Most inspections found no deficiencies, including the most recent report dated May 30, 2025, which was clean and found no violations during re-licensure and complaint investigations. Earlier reports with deficiencies primarily involved issues with protective care and watchful oversight, such as residents eloping or being found unsupervised, as well as some medication documentation errors and delayed care responses. These issues were isolated and did not result in fines or enforcement actions, and several complaint investigations were unsubstantiated. The facility has shown improvement over time, with no deficiencies cited in recent years. Overall, the record reflects a facility that has addressed past concerns and maintained compliance in its latest inspections.
Deficiencies (last 9 years)
Deficiencies (over 9 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
43210
2017
2018
2019
2020
2021
2022
2023
2024
2025
Census
Latest occupancy rate8 residents
Based on a July 2019 inspection.
This facility has shown a decline in demand based on occupancy rates.
The purpose of this visit was to investigate intake #GA00235515 and #GA00235698 with an onsite visit made on 2023-06-26 and inspection completed on 2023-07-03.
Findings
No rule violations were cited during this inspection.
Complaint Details
Investigation of intake #GA00235515 and #GA00235698 with no rule violations cited.
The purpose of this visit was to investigate intake #GA00228648. An onsite visit was made on 12/1/22 and the investigation was completed.
Findings
The facility failed to document when medication was refused for 1 of 3 sampled residents (Resident #1). Several medication errors were reported for Resident #1, including delays and refusals not properly recorded, and medication sometimes administered late due to workload.
Complaint Details
Investigation of intake #GA00228648 regarding medication administration errors for Resident #1. Several medication errors and documentation failures were noted.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failed to document when medication was refused for Resident #1.
The visit was conducted to investigate intake #GA00217765, starting on 2021-10-05 and completed on 2021-10-22, including an unannounced visit to the facility.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00217765 was conducted with no rule violations found.
The purpose of this visit was to investigate intake #GA00214979, which was a complaint investigation following a previous investigation of intake #GA00214302.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00214979; allegations previously investigated with intake #GA00214302; no rule violations found.
The visit was conducted to perform a compliance inspection and investigate intake #GA00214302, with an onsite visit on 5/19/2021 and investigation completion on 5/27/2021.
Findings
The facility failed to report to the Department an incident requiring medical attention for 1 of 3 sampled residents (Resident #3), who fell and sustained a skin tear on the right arm on 5/4/2021 and was sent to the hospital for evaluation but returned the same day.
Complaint Details
Investigation was related to intake #GA00214302 regarding failure to report an incident involving Resident #3. The complaint was substantiated based on observation, record review, and interviews.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to report to the Department an incident requiring medical attention for Resident #3 who fell and had a skin tear on the right arm.
The inspection was conducted to investigate intake #GA00206001, which started on 2020-07-07 and was completed on 2020-07-13.
Findings
The facility failed to provide adequate and appropriate care to Resident #1, including delayed response times to pendant alarms ranging from 40 minutes to 2 hours, and failure to provide showers twice weekly as required by the care plan. Staff acknowledged issues with response times and reported improvements and arrangements for showering.
Complaint Details
The visit was complaint-related, investigating intake #GA00206001. The complaint involved delayed response times to pendant alarms and inadequate care for Resident #1. The complaint was substantiated based on record review and interviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to provide adequate and appropriate care and services to Resident #1, including delayed response to pendant alarms and insufficient assistance with hygiene and toileting.
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA00197532 related to the facility's protective care and watchful oversight.
Findings
The facility failed to provide adequate protective care and watchful oversight for one of six sampled residents (Resident #6) who eloped from the facility and was found uninjured at a local grocery store. The resident was returned, assessed, and discharged shortly thereafter.
Complaint Details
Complaint investigation #GA00197532 regarding Resident #6 eloping from the facility on 6/15/19 and being found uninjured at a local grocery store with police involvement. The resident was returned, assessed, family and physician notified, 24-hour sitter assigned, and resident discharged on 6/23/19.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to provide protective care and watchful oversight which met the needs of residents for 1 of 6 sampled residents (Resident #6) who eloped.
SS= D
Report Facts
Staff observed onsite: 3Residents observed in common area: 8Resident #6 admission date: Jul 30, 2018Resident #6 discharge date: Jun 23, 2019Incident date and time: Jun 15, 2019Staff working 3:00 p.m. to 11:00 p.m. shift: 5Temperature high: 84Temperature low: 74Elopement drills per year: 3
Employees Mentioned
Name
Title
Context
Staff G
Located Resident #6 at the grocery store with police and returned resident to facility.
