Inspection Reports for Stewart Community Home

1125 15TH STREET, COLUMBUS, GA, 31901

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Inspection Report Summary

The most recent inspection on October 7, 2025, identified deficiencies related to staff certifications, training documentation, resident care plans, physical examinations, and informed consent for proxy care. Earlier inspections were mostly free of deficiencies, with no violations cited in several complaint investigations throughout 2023 and 2024, and a clean re-licensure inspection in August 2025. Prior reports noted issues with staff emergency training and certification, pest control problems, and exceeding licensed capacity, but these were not present in recent inspections. Complaint investigations were generally unsubstantiated except for the latest, which found multiple documentation and certification issues. The facility’s inspection history shows some recurring themes in staff training and resident documentation, with recent findings indicating a need for improvement after a period of mostly clean reports.

Deficiencies (last 7 years)

Deficiencies (over 7 years) 2.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

51% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2017
2019
2020
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 6 Date: Oct 7, 2025

Visit Reason
The purpose of this visit was to investigate complaint intakes #GA50006038 and #GA50001512 through an unannounced onsite visit conducted on 2025-10-07, with the investigation completed on 2025-10-09.

Complaint Details
The visit was conducted to investigate complaint intakes #GA50006038 and #GA50001512. The investigation was unannounced and completed over the period 2025-10-07 to 2025-10-09.
Findings
The facility failed to ensure that direct care staff had current certifications in emergency first aid and cardiopulmonary resuscitation, failed to document required annual training hours for some staff, failed to obtain timely physical examination reports for residents, failed to develop written care plans within 14 days of admission for sampled residents, and failed to obtain written informed consent for proxy care for all sampled residents.

Deficiencies (6)
Facility failed to ensure 3 of 4 sampled staff had current certification in emergency first aid.
Facility failed to ensure 3 of 4 sampled staff had current certification in cardiopulmonary resuscitation with competency demonstration.
Facility failed to ensure 2 of 4 sampled staff had at least 16 hours of training per year.
Facility failed to obtain a report of physical examination within 30 days prior to admission for 1 of 5 sampled residents.
Facility failed to develop individual written care plans within 14 days of admission for 4 of 4 sampled residents.
Facility failed to obtain written informed consent for proxy care for 4 of 4 sampled residents.
Report Facts
Sampled staff: 4 Staff without current emergency first aid certification: 3 Staff without current CPR certification: 3 Staff without 16 hours training: 2 Sampled residents: 5 Residents without physical exam report: 1 Residents without written care plan: 4 Residents without informed consent for proxy care: 4

Employees mentioned
NameTitleContext
Staff BInterviewed and acknowledged awareness of staff certification and training deficiencies
Staff AInterviewed and stated unawareness of written care plan and informed consent requirements
Staff CDirect care employee lacking current emergency first aid and CPR certification and required training hours
Staff DDirect care employee lacking current emergency first aid and CPR certification and required training hours
Staff EDirect care employee lacking current emergency first aid and CPR certification

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Aug 6, 2025

Visit Reason
The purpose of this visit was to conduct a re-licensure and a complaint inspection (GA50004065 and GA50004245). The inspection started on 2025-08-04 and was completed on 2025-08-05.

Complaint Details
Complaint inspections GA50004065 and GA50004245 were conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 28, 2024

Visit Reason
The purpose of this visit was to investigate intakes #GA00246294.

Complaint Details
Investigation of intake #GA00246294 with no rule violations cited.
Findings
An on-site visit was made on 5/28/24. No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 26, 2024

Visit Reason
The purpose of this visit was to investigate intakes GA002343706 and conduct the compliance inspection.

Complaint Details
Investigation of intakes GA002343706 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 10, 2023

Visit Reason
The purpose of this visit was to investigate intakes #GA00239780. An on-site visit was made on 10/10/23.

Complaint Details
Investigation of intake #GA00239780; no rule violations found.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 12, 2023

Visit Reason
The purpose of this visit was to investigate intake # GA00236208.

Complaint Details
Investigation of intake # GA00236208 with no rule violations cited.
Findings
An on-site visit was made on 7/12/2023. No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 21, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00235442.

Complaint Details
Investigation of intake #GA00235442 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Monitoring
Deficiencies: 0 Date: Apr 27, 2022

Visit Reason
The purpose of this visit was to monitor for an increase in capacity. A virtual visit was made on 2022-04-22 and the inspection was completed on 2022-04-27.

