Inspection Reports for Sunabella of Towne Lake LLC

1835 EAGLE DRIVE, WOODSTOCK, GA, 30189

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Inspection Report Summary

The most recent inspection on August 27, 2025, identified a deficiency for failing to have a Registered Professional Nurse or Licensed Practical Nurse on-site for the required minimum of 8 hours per week. Earlier inspections were mostly free of deficiencies, with several complaint investigations from 2020 through early 2025 finding no rule violations. Prior reports from September 7, 2022, cited issues related to medication management, including failure to allow a capable resident to self-administer medications and delays in medication refills that resulted in hospitalization. Complaint investigations were generally unsubstantiated except for the substantiated medication management concerns in 2022 and the recent nursing staff absence. The inspection history shows isolated but significant issues with nursing oversight and medication management, with no clear pattern of consistent improvement or worsening.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Census: 23 Deficiencies: 1 Date: Aug 27, 2025

Visit Reason
The purpose of this visit was to conduct complaint inspections (#GA50004979, #GA50004500, GA50004550).

Complaint Details
The visit was complaint-related, investigating complaints #GA50004979, #GA50004500, and GA50004550. The facility was found not to have nursing staff on-site as required.
Findings
The Assisted Living Community failed to ensure that a Registered Professional Nurse or Licensed Practical Nurse was on-site to support care and oversight of the residents for communities with one to 30 residents, a minimum of 8 hours per week. No nurse was present during the visit, and the last nurse left in July 2025.

Deficiencies (1)
Failed to ensure a Registered Professional Nurse or Licensed Practical Nurse was on-site for a minimum of 8 hours per week in a community with 1 to 30 residents.
Report Facts
Residents present: 23 Hours of nurse coverage: 3

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
The purpose of this visit was to investigate allegation intake GA0000573 and to conduct a compliance inspection.

Complaint Details
Investigation of allegation intake GA0000573 with no rule violations cited.
Findings
No rule violations were cited as a result of this visit.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 11, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00247466. An on-site visit was made on 6/11/2024, with the investigation completed on 6/13/2024.

Complaint Details
Investigation of intake #GA00247466 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 18, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00242169.

Complaint Details
Investigation of intake #GA00242169 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 14, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00240692 and #GA00240867.

Complaint Details
Investigation of intake #GA00240692 and #GA00240867 with no violations cited.
Findings
No violations were cited as a result of this survey.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 24, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00240046, GA00240275, and GA00239077.

Complaint Details
Investigation of complaint intakes #GA00240046, GA00240275, GA00239077 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 9, 2023

Visit Reason
The purpose of this visit was to investigate intake GA00231113, GA00231201, GA00231491, GA00232540, GA00232859.

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

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Sep 7, 2022

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA00225153 and GA00224802. An onsite visit was made to the facility starting on 2022-07-27 and completed on 2022-09-07.

Complaint Details
The investigation was triggered by complaints GA00225153 and GA00224802 regarding medication management and resident rights. Resident #1 was substantiated to have been denied self-administration of medications and experienced a medication refill delay resulting in hospitalization.
Findings
The facility failed to allow a cognitively and functionally capable resident (Resident #1) to self-administer medications independently and failed to ensure timely refills of prescribed medications, resulting in a medication interruption that caused the resident to be hospitalized.

Deficiencies (2)
Facility failed to allow residents with cognitive and functional capacity to self-administer medications safely and independently without staff assistance or supervision.
Facility failed to ensure timely refills of prescribed medications, causing interruption in routine dosing for Resident #1.
Report Facts
Days without medication Eliquis: 20 Dates of hospital stay: Resident #1 hospitalized on 2022-06-08 and 2022-06-09 due to medication interruption.

Employees mentioned
NameTitleContext
Staff ARecently hired staff who did not know why Resident #1 was not allowed to self-administer medications and agreed refill delays were unacceptable.
Staff BStaff who confirmed refill request date and delay in medication delivery for Resident #1.
CCCertified Medication Aid (CMA)Noted Resident #1 did not have Eliquis on 06/01/22 and refill was requested; recalled resident went to hospital due to medication delay.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 22, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00208804.

Complaint Details
Investigation began 10/16/20 and was completed 10/22/20. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

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