Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 29, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240973.
Findings
An on-site visit was made on 11/29/2023. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00240973 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 19, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00238200 with an onsite visit to the facility.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00238200; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 1, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00229878 and #GA00229915 with an onsite visit made to the facility on 3/1/23.
Findings
The investigation was completed on 4/27/23 and no rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA00229878 and #GA00229915 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 8, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00220088 and GA00220814, with the investigation starting on 2022-01-10 and completing on 2022-02-08.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was related to intake GA00220088 and GA00220814; no violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 14, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA00219608. An onsite visit was made to the facility on 12/14/21, with the investigation starting on 12/14/21 and completing on 2/8/22.
Findings
The facility failed to have fire extinguishers checked and tagged annually by a licensed fire extinguisher company, and failed to ensure immediate action was taken for a resident's adverse change in condition, including proper reporting and documentation of a facial bruise on Resident #1.
Complaint Details
Investigation was initiated due to intake GA00219608. The complaint involved failure to maintain fire extinguisher service and failure to properly respond to and document a resident's adverse change in condition (Resident #1's facial bruise).
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to have fire extinguishers checked and tagged annually by a licensed fire extinguisher company to assure operable condition. | D |
| Facility failed to ensure immediate action was taken for a resident's adverse change in condition, including notifying representative and retaining a record, specifically for Resident #1's facial bruise. | D |
Report Facts
Date of fire extinguisher service tag: Nov 20, 2020
Number of sampled residents with adverse change issue: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding fire extinguisher service plan and Resident #1 incident reporting. | |
| Staff I | Care staff who observed Resident #1's facial discoloration but failed to report and complete incident report. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Jan 15, 2021
Visit Reason
The purpose of this inspection was to investigate intake #GA00210200, which was opened on 12/14/2020 and completed on 1/15/2021.
Findings
The facility failed to ensure controlled substances were securely stored and properly counted at the beginning and end of each shift, resulting in missing narcotics for three sampled residents. Additionally, the facility failed to ensure residents' personal property was reasonably safeguarded.
Complaint Details
The investigation was initiated due to intake #GA00210200 regarding missing narcotics reported on 12/1/2020. The complaint was substantiated with findings of missing Tramadol and Oxycodone tablets for Residents #1, #2, and #3.
Severity Breakdown
D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to enforce policies and procedures for controlled drug security and reconciliation, including missed narcotic counts from 11/28/2020 to 11/30/2020. | D |
| Failure to securely store controlled substances and maintain a daily log accounting for all inventory for 3 sampled residents. | D |
| Failure to ensure residents' right to reasonable safeguards for protection and security of personal property for 3 sampled residents. | D |
Report Facts
Missing tablets: 86
Missing tablets: 60
Missing tablets: 112
Tablets taken: 101
Tablets taken: 146
Prescribed tablets: 2
Prescribed tablets: 1
Prescribed tablets: 1
Tablets per card: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication checks and missing narcotics | |
| Staff B | Interviewed regarding medication aide responsibilities and narcotic counts |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 11, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00206674, which began on 2020-07-27 and was completed on 2020-08-11.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00206674 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 22, 2020
Visit Reason
The visit was conducted to investigate intake #GA00204842 with an onsite visit on 2020-05-04 and the investigation completed on 2020-06-22.
Findings
No violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00204842 with no violations cited.
Inspection Report
Monitoring
Deficiencies: 0
Apr 8, 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 infection control procedures at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 22, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00202039 with an on-site visit made to the facility on 1/22/20.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00202039; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 4, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00201021.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00201021 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 2
Nov 12, 2019
Visit Reason
The purpose of this visit was to investigate intake numbers #GA00200342 and #GA00200544, with an on-site visit made on 11/12/19 and investigation completed on 11/15/19.
Findings
The facility failed to maintain furnishings in good condition, evidenced by a broken wooden chair in the memory care unit, and failed to securely store medications, as an eye drop medication belonging to Resident #4 was found unsecured in Resident #3's room.
