Inspection Reports for
Sterling Estates of East Cobb Retirement Community
4220 Lower Roswell Rd, Marietta, GA 30068, GA, 30068
Back to Facility ProfileDeficiencies (last 9 years)
Deficiencies (over 9 years)
6.9 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
41% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 2, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to notify residents or responsible parties of changes in condition and failure to provide accurate Skilled Nursing Facility Advanced Beneficiary Notices of Non-coverage.
Complaint Details
The investigation was complaint-driven based on grievances filed by the family of Resident 4 regarding lack of notification of change in condition, and issues with the Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage for Resident 8. The complaint was substantiated as failures were confirmed by staff interviews and record review.
Findings
The facility failed to notify the responsible party of a resident's change in condition related to intravenous fluids and antibiotic use, and failed to provide an accurate Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage for another resident. Staff interviews and record reviews confirmed these failures, and training was provided in response.
Deficiencies (2)
F 0580: The facility failed to notify the resident's responsible party of a change in condition related to intravenous fluid and antibiotic use for one resident. This failure had the potential for treatments not aligned with the resident's or responsible party's wishes.
F 0582: The facility failed to provide an accurate Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage for one resident. This failure could result in the resident not being informed of financial responsibility related to facility costs.
Report Facts
Date of Physician Orders: Feb 26, 2025
Date of Progress Notes: Feb 8, 2025
Date SNF ABN Issued: Jun 5, 2025
Last Covered Day: Jun 7, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Unit Manager | Interviewed regarding notification of change in condition for Resident 4 |
| LPN2 | Interviewed regarding notification of Resident 4's family and antibiotic/IV fluid administration | |
| Director of Nursing | Director of Nursing | Interviewed regarding notification failures and expectations for SNF ABN form use |
| Business Office Manager | Business Office Manager | Interviewed regarding provision of Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage to Resident 8's responsible party |
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
Routine
Deficiencies: 19
Date: Sep 19, 2024
Visit Reason
Routine inspection of Tower Road Post Acute, LLC nursing home to assess compliance with regulatory requirements including resident rights, medication administration, environment safety, care planning, infection control, and other standards.
Findings
The facility had multiple deficiencies including failure to maintain resident dignity, incomplete medication self-administration assessments, environmental safety hazards, incomplete and inaccurate care plans, failure to provide proper discharge instructions, unsafe water temperatures, improper oxygen therapy administration, expired medications, inadequate infection control practices, and malfunctioning call light systems.
Deficiencies (19)
F 0550: The facility failed to maintain dignity and privacy for a resident with a Foley catheter by leaving the catheter bag uncovered and labeling clothing with the resident's full name in a visible area.
F 0554: The facility failed to assess a resident for self-administration of medication prior to allowing medications at bedside, risking unauthorized access.
F 0558: The facility failed to ensure a call light was within reach for a cognitively impaired resident, potentially preventing timely care.
F 0563: The facility failed to have a system allowing visitors after hours, causing potential distress or access issues.
F 0582: The facility failed to provide Notice of Medicare Non-Coverage (NOMNC) to two residents discharged from Medicare Part A services but remaining in the facility.
F 0584: The facility failed to maintain a safe, comfortable, homelike environment with peeling paint, missing vent covers, broken blinds, electrical hazards, and cracked floors in resident rooms.
F 0641: The facility failed to accurately document dental status in the annual MDS for a resident missing most upper teeth, risking inadequate dental care.
F 0645: The facility failed to complete a PASARR Level II screening for a resident with mental illness, risking lack of specialized care.
F 0655: The facility failed to develop and implement baseline care plans within 48 hours of admission for five residents, risking inadequate care planning.
F 0656: The facility failed to develop and implement comprehensive care plans with measurable objectives and timeframes for three residents, including failure to address PTSD in one resident's care plan.
F 0660: The facility failed to provide discharge instructions to the responsible party of a resident at discharge, including medication and therapy instructions, risking improper home care.
F 0689: The facility failed to maintain safe water temperatures below 120°F in 17 of 22 bathrooms, risking burns to residents.
F 0695: The facility failed to follow physician orders for oxygen therapy for a resident, administering oxygen at 1 LPM instead of 2 LPM as ordered.
