The most recent inspection on September 19, 2025, identified deficiencies related to cleanliness and resident care, specifically involving delayed assistance and unclean conditions in one resident’s apartment. Earlier inspections, including one on August 8, 2025, found no deficiencies and no rule violations during complaint investigations. The main issues cited involved failure to maintain the interior in good repair and provide timely, appropriate care according to the resident’s care plan. Complaint investigations were substantiated in the latest report, confirming delays in assistance and unclean clothing for the resident, while prior complaints were unsubstantiated. The inspection history shows a recent emergence of care and maintenance issues after a period of compliance.
Deficiencies (last 1 years)
Deficiencies (over 1 years)2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The inspection visit was conducted to investigate intake #GA50005429, with an onsite visit made on 2025-09-18 and inspection completed on 2025-09-19.
Findings
The facility failed to maintain the interior in good repair and cleanliness, specifically in the apartment of Resident #1, where the carpet was dirty and the bathroom ceiling had an open hole. Additionally, the facility failed to provide adequate and appropriate care to Resident #1, including delayed assistance with activities of daily living and failure to provide clean clothes as required by the care plan.
Complaint Details
The visit was complaint-related based on intake #GA50005429. Resident #1 reported not receiving timely assistance with activities of daily living for 5 mornings, staff leaving him/her unattended, being made to stand despite inability, and being dressed in dirty clothes. Staff interviews confirmed failure to provide services for 2-3 weeks and acknowledged issues. AA reported staff retrieving dirty clothes for Resident #1 and some improvement after discussion with Staff E.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Facility failed to keep the interior clean and in good repair for Resident #1, including dirty carpet with stains and an open hole in the bathroom ceiling.
SS= D
Facility failed to provide adequate and appropriate care to Resident #1, including delayed assistance and failure to provide clean clothes as per care plan.
SS= D
Report Facts
Pendant response time: 275Pendant response time: 77Open hole size: 11Sampled residents: 3Staff assistance required: 2Staff assistance required: 1Care plan date: Jun 16, 2025Physician evaluation date: Sep 16, 2021
Employees Mentioned
Name
Title
Context
Staff E
Named in findings for failure to provide services to Resident #1 for 2-3 weeks and dressing Resident #1 in dirty clothes.
Staff F
Stated wheelchair wheels caused dirty carpet and carpet was to be cleaned.
Staff B
Stated the facility would do better.
AA
Reported staff retrieving dirty clothes for Resident #1 and some improvement after talking with Staff E.
