Inspection Reports for The Addison of Gwinnett Park
2450 Buford Dr, Lawrenceville, GA 30043, GA, 30043
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 7, 2025, found no rule violations during a complaint investigation. Earlier inspections included a follow-up visit on March 19, 2025, which cited deficiencies related to resident care, specifically neglect of a resident who developed a serious pressure ulcer requiring hospitalization and medication administration errors. The substantiated complaints involved failure to implement policies and procedures properly and inadequate monitoring and treatment of residents. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed the prior issues, as the latest inspection showed no deficiencies.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description | Severity |
|---|---|
| Community leadership failed to ensure policies and procedures were implemented and enforced to maintain compliance. | D |
| Facility failed to maintain awareness of Resident #1's normal appearance and intervene when health was in jeopardy, resulting in untreated pressure ulcer. | J |
| Facility failed to administer medication according to physician's orders for Resident #2. | D |
| Facility failed to ensure Resident #1 was free from neglect, resulting in serious pressure ulcer and hospitalization. | J |
| Name | Title | Context |
|---|---|---|
| Staff E | Reported observing a wound on Resident #1's hip in September 2024 and informing a med-tech but did not report further. | |
| Staff D | Unaware of Resident #1's wound until shown a picture by a relative on 9/30/24; informed relative to take Resident #1 to PCP. | |
| Staff K | Admitted to not administering prescribed insulin to Resident #2 on 9/3/24 and 9/4/24. | |
| AA | Relative of Resident #1 who observed wound, transported Resident #1 to PCP and hospital, and provided photo evidence. | |
| Staff J | Could not find medication for Resident #2 and was unaware of wound on Resident #1 until shown photo. |
Loading inspection reports...