F 0657: The facility failed to include the resident or family in baseline and care plan meetings for one resident, risking lack of resident-centered care.
F 0677: The facility failed to provide fingernail care for a dependent resident, resulting in long, dirty, and painful nails.
F 0684: The facility failed to make follow-up physician appointments and provide transportation for a resident after hospital discharge, risking resident instability.
F 0761: The facility failed to ensure medications and biologicals were discarded after expiration dates in medication rooms, risking administration of ineffective medications.
F 0849: The facility failed to ensure proper infection control during medication administration via gastrostomy tube, perineal care, tracheostomy care, and failed to disinfect shared equipment and maintain hand sanitizer dispensers.
F 0919: The facility failed to maintain a working call light system in one hallway, risking delayed response to resident needs.
Report Facts
Residents affected: 1
Residents affected: 59
Residents affected: 14
Residents affected: 2
Residents affected: 118
Water temperatures: 17
Residents affected: 15
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN EE | Unit Manager | Named in findings related to dignity, medication bedside storage, and fall assessment |
| LPN AA | Unit Manager | Named in dignity and tracheostomy care findings |
| Director of Nursing | DON | Named in multiple interviews regarding expectations for care plans, medication administration, discharge, and oxygen therapy |
| CNA BB | Named in perineal care and nail care deficiencies | |
| LPN CC | Named in oxygen therapy observation and correction | |
| Unit Manager AA | Named in medication storage and nail care findings | |
| Registered Nurse ZZ | RN | Named in hospice and care planning findings |
| MDS Coordinator YY | Named in care planning interviews | |
| Social Services Director QQ | Named in care planning interviews | |
| Maintenance Director | Named in water temperature and call light system findings | |
| Certified Nursing Assistant VV | CNA | Named in infection control observation |
| Licensed Practical Nurse OO | LPN | Named in infection control observation |
| Respiratory Therapist RR | RT | Named in tracheostomy care interview |
| Respiratory Therapist SS | RT | Named in tracheostomy care interview |
Inspection Report
Annual Inspection
Deficiencies: 20
Date: Sep 19, 2024
Visit Reason
Annual inspection of Tower Road Post Acute, LLC to assess compliance with healthcare facility regulations including resident care, safety, medication management, and facility environment.
Findings
The facility had multiple deficiencies including failure to maintain resident dignity, incomplete medication self-administration assessments, inadequate call light accessibility, environmental maintenance issues, inaccurate resident assessments, incomplete care plans, failure to provide discharge instructions, unsafe water temperatures, improper oxygen therapy administration, expired medications, infection control lapses, and malfunctioning call light systems.
Deficiencies (20)
F0550: The facility failed to maintain dignity and privacy for a resident with a Foley catheter by leaving the catheter bag uncovered and labeling clothing with the resident's full name in large marker.
F0554: The facility failed to assess one resident for self-administration of medication prior to leaving medications at bedside, risking unauthorized access.
F0558: The facility failed to ensure a call light was within reach for one resident, potentially preventing timely care.
F0563: The facility failed to have a system allowing visitor access after hours, causing potential visitor distress.
F0582: The facility failed to provide Notice of Medicare Non-Coverage to two residents discharged from Medicare Part A services but remaining in the facility.
F0584: The facility failed to maintain a safe, clean, and homelike environment due to peeling paint, missing vent covers, holes in walls, broken blinds, loose electrical sockets, and cracked floors in resident rooms.
F0641: The facility failed to accurately document dental status in the annual assessment for one resident missing most upper teeth, risking inadequate dental care.
F0645: The facility failed to ensure PASARR Level II screening was completed for one resident with mental illness, risking lack of specialized care.
F0655: The facility failed to develop and implement baseline care plans within 48 hours of admission for five residents, risking inadequate care planning.
F0656: The facility failed to develop and implement comprehensive care plans with measurable objectives and timeframes for three residents, including failure to address PTSD and oxygen therapy needs.
F0657: The facility failed to include the resident or family in care plan meetings for one resident, risking lack of resident-centered care.
F0660: The facility failed to provide discharge instructions to the responsible party for one resident, including medication and therapy instructions, risking inadequate post-discharge care.
F0677: The facility failed to provide fingernail care for one dependent resident, resulting in long, dirty, and painful nails.
