Inspection Reports for Sunny Grove Assisted Living
665 Gordon Rd, Barnesville, GA 30204, United States, GA, 30204
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Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 24, 2024
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake # GA00245415.
Findings
No rule violations were cited as a result of this inspection and investigation.
Complaint Details
Investigation started on 2024-04-24 and was completed on 2024-04-26. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 14, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00237327 and #GA00237827 with an on-site visit made on 8/14/23 and the investigation completed on the same day.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intakes #GA00237327 and #GA00237827 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 3, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA002355849.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA002355849 found no rule violations.
Inspection Report
Original Licensing
Deficiencies: 1
Oct 6, 2022
Visit Reason
The purpose of this visit was to conduct the initial CHOW (Change of Ownership) inspection.
Findings
The facility failed to maintain complete personnel files for 2 of 3 sampled staff, lacking documentation of required trainings and physical examinations.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure personnel files were maintained or available for inspection for 2 of 3 sampled staff, missing documentation of trainings on evacuation procedures, resident population, resident rights, abuse reporting act, infection control, and physical examinations. |
Inspection Report
Monitoring
Deficiencies: 0
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
Follow-Up
Deficiencies: 0
Feb 10, 2020
Visit Reason
The visit was conducted as a follow-up compliance inspection to verify correction of a previously cited violation from the 12/04/19 inspection.
Findings
Based on a review of documentation submitted by the facility, the violation cited on the 12/04/19 follow-up compliance inspection has been corrected.
Inspection Report
Follow-Up
Deficiencies: 1
Dec 4, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 6/6/19 compliance inspection.
Findings
The facility failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 1 of 3 sampled residents, specifically Resident #1. This deficiency was identified based on record review and interview.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #1. | E |
Report Facts
Dates medication not documented: 3
Dates medication not documented: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and stated unawareness that MAR was not updated for Resident #1 |
Inspection Report
Routine
Deficiencies: 3
Jun 6, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection.
Findings
The facility was found deficient in maintaining entrances and exits free of hazards, ensuring safety devices to protect residents at risk of eloping, and updating the Medication Assistance Record (MAR) each time medication was offered or taken for sampled residents.
Severity Breakdown
D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Entrances and exits were not free of hazards; a door knob was missing on an exit door in the memory care unit. | D |
| Failed to utilize appropriate effective safety devices to protect residents at risk of eloping; memory care unit doors were held open with wedges. | D |
| Failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 3 sampled residents. | D |
Report Facts
Number of sampled residents with MAR deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A and Staff B were interviewed regarding the missing door knob, open memory care unit doors, and MAR documentation issues, but no full names were provided. |
Inspection Report
Follow-Up
Deficiencies: 4
Mar 9, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 9/01/17 annual inspection.
Findings
The facility failed to comply with fire and safety rules requiring disaster drills, lacked secured outdoor spaces for the memory care unit, failed to ensure adequate care and medication administration for residents, and did not provide evidence of routine skills competency evaluations for staff.
Severity Breakdown
E: 3
K: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to conduct required disaster drills including two rehearsals of the Disaster Preparedness Plan annually. | E |
| Memory care unit lacked secured outdoor spaces and walkways that are wheelchair accessible and prevent undetected egress. | E |
| Failure to ensure each resident received adequate and appropriate care and services, including medication administration for 2 residents. | K |
| Failure to provide evidence of routine evaluations of continued skills competencies by an appropriately licensed healthcare professional for 2 staff members. | E |
Report Facts
Residents affected: 2
Staff sampled: 2
Inspection Report
Annual Inspection
Deficiencies: 7
Sep 1, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.
Findings
The inspection identified multiple deficiencies including lack of current first aid and CPR certifications for some staff, inadequate fire and disaster drills, failure to maintain an adequate pest control program, unsecured outdoor spaces in the memory care unit, medication administration and documentation issues, and lack of routine skills competency evaluations for some staff.
Severity Breakdown
SS= D: 6
SS= J: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility failed to ensure that each staff received current certification in first aid for 2 of 5 sampled staff (Staff C and Staff E). | SS= D |
| Facility failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) for 1 of 5 sampled staff (Staff C). | SS= D |
| Facility failed to ensure compliance with fire and safety rules requiring six fire drills annually, including two during sleeping hours and two disaster preparedness drills. | SS= D |
| Facility failed to maintain an adequate insect and pest control program; multiple flies observed in dining room. | SS= D |
| Memory care unit did not have secured outdoor spaces and walkways which are wheelchair accessible and prevent undetected egress. | SS= D |
| Facility failed to ensure each resident received adequate and appropriate care; medication administration and documentation issues for 2 of 3 sampled residents. | SS= J |
| Facility failed to provide evidence of routine evaluations of continued skills competencies for 2 of 3 sampled staff (Staff B and Staff G). | SS= D |
Report Facts
Sampled staff: 5
Sampled residents: 3
Fire drills required annually: 6
Fire drills conducted: 1
Medication packs observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in findings for lack of first aid and CPR certification | |
| Staff E | Named in finding for lack of first aid certification | |
| Staff B | Named in finding for lack of routine skills competency evaluation | |
| Staff G | Named in finding for lack of routine skills competency evaluation | |
| Staff A | Interviewed staff providing information on deficiencies | |
| Staff F | Interviewed staff regarding memory care unit outdoor space |
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 27, 2017
Visit Reason
The purpose of this visit was to investigate a self-reported incident #GA00172257 involving a serious injury to a resident that required medical treatment.
Findings
The facility failed to report to the Department a serious injury to a resident who fell and later required hip surgery. The incident was documented on 2/24/17, but the facility did not submit the report to the Department until 3/1/17, and staff could not find evidence of faxed or emailed notification.
Complaint Details
The visit was complaint-related, investigating a self-reported incident. The complaint intake form indicated the facility submitted the incident to the Department on 3/1/17. Staff interview revealed no faxed or emailed report was found.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to report to the Department a serious injury to a resident that required medical treatment. | SS= D |
Report Facts
Incident report date: Feb 24, 2017
Incident report submission date: Mar 1, 2017
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