Inspection Reports for The Gardens at Calvary Alc
7595 MOON ROAD, COLUMBUS, GA, 31909.0
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 15, 2025, was a complaint investigation that found no rule violations. Earlier inspections generally showed no deficiencies, with several complaint investigations also resulting in no cited violations. Prior reports noted issues mainly related to medication administration and documentation, including a substantiated complaint in 2018 where a resident did not receive prescribed medications for 15 days and the physician was not notified. There were also deficiencies in fire safety documentation and medication record-keeping identified in 2019, but no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history suggests improvement over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 15, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection (GA50005550).
Complaint Details
Complaint inspection GA50005550 was conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
A visit was made to the facility on 9/9/24 to investigate intake #GA 00249754.
Complaint Details
Investigation of intake #GA 00249754 was completed with no violations found.
Findings
The investigation was completed on 9/9/24 and there were no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 5, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00236132 with an on-site visit made to the facility on 7/5/23. The investigation started on 7/5/23 and was completed on 7/7/23.
Complaint Details
Investigation of intake #GA00236132 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 25, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220120, #GA00220111, #GA00220110, #GA00220109, and #GA00220121.
Complaint Details
Investigation of multiple intakes with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 11, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00213301.
Complaint Details
Investigation started on 2021-05-05 and was completed on 2021-05-11. No rule violations were identified.
Findings
No rule violations were found as a result of this investigation and inspection.
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 processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 2, 2019
Visit Reason
The purpose of this visit was to investigate complaint numbers GA00198382 and GA00198466.
Complaint Details
Investigation of complaints # GA00198382 and #GA00198466 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Apr 24, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up inspection to an annual inspection conducted on 2019-02-07.
Findings
No rule violations were cited as a result of this follow-up inspection.
Inspection Report
Routine
Deficiencies: 3
Date: Feb 7, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection of the assisted living community.
Findings
The inspection identified deficiencies in fire safety compliance due to missing documentation of required fire drills for certain shifts and quarters. Additionally, there were failures in maintaining accurate Medication Assistance Records (MAR) for residents and delays in timely procurement and refills of prescribed medications, resulting in interruptions in routine dosing for multiple residents.
Deficiencies (3)
Failure to comply with fire safety rules by not documenting one fire drill per quarter per shift, with missing documentation for second and third shift drills for two quarters.
Failure to update the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 6 sampled residents.
Failure to obtain timely refills of prescribed medications, causing interruptions in routine dosing for 5 of 6 sampled residents.
Report Facts
Fire drills missing documentation: 2
Residents with MAR update issues: 2
Residents with medication refill interruptions: 5
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 16, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00190519 with an on-site visit conducted on 08/16/2018.
Complaint Details
Investigation of complaint #GA00190519 revealed substantiated medication errors involving Resident #1, including failure to administer prescribed medications and lack of physician notification.
Findings
The facility failed to ensure medication administration services were provided according to physicians' orders and residents' needs for one resident. Specifically, Resident #1 did not receive prescribed medications Memantine HCL 10 mg and Donepezil HCL 10 mg for 15 days from 07/15/18 to 07/30/18, and there was no documentation that the physician was notified of this failure.
Deficiencies (2)
Failure to administer prescribed medications Memantine HCL 10 mg and Donepezil HCL 10 mg to Resident #1 for 15 days.
Failure to notify the physician about the missed administration of medications for Resident #1.
Report Facts
Days medications not administered: 15
Medication refill delay: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication refills and administration for Resident #1. | |
| Staff B | Interviewed and aware that medications for Resident #1 were not given. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Oct 12, 2017
Visit Reason
The purpose of this visit was to conduct the annual inspection of the facility.
Findings
No violations were cited as a result of this inspection. However, the facility failed to ensure that all staff had current training in cardiopulmonary resuscitation (CPR) for 1 of 5 sampled staff.
Deficiencies (1)
Facility failed to ensure that all staff had current training in cardiopulmonary resuscitation (CPR) for 1 of 5 sampled staff.
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