Inspection Reports for Somerby Sandy Springs Senior Living
25 Glenlake Pkwy NE, Sandy Springs, GA 30328, United States, GA, 30328
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 18, 2025, found no deficiencies. Earlier inspections generally showed compliance with regulations, though there were isolated deficiencies related to resident care, such as delayed response to call pendants and protective oversight, as well as issues with facility maintenance and safeguarding resident property. Complaint investigations were mostly unsubstantiated, except for a few substantiated cases involving delayed care response, an elopement incident, and a financial theft case that involved law enforcement and reimbursement. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history suggests some improvement over time, with recent inspections showing no cited deficiencies after prior issues.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
24 residents
Based on a November 2021 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 18, 2025
Visit Reason
The purpose of this visit was to investigate intake numbers #GA50004308 and #GA50003975, with the investigation starting and completing on 2025-08-15.
Findings
There were no rule violations cited as a result of this investigation.
Complaint Details
Investigation was complaint-related based on intake numbers #GA50004308 and #GA50003975; no violations were found.
Inspection Report
Renewal
Deficiencies: 0
Mar 25, 2025
Visit Reason
The visit was conducted to complete an investigation on intake #GA00252474 and to perform a Re-Licensure survey.
Findings
The survey was completed on 3/25/25 with no rule violations found as a result of this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 31, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00251023 with an onsite visit conducted on 10/30/2024 and inspection completed on 10/31/2024.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00251023 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 15, 2024
Visit Reason
The visit was conducted to investigate complaint intakes #GA00249464 and #GA00249457 through an unannounced inspection.
Findings
The inspection was completed with no rule violations cited.
Complaint Details
The investigation was related to two complaint intakes (#GA00249464 and #GA00249457). No violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 17, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00247379 and #GA00246669 through an unannounced onsite visit conducted on 2024-06-17.
Findings
The facility failed to ensure that residents received adequate and appropriate care as required by state law, specifically related to timely response and clearing of call pendants for 4 sampled residents. Multiple instances were documented where call pendants were not cleared or response times exceeded the 10-minute policy.
Complaint Details
Investigation was initiated based on complaint intakes #GA00247379 and #GA00246669. Families had been complaining about delayed responses to call pendants. Staff interviews confirmed delays and uncertainty about timely clearing of call pendants.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure timely response and clearing of resident call pendants as per facility policy for 4 sampled residents. | SS= D |
Report Facts
Response time in minutes: 142
Number of sampled residents with deficiencies: 4
Dates and times call pendants were not cleared or delayed: Multiple specific dates and times listed for each resident in May-June 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed on 6/17/2024 regarding call pendant response times and family complaints |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 5, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239127 with an onsite visit conducted on 10/5/23.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA00239127; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 28, 2022
Visit Reason
The visit was conducted to investigate complaint intakes #GA00227183 and GA00227184 with an onsite visit on 2022-09-28 and investigation completion on 2022-10-12.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of complaint intakes #GA00227183 and GA00227184 resulted in no rule violations being cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 18, 2022
Visit Reason
The visit was conducted to investigate intake #GA00223690 with an onsite visit on 2022-05-18 and the investigation completed on 2022-05-24.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA00223690; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 4, 2022
Visit Reason
The visit was conducted to investigate intakes #GA00221460, #GA00221681, #GA00221687, and #GA00221837, with the investigation starting on 2022-03-03 and completing on 2022-03-04.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of four intakes (#GA00221460, #GA00221681, #GA00221687, #GA00221837) with no rule violations found.
Inspection Report
Renewal
Deficiencies: 0
Feb 8, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00221297 and GA 00220939 and conduct the re-licensure inspection.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 2, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00218848 and #GA00219530 with an onsite visit made on 12/2/21 and the investigation completed on 12/10/21.
Findings
There were no rule violations cited during the investigation.
Complaint Details
Investigation of complaint intakes #GA00218848 and #GA00219530 with no rule violations found.
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 1
Nov 2, 2021
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00218602, #GA00218623, and #GA00218671. An on-site visit was made on 11/2/21 and the investigation was completed on 11/10/21.
Findings
The facility failed to provide protective care and watchful oversight for one of three sampled residents (Resident #1), who eloped from the memory care unit without staff knowledge. The exit door alarm was activated but not heard by staff, and Resident #1 was found approximately 0.8 miles from the facility and returned without injury.
Complaint Details
The investigation was triggered by complaint intakes #GA00218602, #GA00218623, and #GA00218671. Resident #1 eloped from the facility on 10/23/21, was found by staff and a bystander, and returned without injury. Staff were unaware of the elopement until notified by a staff member who saw the resident outside. The alarm on the exit door was activated but not heard by staff.
