Inspection Reports for TerraBella Sugarloaf
1220 Satellite Blvd. NW, Suwanee, GA 30024, GA, 30024
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 26, 2021, identified deficiencies related to updating a resident’s service plan and responding to a sudden change in the resident’s condition. Earlier inspections were mostly clean, with no deficiencies cited in several complaint investigations during 2020. Prior reports noted issues with admission criteria and medication administration for memory care residents during the initial licensing inspection. Complaint investigations were generally unsubstantiated except for the January 2021 case, which was substantiated. The record shows some improvement after the initial licensing deficiencies, though the most recent inspection revealed ongoing documentation and care coordination issues.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Jan 26, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210287, which was started on 2020-12-14 and completed on 2021-01-26.
Findings
The facility failed to update Resident #1's service plan at least quarterly or when the resident's needs changed, and failed to take appropriate actions during a sudden adverse change in the resident's condition, including notifying the responsible party and documenting the facility's response.
Complaint Details
Investigation of intake #GA00210287 regarding failure to update service plan and failure to notify responsible party of Resident #1's change in condition. The complaint was substantiated based on record review and interviews.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to update the resident's service plan at least quarterly or when the resident's needs changed for Resident #1. | SS= D |
| Failed to take appropriate actions to address the needs of Resident #1 during a sudden adverse change in condition, including failure to notify responsible party and retain documentation. | SS= D |
Report Facts
Dates of resident condition observations: Resident #1 was alert and verbal from 10/21/20 to 10/28/20; drowsy on 10/30/20; required assistance on 10/31/20.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding failure to assess Resident #1 and update service plan and notification of responsible party. | |
| Staff C | Interviewed regarding notification requirements for change in resident condition. | |
| Staff A | Provided exit interview statements about notification practices. | |
| BB | Interviewed as visitor and relative of Resident #1 regarding observed decline. | |
| CC | Interviewed as visitor and relative of Resident #1 regarding observed decline and lack of notification. | |
| DD | Interviewed regarding responsibility for notifying family of Resident #1's change in condition. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 19, 2020
Visit Reason
The purpose of this visit was to investigate complaint #GA00208952. The investigation began on 2020-10-15 and was completed on 2020-10-30.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00208952 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 6, 2020
Visit Reason
The purpose of this inspection was to investigate intakes #GA00207787 and #GA00208211.
Findings
The investigation started on 2020-09-08 and was completed on 2021-10-06. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intakes #GA00207787 and #GA00208211 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 19, 2020
Visit Reason
The inspection was conducted to investigate complaint intakes GA00206934, GA00206797, and GA00206611.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
The investigation was complaint-related, initiated by three intake complaints, and was completed with no rule violations found.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 and assessing infection control processes at the facility.
Inspection Report
Original Licensing
Deficiencies: 2
Nov 4, 2019
Visit Reason
The purpose of this visit was to complete the initial inspection and to investigate intakes #GA001199578 and #GA00200312, with onsite visits made on 10/3/19, 10/30/19, and 10/31/19.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by one memory care resident requiring total care. Additionally, the facility failed to ensure that medications for memory care residents were administered by licensed nurses or proxy caregivers, with unlicensed staff passing medications during the inspection period.
Complaint Details
The inspection included investigation of complaint intakes #GA001199578 and #GA00200312, which were started on 10/3/19 and completed on 11/4/19.
Severity Breakdown
Level D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility admitted and retained a non-ambulatory memory care resident incapable of self-preservation with minimal assistance. | Level D |
| Medications for memory care residents were not administered by licensed nurses or proxy caregivers as required. | Level D |
Report Facts
Memory care residents: 13
Intakes investigated: 2
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