Inspection Reports for The Haven at Lake Oconee

1061 WILLOW RUN ROAD, GREENSBORO, GA, 30642

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Inspection Report Summary

The most recent inspection on July 29, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed some deficiencies related to staffing, medication management, staff training, fire safety, care planning, and the memory care environment. Inspectors cited issues such as insufficient staff time for medication administration, lack of required nurse coverage, expired medication disposal, incomplete staff training hours, missed fire drills, and an unsecured outdoor space for memory care residents. Complaint investigations prior to the most recent one included substantiated deficiencies, but no enforcement actions or fines were listed in the available reports. The record shows some improvement with the latest inspection free of deficiencies after prior citations.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

84% worse than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 29, 2025

Visit Reason
The purpose of this visit was to investigate intake# GA50004038. The investigation opened on 2025-07-23 and concluded on 2025-07-29.

Complaint Details
Investigation opened 7/23/25 and concluded 7/29/25. No rule violations were cited.
Findings
No rule violations were cited as a result of this visit.

Inspection Report

Complaint Investigation
Deficiencies: 3 Date: Jun 5, 2025

Visit Reason
The purpose of this visit was to investigate complaint #GA50003083 with an onsite visit conducted on 6/5/25 and the investigation completed the same day.

Complaint Details
Investigation of complaint #GA50003083 conducted on 6/5/25.
Findings
The facility failed to ensure sufficient staff time for medication administration for 2 of 4 residents, failed to have a registered nurse on-site as required for memory care centers with 13 to 30 residents, and failed to properly dispose of expired medications for 1 of 4 residents.

Deficiencies (3)
Facility failed to ensure sufficient staff time such that each resident received medications as prescribed for 2 of 4 residents (Resident #1 and Resident #4).
Facility failed to ensure that a registered professional nurse or licensed practical nurse was on-site or available in the building at all times for memory care centers with 13 to 30 residents, a minimum of 16 hours per week.
Facility failed to ensure that expired medications were properly disposed of using current FDA or EPA guidelines for 1 of 4 residents (Resident #4).
Report Facts
Residents with medication administration issues: 2 Residents reviewed: 4 Hours of nurse coverage required: 16 Insulin units ordered: 15 Insulin pen expiration: 28

Employees mentioned
NameTitleContext
Staff EInterviewed and aware of medication and staffing findings
Staff DInterviewed regarding expired insulin pen for Resident #4

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Apr 3, 2025

Visit Reason
The purpose of this visit was to investigate intake #GA50001486. An unannounced visit was made to the facility on 04/03/2025. The investigation was started and completed on the same day.

Complaint Details
Investigation was conducted based on intake #GA50001486. The visit was unannounced and focused on verifying staff training compliance.
Findings
The facility failed to ensure that all direct care staff, including the administrator or on-site manager, had at least sixteen (16) hours of training per year as required. Record reviews and interviews showed that Staff A, Staff B, and Staff C did not meet the 16-hour training requirement for 2024, and Staff E could not locate training records for 2024.

Deficiencies (1)
Facility failed to ensure staff involved with personal services had at least sixteen (16) hours of training per year (2024).
Report Facts
Training hours required: 16 Staff reviewed: 4

Inspection Report

Deficiencies: 5 Date: Feb 13, 2025

Visit Reason
The purpose of this survey was to conduct a Change of Ownership (CHOW) inspection with onsite visits on 2/7/25 and 2/13/25.

Findings
The facility was found deficient in multiple areas including failure to ensure staff received at least 16 hours of training per year, failure to conduct monthly fire drills for August, September, and November 2024, failure to ensure annual inspection of fire extinguishers, failure to update care plans annually for residents, and failure to provide a secured outdoor space for the memory care unit.

Deficiencies (5)
Staff involved with personal services did not have at least sixteen (16) hours of training per year (2024).
Fire drills were not conducted during the months of August, September, and November 2024.
Fire extinguishers were not checked annually; last check dated 1/2024.
Care plan was not updated at least annually for 1 out of 5 sampled residents (Resident #2).
Memory care unit lacked a secured outdoor space and wheelchair accessible walkways to prevent undetected egress.
Report Facts
Months without fire drills: 3 Sampled residents: 5 Residents without updated care plan: 1

Employees mentioned
NameTitleContext
Staff AInterviewed regarding fire drills, care plan, and memory care unit outdoor space deficiencies
Staff BInterviewed regarding missing staff training records and fire extinguisher inspection
Staff CFile reviewed for staff training hours
Staff DFile reviewed for staff training hours
Staff EFile reviewed for staff training hours

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