Inspection Reports for Somerby Peachtree City Senior Living
200 Rock-A-Way Rd, Peachtree City, GA 30269, United States, GA, 30269
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Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 29, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection (GA50005516).
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint inspection conducted with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 17, 2025
Visit Reason
The purpose of this visit was to investigate a self-reported intake GA 50004673.
Findings
No rules were cited as a result of this investigation, which began on 2025-08-07 and completed on 2025-08-12.
Complaint Details
Investigation of self-reported intake GA 50004673 with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 16, 2025
Visit Reason
The purpose of this visit was to investigate self-reported intake GA# 50003751.
Findings
The investigation started on 2025-07-11 and was completed on 2025-07-16. No rules were cited as a result of this investigation.
Complaint Details
Investigation of self-reported intake GA# 50003751 with no rules cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 1, 2025
Visit Reason
The purpose of this visit was to investigate self-reported intake GA 50003525.
Findings
No rules were cited as a result of this investigation, which began on 2025-06-25 and ended on 2025-06-30.
Complaint Details
Investigation of self-reported intake GA 50003525 with no cited rules.
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 12, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure and a complaint inspection (GA50003213).
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint inspection was conducted as part of the visit; no violations were found.
Inspection Report
Monitoring
Deficiencies: 0
Dec 4, 2024
Visit Reason
The purpose of this visit was to conduct a Monitoring visit to assess the facility's compliance status.
Findings
The facility was found to be in substantial compliance with no rule violations cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 1, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250395. The investigation was started on 2024-09-19 and completed on 2024-10-01.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00250395 was conducted with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 17, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250025 with an on-site visit made on 2024-09-17.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00250025 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 31, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00248315 with an on-site visit made on 7/31/2024.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 7/31/2024 and was completed on 8/2/2024. No rule violations were found.
Inspection Report
Routine
Deficiencies: 0
Apr 15, 2024
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
An on-site visit was made on 4/15/24. No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 6, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243777.
Findings
An on-site visit was made on 3/6/2024. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00243777 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 5, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00238383.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake #GA00238383 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 24, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234754 with an onsite visit made on 5/24/23 and inspection completed on 6/2/23.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA00234754 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 27, 2023
Visit Reason
The purpose of this visit was to investigate facility reported intake GA00233023.
Findings
The facility failed to ensure that refills of prescribed medications were obtained timely, resulting in an interruption in routine dosing for Resident #1. Specifically, the medication Trazodone was documented as given but was not available on the medication cart due to lack of a current refill order.
Complaint Details
Investigation of facility reported intake GA00233023 regarding medication refill issues for Resident #1. The complaint was substantiated based on observations, record review, and staff interviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure timely refills of prescribed medications, causing interruption in routine dosing for Resident #1. | SS= D |
Report Facts
Medication administration dates: 6
Incident report date: Mar 5, 2023
Resident admission date: Jul 31, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication refill issue and documented incident report | |
| Staff B | Contacted Resident #1's physician about insurance issue |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 8, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA002232688 and #GA002232120 with an on-site visit made on 3/8/23 and the investigation completed on 3/16/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA002232688 and #GA002232120 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 12, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00226948.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00226948 with no rule violations cited.
Inspection Report
Complaint Investigation
Census: 25
Capacity: 24
Deficiencies: 1
Apr 19, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00223089 and #GA00222813 with an onsite visit made to the facility on 4/19/22.
Findings
The facility failed to ensure that they did not serve more residents than its approved licensed capacity. The memory care unit had 25 residents present, exceeding the licensed capacity of 24.
Complaint Details
Investigation was initiated based on intake #GA00223089 and #GA00222813. The complaint was substantiated by the finding that the facility exceeded licensed capacity.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility served more residents than its approved licensed capacity in the memory care unit. | D |
Report Facts
Residents in memory care unit: 25
Licensed capacity: 24
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 14, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220493 with an onsite visit made on 2022-01-14 and the investigation completed on 2022-01-18.
