The most recent inspection on March 4, 2025, found no deficiencies during a complaint investigation. Earlier inspections mostly showed no deficiencies, with isolated issues noted in 2021 and 2017 related to missing physical examination reports, TB screenings, and enforcement of policies on staff receiving gifts from residents. Complaint investigations were generally unsubstantiated, with no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The main themes of deficiencies involved documentation of resident health screenings and policy enforcement regarding staff conduct. The facility’s inspection record suggests improvement over time, with recent investigations consistently finding no rule violations.
Deficiencies (last 8 years)
Deficiencies (over 8 years)0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this inspection was to conduct a compliance inspection and investigate intake #GA00216039, starting on 2021-08-02 and completed on 2021-08-05.
Findings
The facility failed to obtain a report of physical examination conducted by a licensed practitioner within 30 days prior to admission for 3 sampled residents and showed no TB screening completed for these residents. Staff was unable to locate the TB screening documentation during the interview.
Complaint Details
Investigation was initiated due to intake #GA00216039 and was complaint-related.
Severity Breakdown
SS= D: 1
Deficiencies (2)
Description
Severity
Failed to obtain a report of physical examination conducted by a licensed physician, nurse practitioner or physician assistant dated within 30 days prior to admission for 3 sampled residents.
SS= D
No TB screening completed for 3 sampled residents.
The purpose of this visit was to investigate complaint #GA00171779.
Findings
The facility failed to enforce its own policies and procedures to support the health and safety of residents, specifically regarding staff receiving gifts or items from residents without prior approval. Resident #1, who is legally blind and has type 2 diabetes, gave a $30 gold ring and credit card to Staff D for purchases, which violated facility policy.
Complaint Details
Complaint #GA00171779 was investigated. Resident #1 reported purchasing a $30 gold ring for Staff D and giving Staff D his/her credit card to purchase items, which violated facility policy. Staff D acknowledged receiving only a piece of cheesecake from Resident #1. Staff B stated certified medication aides and nurses did not go out into the community with residents.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to enforce policies prohibiting employees from receiving gifts or items from residents without prior approval.
SS= D
Report Facts
Gift amount: 30
Employees Mentioned
Name
Title
Context
Staff D
Named in relation to receiving gifts from Resident #1 and arranging transportation for Resident #1
Staff B
Stated that certified medication aides and nurses did not go out into the community with residents
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