Inspection Reports for Smyrna Village-Pending
1418 SPRING STREET SE, SMYRNA, GA, 30080
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 5, 2024, found no deficiencies during the complaint investigation. Earlier inspections showed a mix of issues, including missing employee physical exams and background checks, incomplete fire drills, lack of staff and resident records, and noncompliance with building codes resulting in a stop work order and a fine. Prior deficiencies also involved staff training and certification gaps as well as medication refill delays affecting resident care. Complaint investigations were mostly unsubstantiated except for a few substantiated cases related to staffing documentation, safety drills, and facility maintenance. The facility’s recent clean inspection suggests some improvement following previous findings.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 5, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00246673 with an onsite visit made on 6/5/24 and the investigation completed on 6/7/24.
Complaint Details
Investigation of intake #GA00246673 with no rule violations cited.
Findings
There were no rule violations cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 30, 2024
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00245869 through an unannounced onsite visit made on 4/30/2024, with the investigation completed on 5/9/2024.
Complaint Details
The visit was complaint-related, investigating intake #GA00245869. The complaint was substantiated by findings of missing physical examinations, criminal background checks, and fire drills.
Findings
The facility failed to ensure that employees received required physical examinations and criminal background checks prior to employment, and failed to complete required fire drills for the current year 2024.
Deficiencies (3)
Facility failed to ensure each employee received a physical examination by a licensed provider within 12 months prior to employment for 2 of 4 sampled staff (Staff B, Staff C).
Facility failed to obtain a satisfactory criminal history background check prior to employment for 1 of 4 sampled staff (Staff A).
Facility failed to complete required fire drills for the current year 2024.
Report Facts
Sampled staff: 4
Staff without physical exam: 2
Staff without criminal background check: 1
Year: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in criminal background check deficiency | |
| Staff B | Named in physical examination deficiency | |
| Staff C | Named in physical examination deficiency and fire drill interview |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 10, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00245022 with an on-site visit conducted on 4/10/2024 and the investigation completed on 4/17/2024.
Complaint Details
Investigation was initiated based on intake #GA00245022. The complaint was substantiated as deficiencies were found related to record availability, building code compliance, and kitchen maintenance.
Findings
The facility failed to have staff and resident records available for review, did not comply with state and local building codes for structural renovation, and failed to maintain a properly equipped kitchen due to ongoing construction without a permit. A stop work order was issued and the facility was cited and fined.
Deficiencies (3)
Facility failed to have staff and resident records available for review during the inspection.
Facility failed to comply with state and local building codes for structural renovation; a stop work order was issued for construction without a permit.
Facility failed to maintain a properly equipped kitchen; kitchen was boarded up due to construction and repairs without a permit.
Report Facts
Date of stop work order: Jan 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Provided information about lack of access to files, construction permits, and catering of food. | |
| Staff B | Reported no access to staff or resident files during interviews. | |
| Staff C | Reported no access to staff or resident files during interviews. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 31, 2023
Visit Reason
The purpose of this visit was to investigate intake numbers #GA00237890 and #GA00234241 with an onsite visit made on 2023-08-30 and inspection completed on 2023-08-31.
Complaint Details
Investigation of complaint intake numbers #GA00237890 and #GA00234241 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 3
Date: Jul 18, 2023
Visit Reason
The purpose of this visit was to conduct an initial inspection and investigate intake #GA00236425 and #GA00235959. An on-site visit was made on 7/18/23 and was completed on 7/21/23.
Complaint Details
The inspection included investigation of intake #GA00236425 and #GA00235959.
Findings
The facility failed to ensure that staff received required work-related training within the first sixty days of employment, including current certification in emergency first aid and CPR for 2 of 4 sampled staff (Staff A and Staff D). Additionally, the facility failed to maintain an employee file for 1 of 4 sampled staff (Staff E).
Deficiencies (3)
Facility failed to ensure staff received current certification in emergency first aid within the first sixty days of employment for 2 of 4 sampled staff (Staff A and Staff D).
Facility failed to ensure staff received current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency within the first sixty days of employment for 2 of 4 sampled staff (Staff A and Staff D).
Facility failed to ensure each employee maintained a file in the facility or available for inspection for 1 of 4 sampled staff (Staff E).
Report Facts
Sampled staff: 4
Staff without required training: 2
Staff without maintained file: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiencies for lacking First Aid and CPR training | |
| Staff D | Named in deficiencies for lacking First Aid and CPR training | |
| Staff E | Named in deficiency for missing employee file | |
| Staff F | Interviewed staff who stated unawareness of training and file status |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234859 and GA00234333.
Complaint Details
The visit was complaint-related to investigate intake #GA00234859 and GA00234333. No violations were found.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 1
Date: Feb 7, 2023
Visit Reason
The visit was conducted to investigate intake #GA00200229925 with an on-site visit made on 2023-02-07. The investigation started on 2023-02-07 and was completed on 2023-02-16.
Complaint Details
The investigation was complaint-driven based on intake #GA00200229925. The complainant was contacted but did not return calls as of the report date.
Findings
The facility failed to ensure timely refills of prescribed medications for one sampled resident (Resident #1), resulting in interruption of routine dosing from December 24, 2022, until February 10, 2023. Resident #1's family, responsible for pharmacy bills, had not paid the invoice, causing the pharmacy to withhold medication refills. Resident #1 showed increased aggression and elevated blood sugar levels during this period.
Deficiencies (1)
Failed to ensure timely refills of prescribed medications for Resident #1, causing interruption in routine dosing.
Report Facts
Resident census: 27
Staff on duty: 4
Medication interruption duration: 48
Blood sugar monitoring frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1's medication refills and family responsibility | |
| AA | Interviewed regarding medication refill status for Resident #1 |
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