Findings
The facility failed to ensure that two residents were treated with dignity, kindness, consideration, and respect, and given privacy in the provision of assisted living care. Staff B and Staff C posted a video of two residents on social media without proper consent, resulting in their immediate termination.
Complaint Details
The investigation was complaint-related, triggered by intake #GA00220493. The complaint involved unauthorized posting of resident videos on social media by staff. Staff B and Staff C were terminated. Resident #1 had signed authorization for social media use, Resident #2 did not authorize release of information. Attempts to interview Resident #2 and the involved staff were unsuccessful.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure residents were treated with dignity, kindness, consideration, and respect and given privacy; staff posted resident videos on social media without consent. | D |
Report Facts
Incident report date: Jan 3, 2022
Staff B hire date: Jun 2, 2021
Staff C hire date: Dec 31, 2020
Staff termination date: Jan 3, 2022
Resident #1 admission date: Oct 31, 2021
Resident #2 admission date: May 16, 2020
Inspection Report
Complaint Investigation
Deficiencies: 1
Dec 1, 2021
Visit Reason
The purpose of this visit was to investigate intake GA00219141. An unannounced visit was made to the facility on 12/01/2021, with the investigation starting on 11/30/2021 and completing on 12/08/2021.
Findings
The facility failed to ensure that a serious injury to a resident requiring medical attention was reported to the Department within 24 hours after the incident. Specifically, Resident #5 sustained a fall with a laceration and was hospitalized, but the Department was not notified as required.
Complaint Details
The visit was complaint-related, investigating intake GA00219141. The complaint was substantiated as the facility did not notify the Department of a serious injury incident involving Resident #5.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to report a serious injury requiring medical attention to the Department within 24 hours for Resident #5 after a fall resulting in a laceration and hospital evaluation. | E |
Report Facts
Incident report date: Nov 19, 2021
Previous citation date: Mar 27, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and stated the Department was not notified of the 11/19/2021 incident report |
Inspection Report
Complaint Investigation
Deficiencies: 2
Oct 18, 2021
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00217303, #GA00217899, and #GA00217945, including allegations of sexual abuse and failure to notify family of change in resident condition.
Findings
The facility failed to ensure a resident was free from sexual abuse when Resident #3 kissed Resident #2 without consent, and failed to notify the family of Resident #1 about a hospital transfer following a change in condition. The investigation included interviews, record reviews, and incident report analysis.
Complaint Details
The investigation was complaint-driven based on intake numbers GA00217303, GA00217899, and GA00217945. Substantiation status is not explicitly stated in the report.
Severity Breakdown
SS= D: 1
SS= E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident had the right to be free from sexual abuse for 1 of 6 sampled residents (Resident #2) involving non-consensual kissing by Resident #3. | SS= D |
| Facility failed to notify the resident's next of kin/legal representative related to a change in the resident's condition for 1 of 6 sampled residents (Resident #1). | SS= E |
Report Facts
Incident report date: Sep 24, 2021
Emergency pendant activations: 10
Hospital transfer date: Aug 31, 2021
Sampled residents: 6
Days notice given: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Provided information about 30 days notice to Resident #3's family and email about failure to notify Resident #1's family | |
| Staff G | Interviewed regarding Resident #2's report of non-consensual kissing by Resident #3 | |
| Staff F | Mentioned as recipient of Resident #2's report and instructed not to allow Resident #3 into Resident #2's bedroom; unresponsive to interview attempts | |
| DD | Interviewed and stated unawareness of Resident #1 hospital transfer until hospital called | |
| EE | Interviewed regarding Resident #2's report of non-consensual kissing by Resident #3 |
Inspection Report
Annual Inspection
Deficiencies: 0
May 10, 2021
Visit Reason
The visit was conducted to investigate intake #GA00213713 and to perform an annual inspection of the facility.
