Inspection Reports for The Claiborne at Newnan Lakes
461 NEWNAN LAKES BOULEVARD, NEWNAN, GA, 30263.0
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 28, 2025, found no deficiencies and the related complaint investigation was unsubstantiated. Earlier inspections showed a pattern of deficiencies primarily related to medication administration documentation, timely medication refills, proper medication labeling and handling, and staff training or certification issues. There was also a prior citation for food storage and freezer conditions during an October 24, 2023 complaint investigation. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record indicates improvement over time, with recent inspections showing no cited violations after earlier issues were identified.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Deficiencies: 0
Date: May 28, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure inspection and complaint investigation (GA50001532). The inspection and investigation started on 2025-05-27 and was completed on 2025-05-28.
Complaint Details
Complaint investigation GA50001532 was conducted and no violations were found.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 14, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00251444 with an onsite visit made to the facility on 11/14/24.
Complaint Details
Investigation of intake #GA00251444 completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 31, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00242404 with an onsite visit made to the facility on 1/31/24.
Complaint Details
Investigation of intake #GA00242404 found no rule violations.
Findings
The investigation was completed on 1/31/24 with no rule violations cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 24, 2023
Visit Reason
A visit was made to the facility on 10/24/23 to investigate intake #GA00239415. The investigation was completed on 10/25/23.
Complaint Details
Investigation of intake #GA00239415.
Findings
The facility failed to properly handle food by not storing food in airtight containers, not protecting food from cross contamination, and having inadequate ventilation and lighting in the freezer. Observations included food not separated or properly date marked and a malfunctioning freezer fan causing ice buildup.
Deficiencies (1)
Food not stored in airtight containers, not protected from cross contamination, and inadequate ventilation and lighting in the freezer.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E interviewed regarding food storage and freezer conditions. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 30, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00237669. An onsite visit was made to the facility on 8/30/23.
Complaint Details
Investigation of intake #GA00237669 completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234839.
Complaint Details
Investigation of intake #GA00234839 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 22, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00231842.
Complaint Details
Investigation of intake #GA00231842 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 28, 2022
Visit Reason
The purpose of this visit was to investigate intake GA 00225527, GA 00225528, GA 00225509, and GA 00225508.
Complaint Details
Investigation of complaint intakes GA 00225527, GA 00225528, GA 00225509, and GA 00225508 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 3, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00223232. An onsite visit was made to the facility on 5/3/22 and the investigation was completed on 5/9/22.
Complaint Details
Investigation was triggered by intake #GA00223232. The complaint was substantiated based on findings of failure to document medication administration properly.
Findings
Based on record review and interviews, the facility failed to update the Medication Administration Record (MAR) each time medication was offered or taken for 3 of 4 sampled residents. This included multiple instances of blank entries and no documentation for various medications across March and April 2022.
Deficiencies (1)
Facility failed to update the Medication Administration Record (MAR) each time medication was offered or taken for 3 of 4 sampled residents.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Stated staff should have documented if medications were not available or if resident refused, and that staff should never leave a blank space on the MARs. | |
| Staff A | Stated he/she was unaware staff was not initialing the MARs or if the medication was offered or taken. |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Feb 24, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00221403, with an on-site visit made on 2/24/22 and the investigation completed on 3/4/22.
Complaint Details
Investigation was triggered by intake #GA00221403. The complaint was investigated through observation, interviews, and record review during the visit on 2/24/22 and completed on 3/4/22.
Findings
The facility failed to ensure the administrator held a valid license, staff hired to provide personal services had current CPR certification with hands-on demonstration, medication aides administered medications only from unit or multidose packaging, timely refills of prescribed medications were obtained to avoid interruptions, and medications were properly labeled and handled according to regulations.
Deficiencies (5)
Facility failed to ensure the administrator held a valid license from the State Board.
Facility failed to ensure staff hired to provide hands-on personal services received current CPR certification with required hands-on demonstration for 3 of 7 sampled staff.
Certified medication aide administered medications not utilizing only unit or multidose packaging for multiple residents.
Facility failed to ensure timely refills of prescribed medications to avoid interruption in routine dosing for 4 of 9 sampled residents.
Facility failed to ensure medications were properly labeled in separate unit or multi-unit dose packaging and handled according to physician's instructions and applicable laws for 4 of 9 sampled residents.
Report Facts
Sampled staff: 7
Staff with deficient CPR certification: 3
Sampled residents: 9
Residents with medication refill issues: 4
Residents with medications not in unit or multi-dose packaging: 4
Dates of medication audit: Feb 24, 2022
Previous violation citation dates: Jan 6, 2022
Previous violation citation dates: Oct 5, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interim administrator since 2/21/22 without valid license; provided statements about CPR training and medication packaging | |
| Staff B | Staff member with deficient CPR certification; present during medication pass; unaware of medication packaging requirements | |
| Staff C | Staff member with deficient CPR certification; present during medication pass; reported medication refill issues | |
| Staff D | Staff member with deficient CPR certification | |
| Staff E | Present during medication pass | |
| Staff G | Worked one day on assisted living side; aware CMA should only pass medications from unit or multi-dose packaging | |
| HH | Reported receiving call about missing medications for Resident #9; visited resident multiple times weekly |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Jan 6, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00219595. An on-site visit was made to the facility on 2021-12-21 and the investigation was completed on 2022-01-06.
Complaint Details
The visit was complaint-related, investigating intake #GA00219595. The investigation included review of staff training and medication administration practices.
Findings
The facility failed to have evidence of required staff recertifications and dementia-specific orientation for one sampled staff member. The facility also failed to provide medication administration services in accordance with physicians' orders for 5 of 9 sampled residents, including failure to document medication administration, failure to obtain timely medication refills, and failure to ensure medications were properly labeled and handled. Several medications were missing or not available for residents, and some medications were found in bottles contrary to facility policy.
Deficiencies (6)
Facility failed to have evidence of recertifications as required for 1 of 7 sampled staff (Staff B).
Facility failed to meet training requirements for 1 of 7 sampled staff (Staff B).
Facility failed to provide medication administration services in accordance with physicians' orders for 5 of 9 sampled residents.
Facility failed to update the Medication Administration Record (MAR) each time medication was offered or taken for 6 of 9 sampled residents.
Facility failed to ensure refills of prescribed medications were obtained timely for 5 of 9 sampled residents.
Facility failed to ensure medications are properly labeled in separate unit or multi-unit dose packaging and handled according to regulations for 5 of 9 sampled residents.
Report Facts
Sampled staff: 7
Sampled residents: 9
Residents with medication issues: 5
Residents with MAR documentation issues: 6
Residents with medication refill issues: 5
Residents with improperly labeled medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding missing staff training and medication administration issues | |
| Staff B | Sampled staff member lacking required recertifications and training | |
| Staff E | Interviewed regarding residents' medication refusals and missing medications |
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