Findings
No deficiencies or findings are stated in the report.

Inspection Report

Complaint Investigation
Capacity: 24 Deficiencies: 4 Date: Apr 5, 2022

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00222722 with an on-site visit on 4/5/22 and investigation completion on 4/12/22.

Complaint Details
The inspection was conducted to investigate complaint intake #GA00222722.
Findings
The facility was found to be serving more residents than its licensed capacity, had ongoing bed bug infestations with inadequate pest control measures, failed to obtain a required physical examination prior to admission for one resident, and did not ensure required criminal background fingerprint checks for some staff.

Deficiencies (4)
The home was serving more residents than its approved licensed capacity of 24, with a census of 55 on 4/5/22.
The facility failed to maintain an effective insect, rodent, or pest control program, evidenced by bed bug infestations in multiple rooms and inadequate professional treatment.
The facility failed to obtain a physical examination on the Department's form prior to admission for 1 of 4 sampled residents (Resident #4).
The facility failed to ensure direct care staff hired after October 1, 2019 had the required criminal background fingerprint check upon employment or prior to placement for 3 of 5 sampled staff.
Report Facts
Census: 55 Total licensed capacity: 24 Number of sampled residents without PE: 1 Number of sampled staff without fingerprint check: 3 Number of pest control treatments: 3

Employees mentioned
NameTitleContext
Staff AInterviewed regarding facility capacity, bed bug treatments, and physical examination scheduling
Staff FInterviewed regarding bed bug activity and pest control treatments
Resident #4ResidentInterviewed regarding lack of physical examination prior to admission
Staff BStaff member lacking fingerprint records check
Staff DStaff member lacking fingerprint records check
Staff EStaff member lacking fingerprint records check

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

Routine
Deficiencies: 1 Date: Jul 18, 2019

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
The facility failed to maintain compliance with Life Safety Code fire regulations requiring six fire drills per year, including two during sleeping hours. A review showed no fire drills were conducted in 2018, which was acknowledged by staff during the exit interview.

Deficiencies (1)
Failure to conduct required fire drills six times per year, including two during sleeping hours.
Report Facts
Fire drills required per year: 6 Fire drills conducted in 2018: 0 Fire drills required during sleeping hours: 2

Inspection Report

Follow-Up
Deficiencies: 2 Date: May 22, 2017

Visit Reason
The purpose of this visit was to conduct a follow-up to the 03/27/2017 annual inspection.

Findings
The facility failed to ensure that staff obtained current certification in emergency first aid and cardiopulmonary resuscitation (CPR) within the first sixty days of employment for 1 of 3 staff. The training for Staff A had expired on 3/27/16 and had not been updated.

Deficiencies (2)
Failure to ensure that each staff obtained current certification in emergency first aid within the first sixty days of employment for 1 of 3 staff.
Failure to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) where the training required return demonstration of competency for 1 of 3 sampled staff.
Report Facts
Staff sampled: 3 Staff with expired training: 1

Employees mentioned
NameTitleContext
Staff ANamed in findings for expired first aid and CPR training
Staff BAcknowledged expired training and issues with training equipment

Inspection Report

Annual Inspection
Deficiencies: 4 Date: Mar 27, 2017

Visit Reason
The purpose of this visit was to conduct an annual inspection of Stewart Community Home.

Findings
The facility failed to ensure staff compliance with workforce qualifications and training requirements, including current certification in emergency first aid and CPR, and adequate continuing education hours. Additionally, the facility failed to maintain a three day supply of non-perishable food and water for emergency needs, with expired water observed during the inspection.

Deficiencies (4)
Facility failed to ensure that each staff obtained current certification in emergency first aid within the first sixty days of employment for 1 of 3 staff.
Facility failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) where the training required return demonstration of competency for 1 of 3 sampled staff.
Facility failed to ensure that all staff had 16 hours of continuing education (CEUs) in the past year; one staff had only 8 hours.
Facility failed to maintain a three day supply of non-perishable food and water for emergency needs; observed 15 jugs of water expired since June 2005.
Report Facts
Expired water jugs: 15 Continuing education hours: 8 Staff sampled: 3

Employees mentioned
NameTitleContext
Staff ANamed in findings for lack of current certification in emergency first aid and CPR.
Staff BNamed in finding for insufficient continuing education hours.
Staff DAcknowledged findings and stated unawareness of expired training and water.

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