The most recent inspection on June 2, 2021, found no deficiencies. Earlier inspections showed a mixed pattern, with most reports free of violations but the March 9, 2021, inspection citing deficiencies related to the lack of a secured outdoor space for memory care residents and medication management issues, including unattended medication cups and failure to discontinue a medication as ordered. Complaint investigations were mostly unsubstantiated except for the March 2021 case, which was substantiated with those cited deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed prior issues, as the latest inspection was clean following the earlier deficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate intake #GA00212209 and conduct the compliance inspection. An on-site visit was made on 3/9/21 and the investigation was completed on 3/17/21.
Findings
The facility failed to meet requirements including lack of a secured outdoor space for residents in the secured memory care unit, improper medication assistance practices with unattended medication cups, and failure to discontinue a medication (Lisinopril 40 mg) as ordered for one resident.
Complaint Details
Investigation was initiated based on intake #GA00212209. The complaint was substantiated with findings of deficiencies related to secured outdoor space and medication management.
Severity Breakdown
D: 2G: 1
Deficiencies (3)
Description
Severity
Facility did not have a secured outdoor space for residents in the secured memory care building.
D
Facility staff failed to provide appropriate assistance with medications; multiple cups containing medications labeled with resident names were left unattended on the medication cart.
D
Facility failed to ensure medication (Lisinopril 40 mg) was discontinued as ordered for Resident #2, resulting in continued administration after discontinuation order.
G
Report Facts
Medication quantity: 30Medication administered: 10Date of admission: Mar 2, 2021Date of physician order: Mar 5, 2021