Severity Breakdown
G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide protective care and watchful oversight resulting in Resident #1 eloping from the facility without staff knowledge. | G |
Report Facts
Census in memory care unit: 24
Staff on duty: 4
Distance resident walked: 0.8
Temperature high: 75
Temperature low: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A, Staff B, Staff D, Staff H, and AA are mentioned in relation to the incident and investigation but no full names are provided. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 6, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00217714. The investigation started on 2021-10-05 and was completed on 2021-10-07, including an unannounced visit on 2021-10-06.
Findings
The facility failed to maintain light fixtures in good working order, failed to store medications securely under lock and key, and failed to maintain confidentiality of resident personal information by leaving sensitive documents unattended in accessible areas.
Complaint Details
Investigation of intake #GA00217714 conducted from 2021-10-05 to 2021-10-07 with an unannounced visit on 2021-10-06.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to maintain light fixtures throughout the assisted living community in good working order and provide necessary light bulbs. | SS= D |
| Failed to store medications under lock and key at all times unless required to be kept by the resident or staff member in close attendance. | SS= D |
| Failed to treat personal information as confidential and prevent unauthorized disclosure by leaving resident information unattended in accessible areas. | SS= D |
Report Facts
Work orders created: 2
Lightbulbs not working: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Acknowledged awareness of kitchen lightbulbs needing replacement in Resident #1's apartment. | |
| Staff A | Stated Resident #1 had signs on apartment door preventing staff entry and that resident information should be stored away from publicly accessible areas. | |
| Staff C | Stated residents could call the front desk to place maintenance work orders. | |
| Staff D | Stated residents could call the front desk to place maintenance work orders and that medication should have been stored in the locked medication cart. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Jul 29, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00216018. An onsite visit was made on 7/29/21 and the investigation was completed on 8/12/21.
Findings
The facility failed to keep the interior of the assisted living community in good repair and free from unsanitary conditions, including a leaking ceiling with mold in the dining room. Additionally, the facility failed to provide adequate care and services for 2 of 4 sampled residents, with concerns about slow pendant call response times and lack of documentation following a resident fall.
Complaint Details
Investigation was initiated due to intake #GA00216018. The complaint involved unsanitary conditions related to a leaking ceiling and mold, and concerns about resident care including pendant call response times and fall incident documentation.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to keep the interior in good repair and free from unsanitary conditions, including a leaking ceiling with mold in the dining room. | SS= D |
| Facility failed to provide adequate care and services for 2 of 4 sampled residents, including slow pendant call response times and lack of documentation after a resident fall. | SS= D |
Report Facts
Pendant calls on 7/29/21: 25
Pendant calls with response time 20 minutes or longer: 11
Pendant calls not responded to: 5
Pendant calls with no call or response: 1
Duration ceiling leak present: 3
Date of resident fall incident: Dec 6, 2020
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 7, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00215306.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began 2021-06-30 and was completed 2021-07-07. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 4, 2021
Visit Reason
The visit was conducted to investigate intake #GA00214617 with an onsite visit on 6/4/2021 and the investigation completed on 6/11/2021.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00214617 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Apr 5, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00212598, which involved allegations of financial theft from Resident #1.
Findings
The facility failed to provide oversight to ensure compliance with rules related to resident protection, specifically failing to safeguard Resident #1's personal property and finances. Unauthorized transactions totaling $20,229.69 were made from Resident #1's bank account by Staff B, who had access to the resident's room. The facility was not equipped with cameras on the floor and Staff B resigned during the investigation. Law enforcement was involved and the resident's bank was reimbursed in full.
Complaint Details
The investigation was initiated due to a complaint of financial theft involving unauthorized charges on Resident #1's bank account from 01/26/2021 to 02/04/2021. Law enforcement was involved, and Staff B was identified as the alleged perpetrator. The bank reimbursed the resident in full. The investigation was ongoing with a warrant expected for Staff B.
