Inspection Report
Monitoring
Deficiencies: 0
Feb 11, 2025
Visit Reason
The purpose of this visit was to conduct a monitoring visit related to an increase in capacity.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 31, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00251063.
Findings
No rule violations were cited as a result of this inspection and investigation.
Complaint Details
Investigation started and completed on 12/31/2024 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 10, 2024
Visit Reason
The purpose of this visit was to investigate complaint #GA00249864.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00249864 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 23, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00248407.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was initiated due to intake # GA00248407; no violations were found.
Inspection Report
Complaint Investigation
Census: 14
Capacity: 13
Deficiencies: 1
May 15, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00246106 and GA00246122 with an on-site visit conducted on 5/15/2024 and completed on 5/16/2024.
Findings
The facility was found to be serving more residents than its approved licensed capacity. The permit showed a licensed capacity of 13 residents, but the census review and observation indicated 14 residents in memory care.
Complaint Details
Investigation was triggered by complaint intakes #GA00246106 and GA00246122. Staff A stated unawareness that the facility was over capacity.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to not serve more residents than its approved licensed capacity. | D |
Report Facts
Licensed capacity: 13
Residents present: 14
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 26, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244863 and GA00244888.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00244863 and GA00244888 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 4, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243917, which involved an onsite visit on 3/4/24 and completion of the investigation on 3/8/24.
Findings
The facility failed to ensure that in case of an accident or sudden adverse change in a resident's condition, a record of the incident and the community's response was retained in the resident's files. Specifically, an incident involving Resident #1 sustaining a gash on the arm was not documented in an incident report despite emergency services being called.
Complaint Details
Investigation of intake #GA00243917 regarding an incident on 1/18/24 where Resident #1 sustained a gash on the arm during a struggle with staff member BB. The facility did not file an incident report despite emergency services and law enforcement involvement.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to retain a record of an adverse change and the community's response in the resident's files for Resident #1 after an incident causing a gash on the arm. | SS= D |
Report Facts
Date of incident: Jan 18, 2024
Date of onsite visit: Mar 4, 2024
Date survey completed: Mar 8, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| AA | Interviewed regarding the incident and notification of law enforcement | |
| BB | Staff member involved in the incident with Resident #1 | |
| Staff B | Employee who heard Resident #1 and called 911 | |
| Staff C | Interviewed about the injury observation and police call | |
| Staff A | Interviewed and stated that an incident report was not completed |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 20, 2024
Visit Reason
The visit was conducted to investigate intake #GA00243263 with an onsite visit on 2/20/24 and investigation completion on 2/21/24.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00243263 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 15, 2024
Visit Reason
The purpose of this visit was to investigate intake numbers GA00241338, GA00241916, GA00242317, and GA00242350.
Findings
No violations were cited as a result of this survey.
Complaint Details
The visit was complaint-related, investigating multiple intake complaints as listed. No violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 8, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239867, with an onsite visit made on 2023-11-08 and the investigation completed on 2023-11-27.
Findings
The facility failed to obtain a physical examination conducted by a licensed physician, nurse practitioner, or physician's assistant dated within 30 days prior to the date of admission for 3 of 3 sampled residents. Documentation was not completed on the Department's forms as required.
Complaint Details
Investigation of intake #GA00239867. The investigation was started on 2023-11-08 and completed on 2023-11-27.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to obtain a physical examination conducted by a licensed physician, nurse practitioner, or physician's assistant dated within 30 days prior to admission for 3 of 3 sampled residents. | D |
Report Facts
Residents sampled without required physical exam: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed on 2023-11-27 regarding physical examination documentation. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 2, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00235713, GA00236294, and GA00236646. The investigation started on 2023-07-10, with an onsite visit on 2023-07-25, and was completed on 2023-08-02.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA00235713, GA00236294, and GA00236646 resulted in no rule violations.
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 1
May 10, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234382, which began on 2023-05-08 with an onsite visit on 2023-05-10 and completed on 2023-05-31.
Findings
The facility failed to ensure the memory care center operated with a valid certificate, as no memory care certification was observed posted during the tour on 2023-05-10.
Complaint Details
Investigation was initiated due to intake #GA00234382. The complaint was substantiated by the finding that the memory care certification was not posted. Staff A stated on 2023-05-31 that they would apply for the memory care certification.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the memory care center would not operate without a certificate. | D |
Report Facts
Resident census: 14
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 15, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00224384 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00224384; no violations found.
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