Inspection Report Summary
The most recent inspection on February 11, 2025, found no deficiencies during a monitoring visit related to an increase in capacity. Earlier inspections showed a mixed pattern with several deficiencies, mainly involving documentation issues such as failure to retain incident reports, operating over licensed capacity, and missing required physical examinations for new residents. Complaint investigations were mostly unsubstantiated, except for a substantiated finding in May 2023 where the facility did not have a posted memory care certification as required. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The recent clean inspection suggests some improvement following prior citations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
108% occupied
Based on a May 2024 inspection.
Census over time
Inspection Report
Monitoring
Deficiencies: 0
Date: 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
Date: Dec 31, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00251063.
Complaint Details
Investigation started and completed on 12/31/2024 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 10, 2024
Visit Reason
The purpose of this visit was to investigate complaint #GA00249864.
Complaint Details
Investigation of complaint #GA00249864 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 23, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00248407.
Complaint Details
Investigation was initiated due to intake # GA00248407; no violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 14
Capacity: 13
Deficiencies: 1
Date: 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.
Complaint Details
Investigation was triggered by complaint intakes #GA00246106 and GA00246122. Staff A stated unawareness that the facility was over capacity.
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.
Deficiencies (1)
Facility failed to not serve more residents than its approved licensed capacity.
Report Facts
Licensed capacity: 13
Residents present: 14
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 26, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244863 and GA00244888.
Complaint Details
Investigation of intake #GA00244863 and GA00244888 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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.
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
Date: 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.
Complaint Details
Investigation of intake #GA00243263 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 15, 2024
Visit Reason
The purpose of this visit was to investigate intake numbers GA00241338, GA00241916, GA00242317, and GA00242350.
Complaint Details
The visit was complaint-related, investigating multiple intake complaints as listed. No violations were found.
Findings
No violations were cited as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
Complaint Details
Investigation of intake #GA00239867. The investigation was started on 2023-11-08 and 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.
Deficiencies (1)
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.
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
Date: 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.
Complaint Details
Investigation of complaint intakes #GA00235713, GA00236294, and GA00236646 resulted in no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
Facility failed to ensure the memory care center would not operate without a certificate.
Report Facts
Resident census: 14
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 15, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00224384 and conduct the compliance inspection.
Complaint Details
Investigation of intake #GA00224384; no violations found.
Findings
No rule violations were cited as a result of this inspection.
Viewing
Loading inspection reports...
