Inspection Reports for The Glen at Lake Oconee Village
1070 Old Salem Rd, Greensboro, GA 30642, United States, GA, 30642
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Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 3, 2025
Visit Reason
The purpose of this visit was to investigate intakes GA50004005 and GA50004162, with the investigation beginning on 2025-07-23 and completing on 2025-08-03.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of complaint intakes GA50004005 and GA50004162; no rule violations found.
Inspection Report
Original Licensing
Deficiencies: 0
Apr 11, 2025
Visit Reason
The purpose of this survey was to conduct an initial inspection of the facility.
Findings
No rule violations were cited during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
May 13, 2022
Visit Reason
The purpose of this survey was to conduct a compliance inspection and investigate complaint #GA00222547. The investigation started on 2022-04-07 and was completed on 2022-05-13.
Findings
The facility failed to protect a resident's rights to choose activities, specifically denying Resident #1 the right to stay up and watch TV, and verbally abusing the resident. Staff C was found to have told the resident to shut up and forcibly tried to put the resident to bed despite the resident's protests.
Complaint Details
Investigation of complaint #GA00222547 regarding verbal abuse and denial of resident rights. The complaint was substantiated based on interviews and observations of Staff C's conduct on 3/18/2022.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to operate in a manner that protects each resident's rights to choose activities, including an incident of verbal abuse by Staff C towards Resident #1. | SS= D |
Report Facts
Investigation start date: Apr 7, 2022
Investigation completion date: May 13, 2022
Date of incident: Mar 18, 2022
Number of sampled residents: 4
Time of incident: 2030
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in verbal abuse and resident rights violation incident | |
| Staff B | Witness and participant in incident involving Resident #1 |
Inspection Report
Complaint Investigation
Deficiencies: 2
May 12, 2022
Visit Reason
The purpose of this survey was to investigate complaints #GA00223235 and #GA00223996. The onsite visit was conducted on 5/12/2022 and completed on 7/12/2022.
Findings
The facility failed to provide adequate oversight and appropriate care to two sampled residents. Resident #1 was found unattended for extended periods without assistance, including not being dressed or fed, and Resident #2 suffered a fall resulting in a cerebral hemorrhage due to insufficient supervision and delayed medical intervention.
Complaint Details
The visit was complaint-related, investigating allegations identified by complaint numbers #GA00223235 and #GA00223996. The findings substantiated failures in resident care and supervision.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide watchful oversight meeting the needs of Resident #1, including lack of timely assistance with dressing, feeding, and toileting. | SS= D |
| Failure to take appropriate actions to address the needs of Resident #2, resulting in a fall with injury and delayed hospital admission for cerebral hemorrhage. | SS= D |
Report Facts
Dates of incidents: May 8, 2022
Dates of incidents: Apr 9, 2022
Dates of hospital admission: Apr 11, 2022
Resident #1 admission date: Apr 30, 2019
Resident #2 admission date: Nov 12, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Interviewed regarding Resident #1 and Resident #2 care and incidents | |
| Staff D | Interviewed regarding Resident #1 care and staffing | |
| Staff F | Interviewed and made aware of findings; involved in Resident #2 incident | |
| BB | Interviewed regarding Resident #1 care on 5/13/2022 | |
| AA | Relative of Resident #2, provided information about hospital visits and resident condition |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 8, 2021
Visit Reason
The purpose of this investigation was to investigate complaint #GA00205473 regarding resident care.
Findings
Based on record review and staff interview, the facility failed to ensure each resident received adequate and appropriate care in compliance with state law and regulations. Specifically, Resident #1 was found to be left wet and soiled with urine and feces in bed.
Complaint Details
Investigation was complaint-related for #GA00205473. Findings included substantiated neglect of Resident #1 as evidenced by being left wet and soiled.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident received adequate care; Resident #1 was found wet and feces on him/her. | SS= D |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 27, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00208308.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2021-01-25 and completed on 2021-01-27. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 1
May 18, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00205200, which was started on 2020-05-14 and completed on 2020-05-18.
Findings
The facility failed to report changes in residents' conditions to required parties, specifically failing to report a resident who tested positive for COVID-19. Interviews and record reviews confirmed that Resident #1 tested positive for COVID-19 on 2020-04-11, but the facility's COVID-19 audit tool showed zero positive cases.