Staff A
Reported Resident #6 left facility and was located by Staff G; confirmed family, physician, and Department notification.
Staff B
Reported searching for Resident #6 and confirmed resident was found uninjured at grocery store.
Staff H
Returned Resident #6 to the facility at approximately 6:00 p.m.
AA
Interviewed regarding Resident #6's prior independent living and exit-seeking behavior.
The purpose of this visit was to conduct a compliance inspection and investigate complaint GA #00189433. An on-site visit was made on 2018-07-02, with the inspection and complaint investigation completed on 2018-07-06.
Findings
The facility failed to include evidence of required trainings, skills competency determinations, and recertifications for one of five sampled staff members. Additionally, the facility failed to ensure proper handling of food, as honey mustard sauce was observed stored in uncovered containers in the refrigerator.
Complaint Details
Complaint GA #00189433 was investigated during this visit. The complaint investigation was completed on 2018-07-06.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Failed to include evidence of trainings, skills competency determinations, and recertifications for one staff member (Staff J), including lack of current certification in emergency first aid and cardiopulmonary resuscitation.
SS= D
Failed to ensure proper handling of food; honey mustard sauce was stored in small cups without covered lids in the refrigerator.
SS= D
Employees Mentioned
Name
Title
Context
Staff J
Named in deficiency related to lack of current certification in emergency first aid and cardiopulmonary resuscitation.
Staff B
Acknowledged during interview that Staff J had no current certification in emergency first aid and cardiopulmonary resuscitation.
Staff C
Acknowledged during interview that Staff J had no current certification in emergency first aid and cardiopulmonary resuscitation.
Staff K
Acknowledged during interview that honey mustard sauce containers needed lids.
The purpose of this visit was to investigate complaint #GA00180575 regarding the care and services provided to a resident.
Findings
The facility failed to provide adequate and appropriate care for Resident #1, who had a swollen and painful right ankle that was not properly addressed in a timely manner, resulting in delayed medical intervention despite documented complaints and observations.
Complaint Details
Investigation of complaint #GA00180575 revealed failure to provide adequate care for Resident #1's swollen right ankle, with delayed physician notification and lack of emergency care despite pain and swelling observed from 9/29/17 to 10/3/17.
Severity Breakdown
J: 1
Deficiencies (1)
Description
Severity
Facility failed to provide care and services which are adequate, appropriate, and in compliance with state law regulations for Resident #1 with a swollen and painful right ankle.
The purpose of this visit was to investigate self-reported incidents GA00179091 and GA00178716 involving resident safety concerns.
Findings
The facility failed to provide protective care and watchful oversight for one resident (#2), who was found walking outside the facility unsupervised on multiple occasions, indicating a lapse in resident security.
Complaint Details
Investigation was triggered by self-reported incidents GA00179091 and GA00178716 concerning Resident #2's unsupervised exits from the facility.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility failed to provide protective care and watchful oversight for Resident #2 who was found outside the facility unsupervised.
The purpose of this visit was to investigate complaint #GA00176526 regarding the facility's failure to provide protective care and watchful oversight for a resident.
Findings
The facility failed to provide protective care and watchful oversight for Resident #1 who eloped from the facility on two occasions, including on 6/22/17 when the resident left the salon unescorted and was found walking outside the facility. Resident #1 has Alzheimer's disease and dementia, requiring reminders and escorting to appointments, which was not consistently provided.
Complaint Details
Complaint #GA00176526 was investigated and substantiated based on findings that Resident #1 eloped from the facility multiple times due to lack of adequate supervision.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to provide protective care and watchful oversight for Resident #1 who eloped from the facility.
SS= D
Report Facts
Incident date: Jun 22, 2017Incident time: 1503Incident time: 1545Incident time: 1553Previous elopement date: Feb 1, 2017Previous elopement time: 1420SLUMS assessment date: Feb 2, 2015SLUMS reassessment date: Jun 29, 2017Hair styling service time: 1330
Employees Mentioned
Name
Title
Context
Staff C
Interviewed regarding Resident #1's condition and supervision on 7/3/17
Staff A
Reported escorting Resident #1 to salon on 6/22/17
Staff D
Informed by Staff C that Resident #1 was still at the salon
Staff E
Interviewed on 7/5/17 about Resident #1's hair styling services and supervision
Staff F
Reported that Resident #1 left salon unescorted after services