The most recent inspection on August 15, 2025, found no deficiencies. Earlier inspections generally showed no deficiencies or rule violations during complaint investigations, with multiple substantiated complaints occurring several years ago. Past issues primarily involved resident care concerns such as delayed staff response, missed medications, and failure to provide protective oversight, as well as one case of financial exploitation and a background check deficiency. Complaint investigations in recent years were consistently unsubstantiated, and enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates improvement over time, with no deficiencies noted in the most recent inspections.
Deficiencies (last 9 years)
Deficiencies (over 9 years)1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate intake #GA00249599. An unannounced visit was made on 2024-10-03 and the inspection was completed on 2024-10-08.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA00249599 with no rule violations cited.
The purpose of this visit was to investigate intake #GA00237958. An onsite visit was made on 2023-09-07 and the inspection was completed on 2023-09-15.
Findings
No rule violations were cited during the inspection.
Complaint Details
Investigation of intake #GA00237958 with no rule violations found.
The visit was conducted to investigate intake GA00227189, with an onsite visit made on 2022-09-27. The investigation started on 2022-09-19 and was completed on 2022-10-20.
Findings
The facility failed to ensure adequate and timely care for residents, specifically Resident #1 and Resident #4, who experienced delayed staff response to alerts resulting in incontinence and bedsores. Additionally, the facility failed to treat Resident #2 with dignity and respect, as staff entered the resident's room without knocking.
Complaint Details
The investigation was complaint-driven based on intake GA00227189. The complaint involved delayed staff response to resident calls for assistance and disrespectful staff behavior. The complaint was substantiated based on record review, resident interviews, and staff interviews.
Severity Breakdown
SS= D: 3
Deficiencies (3)
Description
Severity
Failure to ensure timely staff response to resident alerts, resulting in Resident #1 sitting in urine-soaked bed pads for hours and developing bedsores.
SS= D
Failure to provide adequate assistance to Resident #4 with bathing, dressing, transferring, and toileting, with multiple unresponded alerts.
SS= D
Failure to treat Resident #2 with dignity and respect; staff entered the resident's bedroom without knocking.
SS= D
Report Facts
Resident alerts not responded to: 9Resident alerts not responded to: 9Resident wait time for assistance: 120Resident wait time for assistance: 90
Employees Mentioned
Name
Title
Context
Staff A
Discussed Resident #1 care schedule and staff response times; stated facility had no written policy on alert response time
Staff B
Received complaint from Resident #4 and coordinated staff assistance; stated staff were required to knock on resident doors
Staff D
Entered Resident #2 bedroom without knocking, reported as rude by Resident #2
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00214710, with an onsite visit made on 6/9/2021 and the investigation completed on 6/24/2021.
Findings
The facility failed to keep residents free from financial exploitation for 1 of 3 sampled residents (Resident #1). A total of $21,000 was stolen from Resident #1's checking account over a period from September 2020 to April 2021 by Staff F, a housekeeper who resigned in October 2020. The bank refunded the stolen funds to the resident's account.
Complaint Details
The investigation was initiated due to intake #GA00214710 regarding financial exploitation. Staff F was reported to have stolen and cashed fraudulent checks totaling $21,000 from Resident #1's account. The police report was pending, and attempts to contact Staff F were made multiple times after resignation.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility failed to keep residents free from financial exploitation for Resident #1.
SS= D
Report Facts
Amount stolen: 21000Number of fraudulent check copies: 30Dates of contact attempts: 3
Employees Mentioned
Name
Title
Context
Staff F
Housekeeper
Named in financial exploitation finding; resigned 10/27/2020.
Staff A
Received report of stolen checks and contacted police and Department.
AA
Reported the stolen checks and alerted to funds being stolen.
The inspection was conducted to investigate intake # GA00203592, which was initiated on 2020-03-25 and completed on 2020-04-09.
Findings
The facility failed to provide protective care and watchful oversight for one of three sampled residents (Resident #1), who eloped through a window, fell to the second floor roof, and sustained a fractured hip and femur. The resident had disabled security locks and tied sheets to escape, despite being identified as an elopement risk.
Complaint Details
The investigation was initiated due to allegations of not providing protective care and watchful oversight, specifically related to Resident #1 eloping through a window on 3/8/20 and sustaining injuries.
