Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 11, 2024
Visit Reason
The visit was conducted to investigate intake #GA00252050 and to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00252050; no rule violations found.
Inspection Report
Routine
Deficiencies: 0
Feb 18, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Routine
Deficiencies: 3
May 23, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection of the facility.
Findings
The facility failed to document medication skill competency for unlicensed staff assisting with medications, failed to obtain written informed consent for proxy caregivers for one resident, and failed to develop written plans of care for proxy caregivers for three residents.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to have documentation of medication skill competency when hired and annually thereafter for unlicensed staff providing assistance with or supervision of self-administered medications for 2 of 2 sampled staff. | SS= D |
| Failed to execute an informed consent for a proxy caregiver to provide health maintenance activities for one of three residents sampled. | SS= D |
| Failed to ensure that a written plan of care was developed for residents by a licensed healthcare professional for proxy caregivers delivering health maintenance activities for three residents sampled. | SS= D |
Report Facts
Number of sampled staff without medication competency documentation: 2
Number of residents without informed consent for proxy caregiver: 1
Number of residents without written plan of care for proxy caregivers: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Assisted residents with medications and was unaware of missing documentation and plans of care. | |
| Staff B | Assisted residents with medications and had not received initial medication skill competency training. |
Inspection Report
Annual Inspection
Deficiencies: 2
Mar 8, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility, with an on-site visit made on 3/8/17 and inspection completed on 3/10/17.
Findings
The inspection found that the facility failed to ensure hot water temperature did not exceed 120 degrees Fahrenheit, measuring 133 degrees in a resident bathroom, and failed to maintain an accurate Medication Assistance Record (MAR) for one of three residents sampled, with discrepancies in medication orders and documentation.
Severity Breakdown
SS=0: 1
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure that the hot water provided to residents did not exceed 120 degrees Fahrenheit, with a measured temperature of 133 degrees. | SS=0 |
| The facility failed to have a Medication Assistance Record (MAR) that included all required information and accurate medication orders for Resident #1, including failure to update discontinued and new medication orders. | SS=D |
Report Facts
Hot water temperature: 133
Medication orders reviewed: 3
Medication dosage: 325
Medication dosage: 650
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding hot water temperature and medication record discrepancies |
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