Inspection Reports for Premier Estates of Dublin, LLC

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies have been corrected during the follow-up survey.

The document is a Statement of Deficiencies and Plan of Correction for Premier Estates of Dublin, LLC, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted from May 7, 2025, to May 8, 2025, to verify correction of deficiencies cited in the March 31, 2025, standard survey.

All deficiencies cited as a result of the March 31, 2025, standard survey were found to be corrected.

A standard survey was conducted at Dublin Trails of Journey from 3/29/2025 to 3/31/2025 to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found noncompliant with several regulatory requirements including failure to provide resident trust fund quarterly statements, failure to timely report resident elopements, inadequate provision of activities of daily living such as nail care, improper cleaning and storage of respiratory oxygen equipment, failure to discard expired and unlabeled food items, and failure to perform proper hand hygiene and clean shared equipment.

The inspection was conducted to review the facility's compliance with emergency preparedness and life safety code requirements, including fire safety, emergency lighting, exit signage, sprinkler systems, fire alarm systems, fire drills, and door maintenance.

The facility was found not in substantial compliance with multiple life safety code requirements including blocked exit routes, improper emergency lighting and exit sign testing, failure to maintain self-closing doors, improper fire alarm system installation and maintenance, deficiencies in sprinkler system installation and maintenance, unserviced fire extinguishers, unsealed firewalls, improper electrical equipment installation, lack of fire drills on night shift, and failure to inspect and maintain fire and smoke-rated doors.

This document is a Statement of Deficiencies and Plan of Correction for Premier Estates of Dublin, LLC, indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.

The report contains initial comments but does not specify any detailed deficiencies or findings within the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during the November 30, 2023, Recertification survey and Complaint Investigation.

All deficiencies cited in the prior November 30, 2023 survey and complaint investigation were found to be corrected during this revisit survey.

A State Licensure revisit was conducted at Premier Estates of Dublin on January 23, 2024, to verify correction of previously cited deficiencies related to environmental sanitation and housekeeping.

The facility failed to maintain a homelike environment due to rusty and dirty vents, chipped paint on the nurse's station countertop, peeling kitchen ceiling paint, and torn or missing floor tiles in multiple hallways. Observations and interviews confirmed ongoing issues despite some corrective actions.

This revisit was conducted in response to a prior Complaint Investigation and State Licensure survey on November 30, 2023, with a Plan of Correction due by January 14, 2024.

A revisit survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations following a prior Complaint Investigation and State Licensure survey.

The facility failed to maintain a homelike environment due to rusty and dirty vents, chipped paint on the nurse's station countertop, unpainted and peeling kitchen ceiling, and torn and missing floor tiles in two of five halls. Maintenance efforts were ongoing but incomplete at the time of inspection.

A Follow-Up Survey was conducted to verify correction of previously cited survey deficiencies.

All previously cited survey tags have been corrected as noted by the surveyor.

A State Licensure survey was conducted at Premier Estates of Dublin from November 28, 2023 through November 30, 2023 to assess compliance with state health regulations and facility licensure requirements.

The survey identified deficiencies related to infection control practices during fingerstick testing and enteral feeding, environmental sanitation issues including peeling paint and damaged fixtures, and failures in employee background screening processes.

A standard survey was conducted from 11/28/2023 through 11/30/2023, including investigation of multiple complaint intake numbers, to assess compliance with Medicare/Medicaid regulations for Premier Estates of Dublin.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies in maintenance of a safe and homelike environment, pre-employment screening, PASARR coordination, and infection prevention and control practices.

Multiple complaint intake numbers were investigated; four were unsubstantiated, one was substantiated with no deficiencies, and one was substantiated with deficiencies.

The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.

The facility was found not in substantial compliance with several Life Safety Code requirements including blocked exits, failure to test and operate emergency lighting, lack of vent hood cleaning and suppression reports, sprinkler system maintenance issues, improper storage near sprinkler heads, electrical hazards such as improperly installed multi taps and missing light fixtures, use of prohibited portable space heaters, and unsafe use of power strips and extension cords.

An abbreviated survey was conducted to investigate complaints #GA00231755 and #GA00231204.

The complaints were unsubstantiated and no regulatory violations were cited during the survey.

Complaints #GA00231755 and #GA00231204 were investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the 9/29/2022 Standard Survey.

All deficiencies cited in the previous 9/29/2022 Standard Survey were found to be corrected during the revisit survey.

This document is a Statement of Deficiencies and Plan of Correction for Premier Estates of Dublin, LLC, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings within the visible content.

A Follow-Up Survey was conducted to verify correction of previously cited survey deficiencies.

All previously cited survey tags have been corrected as noted by the surveyor.

A Licensure Survey was conducted from 09/26/22 through 09/29/22 to assess compliance with licensure requirements and facility policies.

The facility failed to ensure nursing staff had the competencies to care for a resident with a chest tube, admitted a resident with a chest tube without proper facility assessment or staff training, and lacked documentation of staff training. Additionally, deficiencies were found in nursing care related to assistance with activities of daily living, catheter care, and dialysis shunt assessment and documentation.