Severity Breakdown
J: 1
Deficiencies (1)
Description
Severity
Failure to provide protective care and watchful oversight to Resident #1, resulting in elopement and injury.
J
Report Facts
Census: 75Incident date: Mar 8, 2020Incident time: 2230Number of residents sampled: 3
The visit was conducted to perform a compliance inspection and investigate intake #GA00200435 through an unannounced visit on 11/4/19, with the investigation completed on 11/7/19.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake #GA00200435 was completed with no rule violations cited.
The purpose of this visit was to investigate intake #GA00198055. An on-site visit was made on 2019-07-11 and the investigation was completed on 2019-09-05.
Findings
The facility failed to immediately take appropriate actions in response to a sudden adverse change in condition for 1 of 3 sampled residents (Resident #1), who suffered a closed fracture of the right upper extremity after an alleged staff injury. The investigation included record reviews and staff interviews confirming delays in addressing the resident's injury and pain complaints.
Complaint Details
Investigation was initiated due to intake #GA00198055 regarding Resident #1's injury. The complaint was substantiated based on record review and interviews indicating failure to promptly address the resident's injury and pain complaints.
Severity Breakdown
J: 1
Deficiencies (1)
Description
Severity
Failure to immediately take actions appropriate to a sudden adverse change in Resident #1's condition, resulting in delayed response to a closed fracture of the right upper extremity.
J
Report Facts
Dates related to incident and investigation: Jul 8, 2019Dates related to incident and investigation: Jul 11, 2019Dates related to incident and investigation: Sep 5, 2019
The purpose of this visit was to investigate complaint #GA00191618 regarding failure to notify a resident's next of kin/legal representative of a change in condition after a fall.
Findings
The facility failed to notify the next of kin/legal representative of Resident #1 after a fall occurred on 9/16/2018, resulting in a left displaced femoral neck fracture and subsequent hip surgery. Staff interviews revealed delays and incomplete communication regarding the incident.
Complaint Details
Complaint #GA00191618 was investigated and substantiated as the facility failed to notify the resident's family promptly after the fall incident.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to notify the resident's next of kin/legal representative related to a change in the resident's condition for 1 of 1 sampled resident (Resident #1).
SS= D
Report Facts
Date of fall: Sep 16, 2018Date of surgery: Sep 20, 2018Number of staff on duty: 4
The purpose of this visit was to conduct the re-licensure inspection of the assisted living community Sunrise of Buckhead.
Findings
The inspection found that the community failed to obtain a complete criminal history background check for one of five sampled staff members, Staff E, hired on 4/27/17. The background check was determined to be incomplete by the Office of Inspector General.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Failed to obtain a criminal records check determination in compliance with O.C.G.A 31-7-250-et seq. for 1 of 5 sampled staff (Staff E).
D
Employees Mentioned
Name
Title
Context
Staff E
Named in deficiency for incomplete criminal background check.
Staff A
Interviewed regarding Staff E's criminal records check.
The purpose of this visit was to investigate a facility reported incident #GA00185752 involving missed medications for Resident #1.
Findings
The facility failed to provide protective care and watchful oversight to Resident #1, who missed multiple medications from 2/14/18 to 2/18/18, resulting in hospitalization for swollen legs and discomfort. Additionally, the facility failed to timely manage medication procurement, not notifying the physician of prescription unavailability or obtaining refills promptly, causing interruption in routine dosing.
Complaint Details
Investigation was triggered by a complaint regarding missed medications for Resident #1. The complaint was substantiated as the facility failed to provide necessary medication and oversight.
Severity Breakdown
SS=J: 2
Deficiencies (2)
Description
Severity
Failed to provide protective care and watchful oversight to Resident #1, resulting in missed medications and hospitalization.
SS=J
Failed to notify physician of prescription unavailability and to obtain timely refills, causing interruption in routine medication dosing for Resident #1.
SS=J
Report Facts
Missed medication days: 5Hospitalization dates: Resident #1 hospitalized from 2/19/18 to 2/28/18.Medication doses missed: 6
Employees Mentioned
Name
Title
Context
Staff A
Reported the incident of missed medications and provided interview details.
Staff B
Responsible for reviewing prescriptions, faxing orders, and following up with pharmacy.
Staff C
Provided written statement about Resident #1's condition and observations.