Inspection Report Summary
The most recent inspection on July 15, 2025, found no deficiencies. Earlier inspections mostly showed no issues, with the exception of a complaint investigation in March 2024 that cited deficiencies related to staff background checks, oversight by the governing body, and financial exploitation of a resident by a staff member, which resulted in the arrest of the involved staff. Prior to that, a November 2021 inspection noted deficiencies involving fire code non-compliance and failure to report resident abuse. Complaint investigations since then have been unsubstantiated, and the facility has not been listed with fines, immediate jeopardy findings, or license actions in the available reports. The inspection history suggests improvement following the 2024 findings, with recent investigations showing no cited violations.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 15, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50004589. The inspection started on 07/15/25 and was completed on 07/16/25 with an on-site visit on 07/15/25.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA50004589 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 17, 2025
Visit Reason
The purpose of this visit was to conduct a complaint investigation GA50003839, which started on 2025-05-17 with an on-site visit and was completed on 2025-05-18.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint investigation GA50003839 was conducted with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 13, 2025
Visit Reason
The purpose of this visit was to investigate intake # GA50002613 and to complete a compliance inspection. An unannounced visit was made on 2025-04-08 and completed on 2025-04-10.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake # GA50002613 found no rule violations.
Inspection Report
Follow-Up
Deficiencies: 0
May 30, 2024
Visit Reason
The purpose of this visit was to conduct a follow-up to the 3/26/24 inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 4
Mar 26, 2024
Visit Reason
The purpose of this survey was to investigate intake #GA00244353, which started on 2024-03-12 and was completed on 2024-03-26.
Findings
The facility failed to ensure direct care staff had required criminal background checks prior to employment and failed to limit direct access to residents during pending background checks. Additionally, the governing body failed to provide necessary oversight, resulting in financial exploitation of a resident by a staff member.
Complaint Details
The investigation was complaint-related, triggered by intake #GA00244353. The complaint involved financial exploitation of Resident #1 by Staff B. Staff B was arrested on 2024-03-19 for multiple counts of financial card transaction theft and fraud. The fraudulent charges occurred between 2024-02-10 and 2024-02-17 on Resident #1's credit and debit cards. The facility initially hired Staff B on 2023-04-24 with a tentative start date of 2023-05-01 contingent on background check completion. Staff B worked despite an unsatisfactory background check result dated 2023-10-05, which was disputed and affirmed on 2024-01-04. The facility did not receive timely notification of the unsatisfactory result and failed to restrict Staff B's access during the appeal process.
Severity Breakdown
D: 3
J: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure direct care staff hired after October 1, 2019 had required criminal background checks upon employment or prior to placement. | D |
| Failed to limit direct access of staff to residents during a pending background determination for a period not to exceed 30 days. | D |
| Governing body failed to provide necessary oversight to ensure compliance with applicable state laws and regulations. | D |
| Failed to ensure each resident was free from financial exploitation. | J |
Report Facts
Dates of fraudulent charges: Fraudulent charges on Resident #1's cards occurred from 2024-02-10 to 2024-02-17.
Number of fraudulent charges: 9
Arrest date: Staff B was arrested on 2024-03-19 for financial card transaction theft and fraud.
Counts of charges against Staff B: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Caregiver | Named in findings related to failure to complete background check, unauthorized access to residents, and financial exploitation of Resident #1. |
| Staff A | Interviewed regarding background check process and notification of fraudulent charges. | |
| Staff C | Interviewed about onboarding process and lack of GCHEXS login access during Staff B's hire period. | |
| GG | Interviewed regarding background check registration and notifications for Staff B. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 28, 2024
Visit Reason
The visit was conducted to investigate intake #GA00243950 with an onsite visit on 2/28/24 and investigation completion on 3/8/2024.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00243950; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 7, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240839 with an onsite visit made on 12/7/23 and the investigation completed on 12/19/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00240839; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 21, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00226167.
Findings
An on-site visit was made on 2022-09-21. The investigation started on 2022-09-21 and was completed on 2022-09-30. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00226167 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 14, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00224640.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00224640 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 19, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00223081.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00223081 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 23, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00222425.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00222425 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 13, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00219663, #GA00219867, and #GA00219781.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was complaint-related based on intake numbers provided; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Nov 2, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00218425. An onsite visit was made on 11/2/21 and the investigation was completed on 11/10/21.
Findings
The facility failed to comply with local fire code regarding sprinkler systems, as two non-compliance tags were observed and the sprinkler system had not been re-inspected. Additionally, the facility failed to report the abuse of a resident to the Department and local law enforcement as required.
Complaint Details
Investigation was conducted in response to intake #GA00218425. The complaint involved failure to report resident abuse and non-compliance with fire safety codes. The abuse allegation involved Resident #1 who reported being hit by Staff I on 9/28/21. The facility did not notify local authorities as required.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to be in compliance with local fire code regarding sprinkler systems; two yellow non-compliance tags observed on sprinkler system dated 7/30/21; sprinkler system had not been re-inspected for compliance as of 11/10/21. | D |
| Facility failed to report to the Department the abuse of a resident (Resident #1) for 1 of 6 sampled residents; no police report was filed when the abuse allegation was received. | D |
Report Facts
Number of sampled residents: 6
Date of incident report submission: Oct 14, 2021
Date of abuse incident: Sep 28, 2021
Date of sprinkler system non-compliance tags: Jul 30, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff G interviewed regarding sprinkler system repairs | ||
| Staff I identified as alleged abuser in resident abuse incident | ||
| Staff A interviewed regarding failure to notify local authorities |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 2, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210967.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2021-01-29 and was completed on 2021-02-02. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 29, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210237.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started 2020-12-18 and was completed 2021-01-29. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 16, 2020
Visit Reason
The purpose of this visit was to investigate intake numbers GA00209489, GA00209461, GA00209466, GA00209440, and GA00209764.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was complaint-related, covering multiple intake numbers. No rule violations were found.
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 measures.
Inspection Report
Original Licensing
Deficiencies: 0
Mar 23, 2020
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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