Inspection Reports for Skyland Trail Rollins Campus
2860 BUFORD HWY, BROOKHAVEN, GA, 30329
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 23, 2024, found no deficiencies during a complaint investigation. Earlier inspections showed a mixed record, with some citations related mainly to staff training, medication management, and resident care issues. Prior reports noted failures in timely employee training, medication refills, and proper disposal, as well as an incident where a resident was left unattended and exposed to inappropriate contact during a community outing. Complaint investigations were generally unsubstantiated except for those issues, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history suggests some improvement over time, with the latest visit showing compliance after earlier citations.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 23, 2024
Visit Reason
The purpose of this visit was to investigate intakes self reported intake GA00247434 and conduct the compliance inspection.
Complaint Details
Investigation of self reported intake GA00247434; no rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Capacity: 32
Deficiencies: 0
Date: Mar 13, 2023
Visit Reason
An initial site inspection was conducted to determine if the facility was in compliance to operate a short term adult residential mental health program.
Findings
The facility provides mental health related services for adolescents and adults with appropriate licensed staff and meets the minimum requirements of House Bill 1069 for operating a Short Term Residential Adult Mental Health Program at the 1903 N. Druid Hills location. However, the 1709 Clairmont location is not currently providing these services and patients are transported to the 1903 location in violation of HB 1069.
Report Facts
Licensed and non-licensed staff: 62
Medical staff: 20
Licensed beds: 32
Day shift nurses: 2
Night shift nurses: 1
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 6, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00219820. An onsite visit was made on 2022-01-05 and the investigation was completed on 2022-01-06.
Complaint Details
Investigation of intake #GA00219820 with no rule violations cited.
Findings
No rule violations were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Oct 22, 2021
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake GA00218092. An onsite visit was made to the facility on 10/22/21.
Complaint Details
Investigation of intake GA00218092 was conducted during this visit.
Findings
The facility failed to ensure timely work-related training for employees including resident rights and abuse reporting, failed to ensure tuberculosis screening and physical exams within 12 months prior to employment for sampled staff, failed to obtain timely medication refills causing missed doses for a resident, and failed to properly dispose of unused medications for sampled residents.
Deficiencies (5)
Failure to ensure work-related training within first 60 days of employment including resident rights for 2 of 4 sampled staff (Staff C and Staff E).
Failure to ensure work-related training within first 60 days of employment including identification of abuse, neglect, or exploitation and reporting requirements for Staff E.
Failure to ensure tuberculosis screening and physical examination within 12 months prior to employment for 2 of 4 sampled staff (Staff C and Staff E).
Failure to obtain timely refills of prescribed medications causing missed doses for 1 of 3 sampled residents (Resident #3).
Failure to properly dispose of unused medication according to FDA or EPA guidelines for 2 of 3 sampled residents (Resident #2 and Resident #3).
Report Facts
Number of sampled staff with training deficiencies: 2
Number of sampled residents with medication issues: 3
Date range of missed medication doses: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in findings related to lack of training, missing physical exam and TB screening, and medication issues. | |
| Staff E | Named in findings related to lack of training and missing physical exam and TB screening. |
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 11, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00195099.
Complaint Details
Investigation of intake #GA00195099 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Oct 23, 2018
Visit Reason
The purpose of this visit was to investigate facility reported incident #GA00192153 and conduct a follow up to the 5/16/18 annual inspection and complaint investigation.
Complaint Details
No rule violations were cited as a result of the complaint investigation.
Findings
No rule violations were cited as a result of the complaint investigation.
Report Facts
Incident number: Facility reported incident #GA00192153
Previous inspection date: Follow up to the 5/16/18 annual inspection
Inspection Report
Follow-Up
Deficiencies: 0
Date: Oct 23, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 5/16/18 annual inspection and complaint investigation and investigate facility reported incident #GA00192153.
Findings
No rule violations were cited as a result of the follow-up inspection.
Inspection Report
Annual Inspection
Deficiencies: 1
Date: May 16, 2018
Visit Reason
The purpose of this visit was to conduct an annual inspection and investigate complaint #GA0018523.
Complaint Details
Complaint #GA0018523 was investigated during this visit. The complaint involved Resident #1 being left at a local store during a community outing and being inappropriately touched by a stranger. The facility staff followed protocol by notifying the local police department. Resident #1 declined medical examination and police involvement.
Findings
The facility failed to ensure each resident received adequate and appropriate care in compliance with federal and state law. Specifically, Resident #1 was left at a local store during a community outing and was inappropriately touched by a stranger.
Deficiencies (1)
Facility failed to ensure each resident received care and services which were adequate, appropriate, and in compliance with applicable federal and state law and regulations, evidenced by Resident #1 being left at a local store and inappropriately touched by a stranger.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 incident and facility protocol failures. |
Inspection Report
Deficiencies: 0
Date: Aug 28, 2017
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for the facility Skyland Trail Rollins Campus, indicating a regulatory inspection was conducted.
Findings
The report contains opening comments but does not provide specific details on deficiencies or findings within the provided page.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Apr 27, 2017
Visit Reason
The purpose of this visit was to investigate complaint #GA00173708.
Complaint Details
The visit was complaint-related, investigating complaint #GA00173708. The complaint involved issues with staff training, resident documentation, and reporting of a missing resident.
Findings
The facility failed to ensure required staff trainings were up to date, lacked required advance directive documentation and personal needs allowance waiver for a resident, and did not report a missing resident to police and the Department within required timeframes.
Deficiencies (4)
Facility failed to ensure all staff received required trainings; Staff A's CPR certification expired in March 2017.
Facility failed to include a copy of a living will and/or power of attorney for health care or Georgia advance directive for health care for Resident #1.
Facility failed to maintain a copy of Resident #1's written waiver of the personal needs allowance charge.
Facility failed to report a missing resident to police within 30 minutes and to the Department within 30 minutes of police notification for Resident #1.
Report Facts
Date of survey completion: Apr 27, 2017
Staff CPR certification expiration: 201703
Resident admission date: Mar 24, 2017
Time missing resident noted: 1800
Time police notified: 1900
Time Department notified: 2300
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiency related to expired CPR certification | |
| Staff B | Interviewed staff regarding training cancellations, resident documentation, and reporting procedures |
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