Complaint Details
Investigation of intake #GA00205200 regarding failure to report Resident #1's positive COVID-19 diagnosis. The complaint was substantiated based on interviews and record reviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to report changes in residents' conditions to required parties, including failure to report Resident #1's positive COVID-19 status. | SS= D |
Report Facts
Date of Resident #1 positive COVID-19 test: Apr 11, 2020
Date of hospital discharge: Apr 30, 2020
Dates of COVID-19 audit tool results: Audit tool results dated 4/25/20, 4/26/20, 5/10/20 showed zero positive COVID-19 residents
Inspection Report
Monitoring
Deficiencies: 0
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
Sep 5, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00199029.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint #GA00199029 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 21, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00198409 with an onsite visit made to the facility on 8/21/19 and the investigation completed the same day.
Findings
The facility failed to ensure that each resident received adequate and appropriate care in compliance with state law, evidenced by an allegation of physical abuse involving Resident #1 and Staff C. Interviews and record reviews indicated Staff C physically abused Resident #1, leading to Staff C's termination.
Complaint Details
The investigation was complaint-related, triggered by allegation #GA00198409 involving physical abuse of Resident #1 by Staff C. The complaint was substantiated by incident reports and multiple staff interviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide adequate, appropriate care and services in compliance with state law, evidenced by physical abuse (slapping, pinching, and kicking) of Resident #1 by Staff C. | SS= D |
Report Facts
Date of incident report submission: Jul 25, 2019
Date of Staff C termination: Jul 24, 2019
Number of sampled residents reviewed: 7
Number of times Resident #1 hit Staff C: 6
Date of survey completion: Aug 21, 2019
Inspection Report
Follow-Up
Deficiencies: 0
Jul 10, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 4/9/19 compliance inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00197741.
Findings
No violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint #GA00197741 completed with no violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 14, 2019
Visit Reason
The purpose of this visit was to investigate complaint #GA00196507.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint #GA00196507 was investigated and found to have no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 4
Apr 9, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake #GA00195302. An on-site visit was made on 2019-03-28 and the survey was completed on 2019-04-09.
Findings
The facility failed to obtain criminal background checks for one staff member, failed to comply with fire safety rules by missing fire drills in October and December 2018, failed to ensure medications were in unit dose or multi-unit dose packaging for 3 of 5 sampled residents, and failed to properly dispose of unused medications for 2 of 6 sampled residents.
Complaint Details
The visit was conducted to investigate intake #GA00195302.
Severity Breakdown
D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to obtain a criminal records check determination in compliance with O.C.G.A 31-7-250 for 1 of 6 sampled staff (Staff F). | D |
| Failed to comply with applicable fire and safety rules by missing fire drills for October and December 2018. | D |
| Failed to ensure resident medications were in unit dose or multi-unit dose packaging for 3 of 5 sampled residents (Resident #1, Resident #4, Resident #6). | D |
| Failed to properly dispose of unused medications for 2 of 6 sampled residents (Resident #1 and Resident #2). | D |
Report Facts
Sampled staff: 6
Sampled residents: 5
Sampled residents: 6
Fire drills missing: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Named in criminal background check deficiency | |
| Staff A | Interviewed regarding criminal background check and fire drills | |
| Staff G | Interviewed regarding discontinued medication donepezil | |
| Staff E | Interviewed regarding pharmacy call about certavite |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 20, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00194529.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00194529 with no rule violations found.
Inspection Report
Follow-Up
Deficiencies: 0
Aug 14, 2018
Visit Reason
The purpose of this visit was to conduct the compliance inspection follow up and to investigate self-reported complaint #GA 00188687.
Findings
No citations were cited as a result of this investigation.
Complaint Details
Investigation of self-reported complaint #GA 00188687 with no citations issued.
Inspection Report
Annual Inspection
Deficiencies: 2
May 23, 2018
Visit Reason
The purpose of this visit was to conduct the annual inspection of the assisted living community.
Findings
The facility failed to have the licensed pharmacist remove expired medications for 3 of 6 sampled residents and failed to include an inventory of valuable personal items for 6 of 6 sampled residents.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to have the licensed pharmacist remove expired medications for Resident #1, Resident #2, and Resident #4. | SS= D |
| Facility failed to include an inventory of valuable personal items brought to the assisted living community for 6 of 6 residents sampled. | SS= D |
Report Facts
Expired medications: 3
Residents without personal inventory: 6
Inspection Report
Original Licensing
Deficiencies: 0
Apr 28, 2017
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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