F0684: The facility failed to make follow-up physician appointments and provide transportation after hospital discharge for one resident, risking health deterioration.
F0689: The facility failed to maintain safe water temperatures below 120°F in 17 of 22 bathrooms, risking burns to residents.
F0695: The facility failed to follow physician orders for oxygen therapy for one resident, administering oxygen at 1 LPM instead of 2 LPM.
F0761: The facility failed to discard expired medications and biologicals in three medication rooms, risking administration of ineffective drugs.
F0849: The facility failed to ensure a physician's order for hospice services for one resident receiving hospice care.
F0880: The facility failed to follow infection control practices during medication administration via gastrostomy tube, perineal care, and tracheostomy care, and failed to clean shared medical equipment and maintain hand sanitizer dispensers.
F0919: The facility failed to maintain a working call light system in one hallway, risking delayed response to resident needs.
Report Facts
Residents affected: 1
Residents affected: 59
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 59
Residents affected: 1
Residents affected: 1
Residents affected: 5
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Bathrooms sampled: 22
Bathrooms with unsafe water temperature: 17
Residents affected: 1
Medication rooms: 3
Residents affected: 1
Residents affected: 1
Hallways: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN EE | Licensed Practical Nurse | Named in medication self-administration and catheter dignity bag findings |
| Unit Manager AA | Unit Manager Licensed Practical Nurse | Named in medication storage and fingernail care findings |
| Director of Nursing | Director of Nursing (DON) | Named in multiple findings including care plan, medication, discharge, oxygen therapy, and infection control |
| LPN CC | Licensed Practical Nurse | Named in oxygen therapy finding |
| RN ZZ | Registered Nurse | Named in hospice and care plan findings |
| CNA BB | Certified Nursing Assistant | Named in perineal care and fingernail care findings |
| LPN AA | Licensed Practical Nurse | Named in tracheostomy care infection control finding |
| CNA VV | Certified Nursing Assistant | Named in shared equipment cleaning finding |
| Maintenance Director | Named in water temperature and call light system findings |
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
| Name | Title | Context |
|---|---|---|
| BB | Lead Fire Fighter/First Responder | Reported obstruction by facility staff during emergency care for Resident #1 |
| Staff B | Assessed Resident #1, wheeled resident to bedroom despite first responder instructions | |
| Staff A | Provided update on incident, noted no facility policy prohibiting emergency care in common areas | |
| AA | Interviewed regarding incident and obstruction of emergency care | |
| CC | Witnessed incident and described events involving Resident #1 and emergency responders | |
| DD | Family 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
Annual Inspection
Deficiencies: 4
Date: Sep 22, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident transfer notifications, bed hold notices, and psychotropic medication management.
Findings
The facility failed to provide timely written transfer and bed hold notices to residents and/or their representatives, and did not comply with regulations regarding psychotropic medication orders, including lack of documented rationale for PRN Ativan orders beyond 14 days and failure to implement non-pharmacological interventions prior to antipsychotic use.
Deficiencies (4)
F 0623: The facility failed to provide a written notice of transfer for one of two residents reviewed for hospitalization, increasing the risk that residents and representatives would not know transfer specifics or appeal rights.
F 0625: The facility failed to provide a written bed hold notice for one of two residents reviewed for hospitalization, increasing the risk that residents and representatives would not know to request a bed hold or the cost involved.
F 0756: The facility failed to respond to pharmacy recommendations for a written rationale and duration date for continuing PRN Ativan orders beyond 14 days for one of four residents reviewed, increasing the risk of excessive medication.
F 0758: The facility failed to implement individualized non-pharmacological interventions prior to prescribing Seroquel and administered it without documented behaviors for one resident, and failed to limit PRN Ativan orders to 14 days or provide rationale for extension for another resident.
