Inspection Reports for Tapestry House Memory Care
9212 Nesbit Ferry Rd, Alpharetta, GA 30022, United States, GA, 30022
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 1, 2024, found no deficiencies. Earlier inspections generally showed compliance, with complaint investigations consistently resulting in no rule violations. The exception was a December 3, 2021 inspection that cited deficiencies related to staff CPR certification, fire safety compliance, hot water temperature, resident elopement prevention, medication aide competency reviews, medication labeling and storage, and disposal of unused medications. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility appears to have addressed previous issues, as more recent inspections have not identified deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 1, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243856 with an onsite visit made on 2024-02-28 and inspection completed on 2024-03-01.
Complaint Details
Investigation of intake #GA00243856; no rule violations found.
Findings
No rule violations were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 29, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00235718 with an onsite visit made on 6/29/23.
Complaint Details
Investigation of intake #GA00235718; no rule violations were found.
Findings
No rule violations were cited during the inspection completed on 6/29/23.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
The visit was conducted to investigate intake #GA00230868 with an onsite visit made on 2023-04-19 and inspection completed on 2023-04-27.
Complaint Details
Investigation of intake #GA00230868; no rule violations were found.
Findings
No rule violations were cited during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
The purpose of this visit was to investigate intake GA 0022871.
Complaint Details
Investigation of intake GA 0022871 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Dec 3, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint intakes #GA00219014 and #GA00219015, with the onsite visit conducted on 12/3/2021.
Complaint Details
The inspection was conducted in response to complaint intakes #GA00219014 and #GA00219015. The investigation started on 11/19/2021 and was completed on 12/27/2021.
Findings
The facility was found deficient in multiple areas including failure to ensure staff CPR certification within 60 days of employment, expired sprinkler system inspection tag, hot water temperature exceeding 120 degrees Fahrenheit, ineffective safety devices to prevent resident elopement, failure to complete annual competency reviews for certified medication aides, improper medication labeling and packaging, and failure to properly dispose of unused medications.
Deficiencies (7)
Staff hired to provide hands-on personal services did not have current CPR certification with return demonstration of competency within 60 days of employment for 1 of 5 sampled staff (Staff C).
Facility failed to comply with local fire code regarding sprinkler systems; expired inspection tag dated 9/2020 observed.
Hot water temperature exceeded 120 degrees Fahrenheit, measuring 124.6 degrees F in resident bathroom sink.
Facility failed to utilize effective safety devices to protect residents at risk of eloping; exit door keypad not working for weeks and temporary lock in place.
Certified medication aides did not complete annual competency reviews as required for 3 of 5 sampled staff (Staff B, Staff D, Staff E).
Medications for 2 of 5 sampled residents (Resident #1 and Resident #4) were improperly labeled and stored in bottles instead of unit or multi-unit dose packaging.
Facility failed to properly dispose of unused medications for 1 of 5 sampled residents (Resident #2); lorazepam 0.5 mg discontinued but still present with no documentation of disposal.
Report Facts
Staff sampled: 5
Residents sampled: 5
Hot water temperature: 124.6
Expired sprinkler inspection tag date: 202009
Last annual competency review dates: 202005
Last annual competency review date: 202006
Medication discontinuation date: Jun 7, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding CPR certification, sprinkler system inspection, hot water temperature, medication aide competency reviews, medication packaging, and medication disposal | |
| Staff C | Sampled staff lacking current CPR certification within 60 days of employment | |
| Staff D | Sampled certified medication aide missing annual competency review | |
| Staff E | Sampled certified medication aide missing annual competency review |
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 Cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 23, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00188605.
Complaint Details
Complaint #GA00188605 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Mar 8, 2018
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
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