Inspection Reports for
Sterling Estates of East Cobb Retirement Community

4220 Lower Roswell Rd, Marietta, GA 30068, GA, 30068

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Deficiencies (last 8 years)

Deficiencies (over 8 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

71% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2018
2019
2020
2021
2022
2023
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 1, 2025

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00218745.

Complaint Details
Investigation of intake #GA00218745; no violations found.
Findings
No violations were cited as a result of this survey.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 28, 2023

Visit Reason
The purpose of this visit was to investigate intake # GA00236031.

Complaint Details
Investigation of intake # GA00236031 found no rule violations.
Findings
An on-site visit was made on 6/28/23. The investigation started on 6/28/23 and was completed on 7/10/23. No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jun 6, 2023

Visit Reason
The visit was conducted to investigate intake #GA00234730, involving an onsite visit on 6/6/2023 and investigation completion on 6/14/2023.

Complaint Details
The investigation was complaint-driven, intake #GA00234730. The complaint involved obstruction of emergency medical care to Resident #1 by facility staff, which was substantiated by interviews and reports.
Findings
The facility failed to ensure adequate and appropriate care for Resident #1, who experienced a change in level of consciousness in the lobby. Facility staff obstructed first responders from providing immediate emergency care, moving the resident to his/her bedroom despite repeated instructions not to move the resident. The facility had no policy prohibiting emergency care in common areas.

Deficiencies (1)
Facility staff obstructed emergency medical responders from providing immediate care to Resident #1 in the lobby, delaying assessment and treatment.
Report Facts
Date of incident: Apr 18, 2023 Date of onsite visit: Jun 6, 2023 Date survey completed: Jun 14, 2023 Number of fire fighters/first responders: 2

Employees mentioned
NameTitleContext
BBLead Fire Fighter/First ResponderReported obstruction by facility staff during emergency care for Resident #1
Staff BAssessed Resident #1, wheeled resident to bedroom despite first responder instructions
Staff AProvided update on incident, noted no facility policy prohibiting emergency care in common areas
AAInterviewed regarding incident and obstruction of emergency care
CCWitnessed incident and described events involving Resident #1 and emergency responders
DDFamily member contacted during incident, expressed desire for prompt care

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 9, 2023

Visit Reason
The purpose of this administrative review was to investigate intake # GA00230689.

Complaint Details
Investigation of intake # GA00230689 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 18, 2022

Visit Reason
The visit was conducted to investigate intake #GA00225538 with an onsite visit on 8/18/2022 and the investigation completed on 8/29/2022.

Complaint Details
Investigation of intake #GA00225538 with no rule violations cited.
Findings
No rule violations were cited during the investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 16, 2022

Visit Reason
The purpose of this visit was to investigate intake #GA00224681 with an onsite visit made on 6/16/22 and the investigation completed on 6/17/22.

Complaint Details
Investigation of intake #GA00224681; no rule violations were found.
Findings
No rule violations were cited during the investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 4, 2021

Visit Reason
The purpose of this visit was to investigate intakes #GA00215190; #GA00215278; #GA00215595; #GA00215628; and #GA00215778.

Complaint Details
Investigation was completed on 8/4/21 following an onsite visit on 7/12/21. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 14, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA000212659.

Complaint Details
Investigation of intake #GA000212659 with no rule violations cited.
Findings
The intake started and was completed on 04/14/2021. No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 23, 2021

Visit Reason
The purpose of this visit was to investigate intake #GA00210680.

Complaint Details
Investigation began 2021-02-12 and was completed 2021-02-23. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 25, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00209394.

Complaint Details
Investigation began on 2020-11-19 and was completed on 2020-11-25. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 26, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00203770.

Complaint Details
Investigation began on 2020-05-05 and was completed on 2020-05-26. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 23, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00203727.

Complaint Details
Investigation started on 2020-03-30 and was completed on 2020-04-23. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Monitoring
Deficiencies: 0 Date: 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 Date: Aug 21, 2019

Visit Reason
The purpose of this visit was to investigate complaint GA00198703.

Complaint Details
Complaint GA00198703 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 22, 2019

Visit Reason
The purpose of this visit was to investigate complaint #GA00195534.

