Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 15, 2025
Visit Reason
The purpose of this visit was to investigate self-reported intake GA 50005089 and GA 50005091.
Findings
No rules were cited as a result of this investigation.
Complaint Details
Investigation began on 2025-09-08 and ended on 2025-09-15. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 21, 2025
Visit Reason
The visit was conducted to investigate complaint intakes #GA50003764 and #GA50003982.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA50003764 and #GA50003982 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 28, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate GA 50002659.
Findings
No rules were cited as a result of this inspection and investigation.
Complaint Details
Investigation and compliance inspection began on 2025-05-13 and ended on 2025-05-27. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 21, 2024
Visit Reason
The purpose of this visit was to investigate intake GA 00251064.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation began on 2024-10-17 and completed on 2024-10-29. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 8, 2024
Visit Reason
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.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 8, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00249599. An unannounced visit was made on 10/3/24 and the inspection was completed on 10/8/24.
Findings
No rule violations were cited during the inspection.
Complaint Details
Investigation of intake #GA00249599 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 23, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00248085 with an on-site visit conducted on 7/23/2024.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00248085 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 26, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247210 with an on-site visit made on 2024-06-26 and investigation completed on 2024-06-28.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00247210 was conducted with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 23, 2024
Visit Reason
The visit was conducted to investigate intake #GA00243487 with an onsite visit made on 2024-02-20 and the inspection completed on 2024-02-23.
Findings
No rule violations were cited during the inspection.
Complaint Details
Investigation of intake #GA00243487 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 1, 2024
Visit Reason
The purpose of this visit was to investigate complaint intake numbers GA00241683 and GA00241797.
Findings
There were no rule violations cited as a result of this survey.
Complaint Details
Investigation of complaint intake numbers GA00241683 and GA00241797 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 8, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240939 with an onsite visit made on 12/7/23 and inspection completed on 12/8/23.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA00240939; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 15, 2023
Visit Reason
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.
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 20, 2022
Visit Reason
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: 9
Resident alerts not responded to: 9
Resident wait time for assistance: 120
Resident 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 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 29, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00226031.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00226031 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 9, 2021
Visit Reason
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: 21000
Number of fraudulent check copies: 30
Dates 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. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 28, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00208834 and GA00208764.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00208834 and GA00208764 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 1
Apr 9, 2020
Visit Reason
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: 75
Incident date: Mar 8, 2020
Incident time: 2230
Number of residents sampled: 3
Inspection Report
Monitoring
Deficiencies: 0
Apr 7, 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 processes.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 7, 2019
Visit Reason
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.
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 5, 2019
Visit Reason
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, 2019
Dates related to incident and investigation: Jul 11, 2019
Dates related to incident and investigation: Sep 5, 2019
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 26, 2018
Visit Reason
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, 2018
Date of surgery: Sep 20, 2018
Number of staff on duty: 4
Inspection Report
Follow-Up
Deficiencies: 0
Jun 25, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 4/10/18 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 1
Apr 5, 2018
Visit Reason
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. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 15, 2018
Visit Reason
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: 5
Hospitalization 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. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 16, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA 00183824 with an onsite visit made to the facility on 1/16/18.
Findings
No rule violations were cited as a result of this complaint investigation.
Complaint Details
Complaint #GA 00183824 was investigated and found to have no rule violations.
Inspection Report
Annual Inspection
Deficiencies: 0
Feb 22, 2017
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
No rule violations were cited during the inspection conducted from 2017-02-21 to 2017-02-22.
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