Inspection Reports for The Memory Center
12050 Findley Rd, Johns Creek, GA 30097, GA, 30097
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Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 20, 2024
Visit Reason
The purpose of this visit was to conduct an investigation of complaint #GA00249157.
Findings
The investigation was completed on 8/20/24 with no rule violations cited as a result.
Complaint Details
Investigation of complaint #GA00249157; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 2, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00245006 and #GA00245851.
Findings
No rules were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00245006 and #GA00245851 with no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 2, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244962.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation conducted on 2024-04-02; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 27, 2024
Visit Reason
The purpose of this visit was to investigate complaint #GA00243913.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00243913 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 15, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00243241.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake # GA00243241 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 7, 2023
Visit Reason
The visit was conducted to investigate intake #GA00240679 with an onsite visit made on 12/7/23 and the investigation completed on 12/8/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00240679 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 1, 2023
Visit Reason
The purpose of this survey was to investigate complaints #GA00237990 and GA00237617 with an onsite visit conducted on 9/1/2023.
Findings
The investigation was completed on 9/13/2023 with no rule violations cited as a result of this investigation.
Complaint Details
Investigation of complaints #GA00237990 and GA00237617 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 25, 2023
Visit Reason
The visit was conducted to investigate intake #GA00236849 and #GA00236782 with an onsite visit made on 7/25/23 and the investigation completed on 7/28/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00236849 and #GA00236782 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 5, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234989 regarding an allegation of staff humiliating a resident.
Findings
The facility failed to operate in a manner that respected the personal dignity and human rights of Resident #1. Staff D was observed using profanity and humiliating the resident during bedtime care, which led to Staff D's termination.
Complaint Details
Investigation was initiated based on intake #GA00234989. The complaint was substantiated as Staff D was observed humiliating Resident #1. Staff D was terminated on 5/4/2023. Law enforcement was not called per family member's request.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to respect the personal dignity and human rights of Resident #1, including use of profanity and humiliation by Staff D. | SS= D |
Report Facts
Date of incident: May 3, 2023
Date of termination: May 4, 2023
Date of incident report: May 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in finding for humiliating Resident #1 and terminated | |
| Staff A | Reported incident, initiated investigation, and terminated Staff D | |
| FF | Family member who observed incident and provided video evidence |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 2, 2023
Visit Reason
The purpose of the investigation was to investigate complaint numbers #GA00232151, #GA00231975, #GA00234116, and #GA00232703.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaints #GA00232151, #GA00231975, #GA00234116, and #GA00232703 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 19, 2022
Visit Reason
The purpose of this visit was to investigate intake # GA00227567. The on-site visit was made on 10/19/22, with the investigation started on 10/17/2022 and completed on 10/27/2022.
Findings
The facility failed to maintain personnel files in the assisted living community for each employee and for three years following the employee's departure or discharge. Specifically, no documentation was found for two sampled staff members hired from a staffing agency.
Complaint Details
Investigation was initiated due to intake # GA00227567. The complaint was substantiated by findings of missing personnel files for two staff members.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to maintain personnel files for each employee and for three years following departure or discharge, with no documentation for Staff B and Staff C. | SS= D |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 24, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220020. This allegation was previously investigated under the intake GA#00198616.
Findings
The report does not provide specific findings or conclusions beyond the purpose of the visit to investigate the complaint intake.
Complaint Details
Investigation of intake #GA00220020, which was a follow-up to a previous investigation under intake GA#00198616.
Inspection Report
Complaint Investigation
Deficiencies: 2
Jul 28, 2021
Visit Reason
The purpose of this visit was to investigate multiple intakes (#GA00215716, #GA00215583, #GA00215594, #GA00215623, #GA00215656, and #GA00215784) related to resident care and safety concerns at the facility.
Findings
The facility failed to provide adequate care and watchful oversight for 3 of 4 sampled residents, resulting in unwitnessed falls and serious injuries. Additionally, the facility failed to report serious injuries to the Department within 24 hours for 2 of the residents as required.
Complaint Details
The investigation was complaint-driven, focusing on multiple intakes alleging inadequate care and failure to report serious injuries. The complaints were substantiated as the facility failed to provide adequate oversight and timely reporting.
