencies involved infection control and staff training. A complaint investigation in 2022 was substantiated regarding improper infection control, while prior complaint investigations found no violations. The facility’s inspection history shows isolated issues with some improvement between 2019 and 2017, but the 2022 findings indicate ongoing attention is needed in infection control practices.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2019
2022

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
Staff failed to use proper infection control practices by not wearing gloves and reusing the same alcohol wipe during insulin administration on Resident #4.

Employees mentioned
NameTitleContext
Staff BObserved administering insulin without gloves and reusing alcohol wipe; admitted to forgetting gloves and improper procedure.
Staff AReported 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 Date: 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.

Deficiencies (2)
Failure to ensure Staff C obtained current certification in emergency first aid within the first sixty days of employment.
Failure to ensure Staff C obtained current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency within the first sixty days of employment.
Report Facts
Number of staff sampled: 3 Number of staff without required certifications: 1

Employees mentioned
NameTitleContext
Staff CNamed in deficiencies for lack of first aid and CPR certification
Staff BInterviewed and stated Staff C lacked required certifications

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: 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.

Complaint Details
Investigation of complaints #GA00177398 and #GA00178133 found no rule violations.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: 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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