Deficiencies (2)
| Description |
|---|
| Governing body failed to provide oversight necessary to ensure compliance with rules for Resident #1 related to financial theft. |
| Facility failed to ensure each resident had the right to reasonable safeguards for the protection and security of personal property brought into the facility for Resident #1. |
Report Facts
Unauthorized transactions: 10
Total amount charged: 20229.69
ACH transactions: 5
Date of incident report: Feb 5, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Employee | Named as the payee on unauthorized transactions and alleged perpetrator of financial theft |
| Staff A | Facility staff who provided information about the investigation and suspension of Staff B | |
| Staff C | Medication Aide | Second shift medication aide aware of the theft and interviewed by management |
| Staff E | Facility staff who met with law enforcement and provided information about the unauthorized charges | |
| HH | Law enforcement officer assigned to investigate the theft | |
| GG | Personal Power of Attorney (POA) for Resident #1 | Authorized representative who reported the unauthorized charges and manages Resident #1's finances |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 13, 2021
Visit Reason
The purpose of this inspection was to investigate intake #GA00210313.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00210313 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 22, 2020
Visit Reason
The visit was conducted to investigate complaint intakes #GA00206191 and GA00206117.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began on 2020-07-09 and was completed on 2020-07-22. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 18, 2020
Visit Reason
The purpose of this inspection was to investigate intakes #GA00204554, #GA00205085, and #GA00205081. The investigation began on 2020-05-20 and was completed on 2020-06-18.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intakes #GA00204554, #GA00205085, and #GA00205081 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 30, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00204346.
Findings
No citations were issued as a result of this investigation.
Complaint Details
Investigation began on 2020-04-29 and was completed on 2020-06-22. No citations were issued.
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 procedures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 3, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00202979 regarding concerns expressed by a resident of the Independent Living Community (ILC).
Findings
No rule violations were cited as a result of this investigation. The intake was determined to be outside the scope of regulations for the Assisted Living Community (ALC) since the concerns related to the Independent Living Community (ILC), not the ALC.
Complaint Details
Investigation of intake #GA00202979 found no rule violations and was outside the scope of ALC regulations because the complaint concerned the Independent Living Community.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 30, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00200207 through an unannounced visit conducted on 2019-10-29, with the investigation completed on 2019-10-30.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake #GA00200207 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 15, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00198171 with an on-site visit made to the facility on 8/15/19 and the investigation completed on 10/22/19.
Findings
The facility failed to provide sufficient staff time to ensure proper care to prevent decubitus ulcers and contractures for 1 of 7 sampled residents, specifically Resident #1 who was found doubled diapered and not changed adequately.
Complaint Details
Investigation of complaint #GA00198171 regarding inadequate care for Resident #1, substantiated by findings of insufficient staff care and improper diapering.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to provide sufficient staff time such that each resident receives proper care to prevent decubitus ulcers and contractures for 1 of 7 sampled residents. | SS= D |
Report Facts
Sampled residents: 7
Residents with deficiency: 1
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 19, 2019
Visit Reason
The visit was conducted to investigate complaints GA00197212 and GA00195205 and to review an increase in facility capacity.
Findings
No violations were cited as a result of this inspection.
Complaint Details
Investigation of complaints GA00197212 and GA00195205; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 5, 2019
Visit Reason
The visit was conducted to investigate intake #GA00196857 at the facility.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00196857 with no rule violations found.
Inspection Report
Original Licensing
Deficiencies: 3
May 6, 2019
Visit Reason
The purpose of this visit was to conduct an initial inspection and to investigate intake #GA00195930.
Findings
The facility failed to ensure staff received required physical examinations within 12 months prior to providing care, failed to comply with fire safety documentation requirements, and failed to report a serious injury to the Department within 24 hours as required.
Complaint Details
The inspection included investigation of intake #GA00195930.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure staff received a physical examination by a licensed provider within 12 months prior to providing care for two of six staff sampled. | SS= D |
| Facility failed to comply with fire safety rules by not documenting finish times or duration of fire drills. | SS= D |
| Facility failed to report a serious injury to a resident requiring medical attention to the Department within 24 hours. | SS= D |
Report Facts
Staff sampled: 6
Residents sampled: 4
Fire drills reviewed: 7
Inspection Report
Complaint Investigation
Census: 75
Capacity: 72
Deficiencies: 3
Mar 20, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00194991, with an onsite visit made on 3/20/19 and the investigation completed on 3/29/19.
Findings
The facility was found to be serving more residents than its approved licensed capacity, housing 75 residents despite a licensed capacity of 72. Additionally, the facility failed to maintain a pest control program, resulting in unsafe conditions including ants and roaches in residents' rooms, with documented incidents involving Resident #4 and Resident #3.
Complaint Details
The investigation was initiated due to intake #GA00194991 concerning pest infestations including ants and roaches in residents' rooms, with substantiated findings of unsafe conditions and inadequate pest control measures.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility served more residents than its approved licensed capacity of 72, with 75 residents present. | SS= D |
| Facility failed to maintain the interior free of unsafe conditions, including pest infestations such as ants and roaches posing safety risks to residents. | SS= D |
| Facility failed to provide a pest control program that continually protects the health of residents, evidenced by ongoing ant infestations and inadequate pest control responses. | SS= D |
Report Facts
Licensed capacity: 72
Current census: 75
Date of onsite visit: Mar 20, 2019
Date survey completed: Mar 29, 2019
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