The most recent inspection on June 5, 2025, found no deficiencies. Earlier inspections generally showed no rule violations, with complaint investigations consistently resulting in no cited issues. However, there were substantiated deficiencies related to resident safety and care in 2021 and 2022 involving elopement incidents from the memory care unit and inadequate staffing and oversight. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The overall trend suggests that the facility has addressed prior concerns, with recent inspections showing no deficiencies.
Deficiencies (last 7 years)
Deficiencies (over 7 years)0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The visit was conducted to investigate multiple complaint intakes (#GA00239022, #GA00239541, #GA00239602, #GA00239686, #GA00239771, and #GA00239904).
Findings
No rule violations were cited during the inspection completed on 11/01/2023.
Complaint Details
Investigation of complaint intakes #GA00239022, #GA00239541, #GA00239602, #GA00239686, #GA00239771, and #GA00239904 resulted in no rule violations cited.
The purpose of this visit was to investigate intake #GA00228151, which involved an elopement incident of Resident #3 from the memory care unit on 9/18/2022.
Findings
The facility failed to provide adequate oversight and staffing to ensure resident safety, resulting in Resident #3 eloping from the memory care unit. The front exit door was not secured properly by staff, and the resident was able to leave the facility unnoticed for approximately 18 minutes, sustaining minor abrasions. Staff interviews and record reviews confirmed these deficiencies.
Complaint Details
The investigation was initiated due to intake #GA00228151 regarding Resident #3 eloping from the memory care unit on 9/18/2022. The complaint was substantiated based on interviews, record reviews, and security footage.
Severity Breakdown
J: 3
Deficiencies (3)
Description
Severity
Failed to provide oversight necessary to ensure compliance with safety rules for Resident #3 who eloped.
J
Failed to have enough staff to meet the specific resident ongoing health and safety needs for Resident #3.
J
Failed to ensure each resident received adequate, appropriate care and services in compliance with state law and regulation for Resident #3.
J
Report Facts
Residents in memory care unit: 22Duration of elopement: 18
The purpose of this survey was to investigate complaint #GA00221783. The investigation started on 2022-03-15 and was completed on 2022-03-17, with the onsite visit on 2022-03-16.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00221783 found no rule violations.
The purpose of this visit was to investigate intake #GA00212128, with the investigation starting on 2021-02-22 and completing on 2021-03-03.
Findings
The facility failed to ensure each resident received adequate and appropriate care in compliance with state law and regulations. Specifically, Resident #1, diagnosed with Alzheimer's and COPD, eloped from the Memory Care unit, sustained minor injuries, and was subsequently identified as an elopement risk.
Complaint Details
Investigation was initiated due to intake #GA00212128 regarding Resident #1's elopement and subsequent injury. The investigation was substantiated with findings of inadequate care.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Failure to ensure each resident received care and services which were adequate, appropriate, and in compliance with state law and regulations, as evidenced by Resident #1's elopement and injury.
D
Employees Mentioned
Name
Title
Context
Staff E interviewed regarding Resident #1's elopement and care.