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Inspection Reports for The Mann House

GA, 30342

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Inspection Report Summary

The most recent inspection on September 21, 2021, identified deficiencies related to a failure to prevent and properly report a sexual assault incident involving a resident. Earlier inspections were mostly clean, with no deficiencies noted in the annual inspection on March 20, 2018, and no complaints or issues during the April 6, 2020 monitoring visit. The main themes of deficiencies involved resident safety, abuse prevention, and timely reporting and investigation of incidents. The complaint investigation substantiated the sexual assault and found that staff failed to follow required policies, resulting in delayed police and department notification; Staff D was arrested on felony charges. The inspection history shows a serious isolated event in 2021, while prior reports did not indicate similar issues.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

73% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2020
2021
Severe (Immediate Jeopardy) Moderate (Potential Harm)
State average

Inspection Report

Complaint Investigation
Census: 16 Deficiencies: 4 Date: Sep 21, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint intakes #GA00217495, #GA00217477, and #GA00217497.
Complaint Details
The investigation was triggered by complaint intakes #GA00217495, #GA00217477, and #GA00217497 regarding a sexual assault incident involving Resident #1 on 9/5/21. The incident was witnessed by Staff C but was not reported to police or the Department until 9/8/21. Staff D was arrested for felony charges of abuse and sexual assault. The facility failed to report and investigate the incident promptly, violating abuse reporting requirements.
Findings
The facility failed to ensure the safety and rights of Resident #1 by not preventing sexual abuse by Staff D, who was witnessed sexually assaulting the resident. The incident was not reported immediately to the police or the Department, resulting in delayed notification and investigation. Staff failed to follow abuse reporting policies, and the administrator did not initiate an immediate investigation or report to the resident's representative in a timely manner.
Deficiencies (4)
Failure to implement policies and procedures supporting residents in a safe environment, resulting in sexual assault of Resident #1 by Staff D.
Failure to ensure residents' rights to be free from sexual abuse for Resident #1.
Failure to initiate immediate investigation and report to resident's representative following sexual assault incident.
Failure to report serious incident of sexual assault to the Department in a timely manner.
Report Facts
Residents observed in MCU during tour: 16 Days delay in reporting incident: 3 Felony charges against Staff D: 2 Resident #1 admission date: Jan 20, 2021 Resident #1 hospital discharge days after incident: 5
Employees mentioned
NameTitleContext
Staff CWitnessed the sexual assault of Resident #1 and reported the incident to Staff E but did not report to police or Department immediately.
Staff DPerpetrator of sexual assault against Resident #1; arrested for two felony charges.
Staff AReturned from vacation on 9/8/21, notified police and Department, and took Resident #1 to hospital.
Staff BWas on vacation during incident; received text about assault but did not instruct to notify police or Department.
Staff EReceived report from Staff C about assault; communicated with Staff B.
Staff HReported the incident to police and Department on 9/8/21.
BBNotified on 9/8/21 about the sexual assault; involved in resident's hospital care.
AAInterviewed and confirmed delayed reporting of the incident.
CCAccompanied Resident #1 to hospital and observed resident's behavior post-assault.

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

Annual Inspection
Deficiencies: 0 Date: Mar 20, 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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