A standard survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations and resident care standards.

The facility was found noncompliant with multiple regulatory requirements including resident self-determination, ADL care, medication administration, incontinence care, nutrition and hydration, respiratory care, dialysis care, nursing staff competency, and environmental safety. Specific deficiencies included failure to honor resident bathing preferences, inadequate assistance with ADLs, missed medication administration, improper catheter care, lack of nutritional support during dialysis, incorrect oxygen therapy administration, incomplete dialysis shunt assessments, insufficient nursing competency for chest tube care, and unsafe water temperatures and wall conditions in resident rooms.

A revisit survey was conducted to verify correction of deficiencies cited during the 8/9/22 Complaint Survey.

All deficiencies cited as a result of the 8/9/22 Complaint Survey were found to be corrected.

This visit was a follow-up to a complaint survey conducted on 8/9/22; all cited deficiencies were corrected.

A revisit survey was conducted to verify correction of deficiencies cited during the 8/9/22 Complaint Survey.

All deficiencies cited as a result of the 8/9/22 Complaint Survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on 8/9/22; all cited deficiencies were corrected.

Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with life safety requirements, including issues with self-closing doors, sprinkler system installation and maintenance, fire extinguisher maintenance, smoke barrier construction, electrical safety, fire drills, portable space heaters, gas equipment storage, and oxygen cylinder security.

A Licensure Survey was conducted from 8/1/22 through 8/9/22 to assess compliance with licensure requirements for the facility.

The facility failed to maintain a clean, comfortable, homelike environment free from damaged walls, missing baseboards, damaged flooring, missing bathroom fixtures, and uncomfortably warm air temperatures in multiple areas including three of five halls and the front lobby.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints filed against the facility, some of which were substantiated with deficiencies cited.

The survey found that the facility failed to notify the Responsible Party of a room change for two residents, and failed to maintain a safe, clean, comfortable, and homelike environment, including issues with damaged walls, missing baseboards, damaged flooring, missing bathroom fixtures, and uncomfortably warm air temperatures in multiple areas.

The survey investigated complaints GA00217877, GA00220515, GA00221930, GA00223599, GA00225690, and GA00226415. Complaints GA00217877, GA00220515, GA00221930, and GA00223599 were unsubstantiated. Complaints GA00225690 and GA00226415 were substantiated with deficiencies cited.

An abbreviated/partial extended survey was conducted to investigate complaint GA00215215.

The complaint GA00215215 was unsubstantiated and no regulatory violations were cited during the survey.

Complaint GA00215215 was investigated and found to be unsubstantiated with no regulatory violations cited.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations for COVID-19.

An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by their codes GA00207196, GA00201841, GA00206737, GA00207099, and GA00203419.

The survey was completed on 10/6/2020 and all the complaints investigated during this abbreviated survey were found to be unsubstantiated.

The complaints investigated during the survey were unsubstantiated.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted on September 29-30, 2020 by Ascellon on behalf of the Georgia Department of Community Health.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted on August 11-12, 2020 by Ascellon on behalf of the Georgia Department of Community Health (DCH).

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and has implemented recommended practices to prepare for COVID-19.

An Abbreviated/Partial Extended Survey was initiated to investigate GA00199702.

The investigation substantiated GA00199702 with no deficiencies cited.

A revisit survey was conducted on 10/7/19 to verify correction of deficiencies cited during the 8/8/19 revisit to the Recertification Survey.

All deficiencies cited as a result of the 8/8/19 revisit to the Recertification Survey were found to be corrected.

A follow-up survey was conducted to verify that all previously cited survey deficiencies had been corrected.

The follow-up survey noted that all previously cited survey tags had been corrected.

A standard survey was conducted from 6/10/19 through 6/13/19, including investigation of Complaint Intake Number GA00197281, to assess compliance with Medicare/Medicaid regulations.

The facility was found not in substantial compliance with multiple regulatory requirements including failure to obtain signatures on Medicare Non-Coverage notices, failure to implement comprehensive care plans for pressure ulcers and ADL care, medication administration errors, unsafe storage of personal care items, and infection control deficiencies.

Complaint Intake Number GA00197281 was investigated in conjunction with the standard survey.

The inspection was conducted to assess compliance with medical, dental, nursing care, environmental sanitation, and housekeeping regulations at Premier Estates of Dublin, LLC.

The facility failed to implement ordered wound care treatments for one resident with a pressure ulcer and failed to provide restorative nursing services for another resident after skilled therapy was terminated. Additionally, the facility failed to store personal care items in a sanitary manner, risking cross-contamination.

A Life Safety Code Survey was conducted to assess compliance with fire safety regulations and the National Fire Protection Association (NFPA) 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with life safety requirements, including failure of magnetic locks on egress doors to release upon fire alarm activation, improper corridor openings with a louvered door, and inadequate protection of oxygen cylinders from weather exposure.

