Inspection Reports for The Gardens at Southern Manor
625 GENTILLY ROAD, STATESBORO, GA, 30458
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 12, 2025, found no deficiencies. Earlier inspections showed a mixed record, with some citations related to resident care and documentation, particularly involving Individual Service Plans and memory care unit operations. Prior reports noted issues such as inadequate staffing in the memory care unit, admission of residents needing care beyond the facility’s permitted level, and restrictions on resident freedom of movement. Complaint investigations were conducted but were mostly unsubstantiated, except for one in January 2022 that identified deficiencies in memory care certification, staffing, and care planning. The overall trend suggests improvement, with recent inspections showing no cited violations after earlier issues.
Deficiencies (last 8 years)
Deficiencies (over 8 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
Renewal
Deficiencies: 0
Date: Sep 12, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 6, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00251732.
Complaint Details
Investigation began on 11/6/2024 at 11:45 am, an on-site visit was made 11/6/2024, and the investigation was completed 11/6/2024. No rules violations were found.
Findings
No rules violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 12, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00236139. The investigation was started on 2023-06-27 with an on-site visit on 2023-07-12 and completed on 2023-07-17.
Complaint Details
Investigation of intake #GA00236139 started on 2023-06-27, with an on-site visit on 2023-07-12 and completed on 2023-07-17. No violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 4
Date: Jan 24, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220655. An on-site visit was made to the facility on 1/24/22 and the investigation was completed on 1/26/22.
Complaint Details
Investigation was initiated due to intake #GA00220655. The complaint involved concerns about the operation of the memory care center, resident care beyond permitted levels, staffing, and care plan updates.
Findings
The facility failed to ensure the memory care center was operated with a current certificate, admitted or retained residents needing care beyond the home's permitted level, had adequate nursing staff in the memory care unit, and updated Individual Service Plans (ISP) quarterly or as needed for resident condition changes.
Deficiencies (4)
Facility failed to ensure the memory care center was operated without a current certificate.
Facility admitted or retained a resident who needed care beyond what the home is permitted to provide (Resident #2).
Facility failed to have at least one registered nurse, licensed practical nurse, or certified medication aide on-site at all times in the locked memory care unit.
Facility failed to provide documentation of the Individual Service Plan being updated at least quarterly or more frequently if resident needs changed substantially (Resident #2).
Report Facts
Residents in facility: 33
Residents in memory care: 9
Sampled residents: 4
Sampled residents with deficiencies: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #2's decline and lack of ISP update | |
| Staff B | Interviewed about lack of memory care certificate application | |
| Staff D | Observed working alone in memory care unit without nursing or CMA qualifications | |
| GG | Interviewed about Resident #2's condition and care needs |
Inspection Report
Routine
Deficiencies: 0
Date: Sep 14, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this 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 review focused on monitoring COVID-19 cases and assessing the facility's infection control processes.
Inspection Report
Routine
Deficiencies: 4
Date: Nov 5, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection of the facility.
Findings
The facility failed to ensure a resident's free access to common areas was not restricted, failed to develop Individual Service Plans (ISPs) addressing specific behaviors and interventions for residents, and failed to include names of staff responsible for implementing ISPs. Additionally, the facility failed to ensure residents were free from physical restraint and isolation.
Deficiencies (4)
Facility failed to ensure resident's free access to common areas was not restricted for Resident #3, who was blocked by a baby gate and unable to open it.
Facility failed to develop a resident Individual Service Plan (ISP) including specific behaviors to be addressed with interventions for Resident #3.
Facility failed to develop an ISP including names of staff primarily responsible for implementing the service plan for Residents #1, #2, and #3.
Facility failed to ensure each resident was free from physical restraint and isolation, as Resident #3 was physically restrained by a baby gate.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 12, 2018
Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
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