Findings
No rule violations were cited as a result of this investigation and annual inspection.
Complaint Details
Investigation was related to intake #GA00213713; no violations found.
Report Facts
Investigation start date: Investigation started on 2021-05-03
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 16, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00209445 and #GA00209778 with an onsite visit made on 11/16/20 and the investigation completed on 11/30/20.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00209445 and #GA00209778 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 23, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00208070.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2020-09-21 and completed on 2020-09-23. No rule violations were found.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control measures.
Inspection Report
Complaint Investigation
Deficiencies: 3
Mar 27, 2020
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate complaint intakes #GA00203031, #GA00202854, and #GA00203379, which were open on 2020-03-02 and completed on 2020-03-27.
Findings
The facility failed to ensure adequate and appropriate care for Resident #3 who had multiple falls resulting in serious injuries and death, failed to notify the resident's next of kin/legal representative for Resident #9 after a fall, and failed to report a serious injury to the Department within 24 hours for Resident #3.
Complaint Details
The inspection was complaint-related, investigating intakes #GA00203031, #GA00202854, and #GA00203379. Findings included substantiated failures in care, notification, and reporting related to Resident #3 and Resident #9.
Severity Breakdown
J: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure adequate care and services for Resident #3 who sustained falls resulting in abrasions, hematoma, possible fracture, and death. | J |
| Facility failed to notify Resident #9's next of kin/legal representative of a change in condition after a fall. | D |
| Facility failed to report serious injury to the Department within 24 hours for Resident #3. | D |
Report Facts
Sampled residents: 9
Incident dates: Aug 8, 2019
Incident dates: Oct 8, 2019
Incident dates: Feb 13, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #3 fall, hospital admission, hospice, and Department notification | |
| Staff H | Interviewed regarding Resident #3 fall in bathroom and calling 911 | |
| Staff K | Interviewed regarding failure to notify family of Resident #9 fall |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 8, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00201522 regarding potential missing narcotics at the facility.
Findings
The facility failed to ensure that residents' property and possessions were safeguarded, with multiple residents found to have missing narcotics that were tampered with and replaced by other medications. An internal investigation and police report confirmed the theft and tampering of medications.
Complaint Details
The investigation was initiated due to intake #GA00201522 concerning missing narcotics. The complaint was substantiated by record review, staff interviews, and a police report confirming medication theft and tampering.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure that all residents' property and possessions were safeguarded for 4 of 4 sampled residents, with missing and tampered narcotics. | SS= D |
Report Facts
Missing Oxycodone tablets: 120
Missing Oxycodone tablets: 61
Missing Oxycodone tablets: 5
Missing Tramadol tablets: 2
Total narcotics prescribed: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Notified of potential missing narcotics and reported the incident to the Department | |
| Staff B | Reviewed narcotics cards, conducted audit, notified director of health services, local police, pharmacy, and proxy care nurse, and initiated internal investigation | |
| Staff D | Counted medications and observed tampering on narcotics cards |
Inspection Report
Original Licensing
Deficiencies: 4
Mar 11, 2019
Visit Reason
The purpose of this visit was to conduct an initial inspection and to investigate intake #GA00194996.
Findings
The facility failed to comply with fire safety rules, maintain clean and safe conditions, secure outdoor spaces to prevent undetected egress, and ensure proper handling of food to prevent contamination.
Complaint Details
Investigation included intake #GA00194996.
Severity Breakdown
D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to comply with fire and safety rules including presence of unplugged space heaters and missing documentation of fire drills in June 2018. | D |
| Failure to maintain interior clean, in good repair, and free of unsafe conditions including water infiltration causing stained ceiling tiles. | D |
| Failure to secure outdoor spaces preventing undetected egress; gate latch allowed residents to exit without lock. | D |
| Failure to ensure all foods stored were protected from spoilage and contamination; uncovered food containers found unattended. | D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding deficiencies and corrective actions. |
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