Report Facts
Residents reviewed: 31
Residents affected: 2
Residents affected: 4
BIMS score: 1
BIMS score: 15
BIMS score: 0
BIMS score: 7
BIMS score: 6
BIMS score: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Social Services Director | Verified no written transfer notice was provided to resident or representative |
| Business Office Manager | Business Office Manager | Verified no written bed hold notices were provided to resident or representative |
| Consultant Pharmacist | Consultant Pharmacist | Verified physician responses lacked rationale for PRN Ativan continuation beyond 14 days |
| Medical Director | Medical Director | Prescribing physician with no rationale for PRN Ativan beyond 14 days except hospice care |
| Director of Nursing | Director of Nursing | Verified behaviors would be documented in progress notes or MAR |
| Registered Nurse 1 | Registered Nurse | Reported resident #99 would yell out at staff |
| Licensed Practical Nurse 1 | Licensed Practical Nurse | Reported resident #99 would yell at staff to help other residents thought to be family |
| Licensed Practical Nurse 2 | Licensed Practical Nurse | Reported resident #99 would yell at staff to help family members |
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: 6
Date: Jan 31, 2019
Visit Reason
The inspection was conducted to investigate complaints regarding resident care, including failure to honor resident bathing preferences, improper execution of advance directives, inadequate care planning for falls, improper resident positioning, failure to prevent falls resulting in injury, and infection control deficiencies related to Clostridium Difficile.
Complaint Details
The complaint investigation included issues of resident bathing preferences not honored, advance directive execution errors, inadequate fall care planning leading to injury, improper resident positioning, failure to prevent falls resulting in injury, and infection control lapses related to C. difficile. Substantiation status is not explicitly stated.
Findings
The facility failed to ensure resident bathing preferences were honored, resulting in one resident not receiving showers as preferred. The facility did not properly execute advance directives for one resident, leading to conflicting code status orders. Care planning for falls was inadequate, contributing to a resident sustaining a fall with injury. One resident was not positioned appropriately in bed, risking discomfort and impaired breathing. Infection control procedures were not consistently followed, including improper use of PPE and cleaning agents for a resident with C. difficile infection.
Deficiencies (6)
F 0561: The facility failed to ensure one resident was provided a choice regarding showers versus bed baths, resulting in the resident receiving only bed baths despite preferring showers.
F 0578: The facility failed to properly execute the advance directive wishes for one resident, resulting in conflicting physician orders for code status.
F 0656: The facility failed to implement a comprehensive person-centered care plan for falls for one resident, contributing to the resident sustaining a fall with injury.
F 0684: One resident was not positioned appropriately in bed, creating potential for discomfort and impaired breathing.
F 0689: The facility failed to ensure adequate supervision to prevent accidents, resulting in a resident falling out of bed during a bath and sustaining a head laceration requiring sutures.
F 0880: The facility failed to ensure infection control procedures were followed to prevent the spread of Clostridium Difficile, including improper use of PPE and cleaning agents.
Report Facts
Residents sampled: 44
Fall Risk Evaluation score: 13
Sutures required: 6
C-diff infections: 4
C-diff infections: 2
C-diff infections: 1
C-diff infections: 5
C-diff infections: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA OO | Certified Nursing Assistant | Named in fall incident where resident fell out of bed during bath |
| CNA VV | Certified Nurse Assistant | Named in infection control deficiency and resident positioning issues |
| ADON | Assistant Director of Nursing | Interviewed regarding resident bathing preferences, advance directives, resident positioning, and infection control |
| DON | Director of Nursing | Interviewed regarding resident bathing preferences, fall prevention, and infection control |
| Housekeeper XX | Housekeeper | Named in infection control deficiency for improper cleaning product use |
| Infection Control Nurse LL | Infection Control Nurse | Interviewed regarding infection control procedures and deficiencies |
| LPN ZZ | Licensed Practical Nurse | Resident's nurse, interviewed regarding infection control practices |
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
| Name | Title | Context |
|---|---|---|
| Staff E | Staff E failed to complete CPR training with return demonstration; CPR was completed online. | |
| Staff A | Staff 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
| Name | Title | Context |
|---|---|---|
| Staff B | Named in deficiencies related to physical exams, medication aide registry status, and failure to report serious injury | |
| Staff C | Named in deficiencies related to physical exams and medication aide registry status | |
| Staff D | Named in deficiencies related to quarterly medication observations and annual competency reviews | |
| Staff E | Named in deficiency related to medication aide registry status | |
| Staff A | Interviewed staff providing information about missing documentation and deficiencies | |
| Staff F | Interviewed staff regarding incomplete blood pressure monitoring for Resident #2 |
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