Complaint Details
Complaint #GA00195534 was investigated and no rule violations were found.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Mar 18, 2019

Visit Reason
The purpose of this visit was to conduct a follow-up to the 12/31/18 annual inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 3 Date: Dec 31, 2018

Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate complaint #GA00193458. The investigation started on 2018-12-26 and completed on 2018-12-31.

Complaint Details
Investigation of complaint #GA00193458 conducted from 2018-12-26 to 2018-12-31.
Findings
The facility failed to ensure staff received required CPR training with return demonstration, failed to comply with fire safety rules including insufficient fire drills and lack of annual sprinkler inspection, and failed to protect food from contamination by storing household chemicals in the pantry area.

Deficiencies (3)
Staff hired to provide hands-on personal services did not receive CPR training with return demonstration of competency within the first 60 days of employment for 1 of 6 sampled staff (Staff E).
Facility failed to comply with fire safety rules including missing ceiling tiles, insufficient fire drills in 2017 and 2018, and failure to have sprinkler system inspected annually.
Facility failed to ensure all foods were protected from spoilage and contamination; household chemicals were stored in the pantry area with food.
Report Facts
Fire drills documented in 2017: 7 Fire drills missing in 2018: 3 Sampled staff for CPR training review: 6

Employees mentioned
NameTitleContext
Staff EStaff E failed to complete CPR training with return demonstration; CPR was completed online.
Staff AStaff A interviewed regarding CPR training, fire drills, and chemical storage; stated unawareness of online CPR training and commitment to conduct more fire drills.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jul 23, 2018

Visit Reason
The visit was conducted to investigate complaint GA00190216 with an on-site visit on 7/23/18 and investigation completed on 7/27/18.

Complaint Details
The visit was complaint-related for complaint GA00190216. The investigation was completed on 7/27/18. Residents reported a mold problem that management was aware of but not fully resolved.
Findings
The facility failed to maintain the interior free of unsafe conditions posing a safety risk to residents, including observations of a splattered black substance around ceiling air vents and inside the laundry room dryer door. Residents reported a recurring mold problem in the ladies hair salon and wellness center, which management attempted to address but the mold returned.

Deficiencies (1)
Facility failed to maintain the interior free of unsafe conditions, including splattered black substance around ceiling air vents and inside laundry room dryer door.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Dec 14, 2017

Visit Reason
The purpose of this visit was to conduct a follow-up to the 7/27/17 annual inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 22, 2017

Visit Reason
The purpose of this visit was to investigate complaint #GA00178472.

Complaint Details
Complaint #GA00178472 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Annual Inspection
Deficiencies: 6 Date: Jul 19, 2017

Visit Reason
The purpose of this visit was to conduct the annual inspection of Sterling Estates Senior Living Community.

Findings
The inspection identified multiple deficiencies including failure to ensure staff received timely physical examinations, failure to verify Certified Medication Aide registry status before medication administration, lack of quarterly medication administration observations, incomplete annual competency reviews for medication aides, inadequate care and services for a resident, and failure to report a serious injury incident to the Department.

Deficiencies (6)
Failed to ensure staff received a physical examination within twelve months prior to providing care for 2 of 6 sampled staff (Staff B and Staff C).
Failed to check the Georgia Certified Medication Aide Registry to ensure CMAs were in good standing before permitting medication administration for 2 of 6 staff sampled (Staff C and Staff E).
Failed to ensure quarterly random medication administration observations were completed for 1 of 6 staff sampled (Staff D).
Failed to complete annual comprehensive clinical skills competency reviews for 1 of 6 staff sampled (Staff D).
Failed to provide adequate and appropriate care and services in compliance with state law for 1 of 4 sampled residents (Resident #2), including incomplete blood pressure monitoring as ordered.
Failed to report a serious injury requiring medical attention to the Department within 24 hours for 1 of 4 sampled residents (Resident #3).
Report Facts
Staff sampled: 6 Residents sampled: 4 Blood pressure checks: 16 Blood pressure check opportunities: 44

Employees mentioned
NameTitleContext
Staff BNamed in deficiencies related to physical exams, medication aide registry status, and failure to report serious injury
Staff CNamed in deficiencies related to physical exams and medication aide registry status
Staff DNamed in deficiencies related to quarterly medication observations and annual competency reviews
Staff ENamed in deficiency related to medication aide registry status
Staff AInterviewed staff providing information about missing documentation and deficiencies
Staff FInterviewed staff regarding incomplete blood pressure monitoring for Resident #2

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