Complaint Details
Investigation was conducted based on intake complaints #GA00200342 and #GA00200544. The findings included failure to maintain furnishings and secure medication storage. The report does not explicitly state substantiation status.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to provide furnishings in good condition, intact, and functional; a wooden chair with broken back rest was found in the memory care unit. | D |
| Facility failed to store medication securely to prevent loss and unauthorized use; eye drop medication belonging to Resident #4 was found in Resident #3's room. | D |
Report Facts
Sampled residents: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding broken chair and medication found. | |
| Staff A | Interviewed regarding unknown how medication got into Resident #3's room. |
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 3
Nov 5, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00199613 with onsite visits conducted on 2019-09-30 and 2019-11-05.
Findings
The facility failed to provide adequate supervision and care consistent with residents' needs, resulting in a resident fall with injury and inadequate post-fall assessment. Additionally, the facility failed to ensure residents' rights to be free from verbal, mental, and physical abuse, evidenced by staff misconduct and rough handling of residents.
Complaint Details
The investigation was complaint-driven based on complaint #GA00199613. Resident #1 suffered a fall with injury due to inadequate supervision and improper handling by staff. Resident #4 reported being pushed and rushed by Staff K, who was terminated for misconduct. The facility was found to be short-staffed during overnight shifts, contributing to inadequate care.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to provide supervision consistent with residents' needs, leading to a resident found face down on the floor and subsequent injury. | SS= D |
| Failed to provide adequate, appropriate care in compliance with state law for a resident with a history of falls, resulting in injury and inadequate assessment post-fall. | SS= D |
| Failed to ensure residents' rights to be free from verbal, mental, sexual, physical abuse, neglect, and exploitation, including rough handling and pushing of a resident by staff. | SS= D |
Report Facts
Residents requiring 2-person assistance: 13
Staff working overnight shift: 2
Date of incident: Sep 15, 2019
Date of staff termination: Sep 20, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Reported and assisted Resident #1 during fall incident; worked overnight shift | |
| Staff I | Assisted Resident #1 during fall incident; reported family concerns about rough handling | |
| Staff K | Terminated for misconduct related to rough handling and pushing Resident #4 | |
| Staff E | Reported Resident #1 required 3-person assist with transfers | |
| Staff D | Received call about Resident #1 fall and called 911 | |
| Staff H | Reported family concerns about Staff K and confirmed termination | |
| BB | Facility staff who reported staffing shortages and concerns about Resident #1 transfer | |
| Staff M | Assisted Staff C with Resident #1 fall incident |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 13, 2019
Visit Reason
The visit was conducted to perform a compliance inspection and to investigate complaint intakes #GA00197170 and GA00197035.
Findings
No rule violations were cited as a result of this inspection and investigative intake.
Complaint Details
Investigation of complaint intakes #GA00197170 and GA00197035 completed with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 19, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00191222.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 4
Nov 1, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of the assisted living facility Sunrise at Webb Gin.
Findings
The inspection identified multiple deficiencies including failure to ensure staff received required emergency first aid and CPR training within 60 days of employment, failure to maintain hot water temperature below 120 degrees Fahrenheit, and failure to obtain timely refills of prescribed medications for one resident, resulting in medication supply interruptions.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Staff hired to provide hands-on personal services did not receive emergency first aid training within the first 60 days of employment for 1 of 6 sampled staff (Staff E). | SS= D |
| Staff hired to provide hands-on personal services did not receive cardiopulmonary resuscitation (CPR) training within the first 60 days of employment for 1 of 6 sampled staff (Staff E). | SS= D |
| Facility failed to maintain hot water temperature that did not exceed 120 degrees Fahrenheit; water temperature measured at 125 degrees Fahrenheit in Resident #7's bathroom. | SS= D |
| Facility failed to obtain timely refills of prescribed medications, resulting in no availability of PRN medications for Resident #4. | SS= D |
Report Facts
Temperature measurement: 125
Number of sampled staff lacking training: 1
Number of sampled residents with medication issues: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Staff member who did not receive required first aid and CPR training within 60 days | |
| Staff A | Interviewed staff who stated Staff E was scheduled for training | |
| Staff G | Interviewed staff who stated the valve assembly for hot water would be fixed | |
| Staff D | Interviewed staff who stated PRN medications for Resident #4 were expired and new prescriptions were needed |
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