A Revisit Survey was conducted to verify correction of deficiencies cited during the standard survey on 2018-10-17.

All deficiencies cited in the prior standard survey were found to be corrected during this revisit survey.

An unannounced visit was made to the facility on October 24, 2018 by a State Surveyor to investigate complaint # GA00192268.

The investigation included observations, staff and resident interviews, record reviews, and review of relevant facility documents.

Complaint # GA00192268 was investigated; the Ombudsman was contacted and made aware of the investigation, and a message was left for the complainant.

A revisit survey was conducted to verify correction of deficiencies cited in the Recertification Survey of April 19, 2018.

All deficiencies cited in the prior Recertification Survey were found to be corrected during this revisit survey.

A revisit survey was conducted to verify correction of deficiencies cited in the March 6, 2018 Complaint Survey.

All deficiencies cited during the March 6, 2018 Complaint Survey were found to be corrected during this revisit survey.

The revisit survey was conducted as a follow-up to the March 6, 2018 Complaint Survey to verify correction of cited deficiencies.

A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.

The follow-up survey noted that all previously cited survey tags had been corrected.

A standard survey was conducted to assess compliance with Medicare/Medicaid regulations related to long term care facilities.

The facility was found noncompliant with multiple regulatory requirements including environmental safety and maintenance issues, inaccurate resident assessments, pain management deficiencies, psychotropic medication management, resident record documentation, and infection control practices.

Routine inspection to assess compliance with state and federal regulations regarding pharmacy management, infection control, nursing care, medication administration, record keeping, and facility safety.

The facility was found deficient in multiple areas including failure to document duration of PRN antianxiety medication and improper dose reduction of antipsychotic medication, inadequate infection control practices, failure to ensure availability and administration of ordered pain medications, incomplete recording of insulin and blood sugar testing, and unsafe environmental conditions such as chipped paint, broken doors, and floor tiles.

Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with life safety requirements, including failure to maintain means of egress guards, inadequate emergency lighting battery backup, failure to conduct quarterly fire drills on each shift, and improper use of power strips for oxygen concentrators.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00185751 regarding the facility's compliance with respiratory/tracheostomy care regulations.

The facility failed to ensure that an emergency tracheostomy tube and obturator were available for one resident with a tracheostomy. Staff interviews confirmed that emergency tracheostomy kits were not kept in the facility and that nurses were not allowed to reinsert tracheostomy tubes without physician orders.

Investigation of complaint GA00185751 found noncompliance with respiratory care regulations related to emergency tracheostomy equipment availability and staff practices.

An unannounced complaint survey and a revisit were conducted to investigate complaint # GA 00185337 at Premier Estates of Dublin.

The complaint survey revealed the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483 for Long Term Care Facilities.

Investigation of complaint # GA 00185337; facility found in substantial compliance.

A revisit was conducted on 2/20/18 to complaint #GA00183017 to verify correction of deficiencies cited in the complaint survey of 1/5/18.

All deficiencies cited as a result of the complaint survey of 1/5/18 were found to be corrected during the revisit on 2/20/18.

Complaint #GA00183017; deficiencies from the complaint survey were corrected as verified by the revisit.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00183017 regarding the facility's compliance with bed hold policy notification requirements.

The facility failed to provide written bed hold policy information at the time of hospital transfer or within 24 hours for three sampled residents, despite having documented procedures to do so.

The complaint was partially substantiated. The facility did not consistently provide written bed hold policy information at the time of transfer or within 24 hours for residents "A", #2, and #3 as required.

The inspection was conducted as a complaint survey to determine compliance with Federal and State Long Term Care Requirements under 42 CFR Part 483, Subpart B.

No deficiencies were cited during the complaint survey conducted on November 17, 2017.

The complaint survey was conducted and no deficiencies were found, indicating no substantiated issues.

The inspection was conducted to investigate a complaint against Premier Estates of Dublin, LLC.

Based on record review and staff interviews, the complaint was not substantiated.

The complaint was investigated and found to be unsubstantiated.

A follow-up visit was conducted to verify correction of deficiencies identified in the prior recertification survey.

All deficiencies identified in the previous recertification survey had been corrected at the time of this follow-up visit.

A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.

The follow-up survey noted that all previously cited deficiencies had been corrected.

A standard survey in conjunction with an abbreviated survey was conducted, including a complaint investigation (Intake Number GA0016990) which was substantiated with deficiencies.

The facility was found not in substantial compliance with Medicare/Medicaid regulations related to failure to administer pain medication in a timely manner for one resident (#97), resulting in elevated pain levels during the delay.

Complaint Intake Number GA0016990 was substantiated with deficiencies related to failure to administer pain medication timely for resident #97.

The visit was a Life Safety Code survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.

The facility was found not in substantial compliance with NFPA 101 Life Safety Code 2012 edition due to deficiencies in the fire sprinkler system installation and smoke barrier construction. Specific issues included lack of electronically supervised outside water control valve for the sprinkler system and failure to maintain smoke barriers with required fire resistance rating.