Severity Breakdown
Level D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide care and watchful oversight for 3 of 4 sampled residents, resulting in unwitnessed falls and injuries. | Level D |
| Failure to report serious injuries to the Department within 24 hours for 2 of 4 sampled residents. | Level D |
Report Facts
Staff scheduled: 6
Staff scheduled: 7
Staff scheduled: 6
Hospital stay duration: 72
Incident report dates: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Reported the 7/16/21 incident for Resident #3 to the Department on 8/7/21; stated not onsite during some falls. | |
| Staff B | Not onsite during some falls; did not report serious incidents to the Department. | |
| Staff D | Worked shifts on 6/17/21 and 7/16/21; found Resident #3 bleeding after fall; stated Resident #3 had a private sitter. | |
| Staff H | LPN | On duty when Resident #3 fell on 7/16/21; stated wound was closed with skin glue. |
| Staff I | Scheduled 11:00 p.m. to 7:00 a.m.; wrote incident report for Resident #2 fall on 7/3/21. | |
| AA | Interviewed regarding Resident #3 falls and injuries. | |
| CC | Interviewed regarding Resident #1 fall and hospital stay. | |
| DD | Interviewed regarding Resident #2 fall and wound care. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 2, 2021
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00214718, #GA00215216, and #GA00215343.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint intakes #GA00214718, #GA00215216, and #GA00215343 with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 8, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210743.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation began 2021-01-22 and was completed 2021-02-08. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 4, 2020
Visit Reason
The purpose of this survey was to investigate intake #GA00206752, initiated on 2020-08-03 and completed on 2020-08-04.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00206752 with no rule violations cited.
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 process.
Findings
The review focused on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 10, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00203016, involving allegations of sexual inappropriate behavior among residents.
Findings
The facility failed to ensure adequate and appropriate care for residents, with incidents involving sexual inappropriate behavior by Resident #2 towards Residents #1 and #3. Additionally, the facility failed to report a serious incident involving Resident #3 to the Department within 24 hours as required.
Complaint Details
The investigation was initiated due to intake #GA00203016. The complaint involved sexual inappropriate behavior by Resident #2 towards Residents #1 and #3. The facility failed to notify the family of Resident #3 about the incident and failed to report the serious incident to the Department within 24 hours. Resident #2 was no longer at the facility at the time of investigation.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide adequate and appropriate care and services to residents, evidenced by sexual inappropriate behavior incidents involving residents. | SS= D |
| Failure to report a serious incident involving a resident to the Department within 24 hours after the incident occurred. | SS= D |
Report Facts
Incident reports reviewed: 3
Admission dates: 2018
Admission dates: 2019
Admission dates: 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed and stated Resident #2 was sexually inappropriate and that the 2/20/20 incident was not reported to the department | |
| Staff E | Interviewed and stated Resident #2 was sexually inappropriate with staff and residents | |
| BB | Interviewed and stated the family of Resident #3 was not notified of the 2/20/20 incident report and that the family of Resident #2 was notified about sexual inappropriate behavior | |
| AA | Interviewed and stated Resident #2 was no longer at the facility |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 10, 2020
Visit Reason
The visit was conducted to investigate intake #GA00201432, with an onsite visit on 2019-12-30 and investigation completion on 2020-01-10.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00201432 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 23, 2019
Visit Reason
The visit was conducted to perform a compliance inspection and investigate multiple complaints identified by numbers GA00198224, GA00198340, GA00198444, GA00198616, and GA00198404. The onsite visit occurred on 2019-08-01 and the investigation was completed on 2019-09-23.
Findings
The facility failed to ensure that one of seven sampled residents (Resident #2) received adequate and appropriate care in compliance with state law and regulations. Resident #2 was found outside for 30 to 40 minutes with low oxygen levels and was later hospitalized with diagnoses including heat exhaustion, dehydration, and hypernatremia.
Complaint Details
The inspection was triggered by complaints identified as GA00198224, GA00198340, GA00198444, GA00198616, and GA00198404. The investigation found substantiated deficiencies related to Resident #2's care.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide adequate and appropriate care and services to Resident #2, resulting in heat exhaustion, dehydration, and hypernatremia. | SS= D |
Report Facts
Number of sampled residents: 7
Oxygen level: 82
Oxygen level: 90
Duration outside: 30
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 26, 2019
Visit Reason
This document is a statement of deficiencies and plan of correction following previous investigations identified by numbers GA00198444 and GA00198404.
Findings
The report references prior investigations but does not provide specific findings or deficiencies in this document.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 15, 2018
Visit Reason
The visit was conducted to investigate a facility reported incident #GA00185140 involving a gastrointestinal illness outbreak and failure to maintain proper incident reports.
Findings
The facility failed to have an effective infection control program responding appropriately to disease outbreaks, as 10 residents and 6 staff suffered gastrointestinal illness. Additionally, the facility failed to maintain a copy of an incident report in a resident's file where the resident suffered an injury.
Complaint Details
The investigation was triggered by a complaint related to a gastrointestinal illness outbreak affecting 10 residents and 6 staff between 2/4/18 and 2/8/18, and failure to maintain incident reports in resident files.
Severity Breakdown
D: 1
A: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to have an effective infection control program including responding to disease outbreaks appropriately. | D |
| Failure to maintain a copy of the incident report in the resident's file where a resident suffered an injury. | A |
Report Facts
Residents affected by illness: 10
Staff affected by illness: 6
Incident report date: Mar 2, 2018
Incident date: Mar 1, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding outbreak reporting and incident report procedures | |
| AA | Contacted by Staff A regarding outbreak reporting and visit decision |
Inspection Report
Original Licensing
Deficiencies: 0
Nov 15, 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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