Inspection Reports for The Montclair

2100 CLAIRMONT LAKE, DECATUR, GA, 30033

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Inspection Report Summary

The most recent inspection on September 6, 2022, found no deficiencies. Earlier inspections showed a mixed pattern, with some citations related to medication management, resident placement, staff training, and environmental safety. Inspectors noted issues such as delayed medication refills, inadequate care for a resident needing specialized memory care, insufficient staff training hours, and hot water temperatures exceeding recommended limits. Complaint investigations were mostly unsubstantiated except for one substantiated case involving medication and care deficiencies in 2019. The facility’s record shows some improvement over time, with the latest inspection free of deficiencies.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2019
2020
2022

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Sep 6, 2022

Visit Reason
The purpose of this visit was to investigate intake # GA00225304.

Complaint Details
Investigation of intake # GA00225304 with no rule violations found.
Findings
No rule violations were cited as a result of this visit.

Inspection Report

Monitoring
Deficiencies: 0 Date: Apr 7, 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 processes.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Oct 9, 2019

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00199871. An on-site visit was made on 10/9/19 and the investigation was completed on 10/22/19.

Complaint Details
The visit was triggered by complaint intake #GA00199871. The investigation found substantiated issues related to medication refill delays and inadequate care for Resident #6, including failure to place the resident in a required specialized memory care unit and incidents of wandering outside the facility.
Findings
The facility failed to ensure timely refills of prescribed medications for 1 of 6 sampled residents (Resident #6), resulting in interruptions in routine dosing. Additionally, the facility did not provide care in compliance with applicable laws for Resident #6, who required placement in a specialized memory care unit but was housed in a non-specialist facility and was found wandering outside multiple times without injury.

Deficiencies (2)
Failed to ensure refills of prescribed medications were obtained timely, causing interruption in routine dosing for Resident #6.
Failed to ensure each resident received adequate and appropriate care in compliance with federal and state law; Resident #6 required placement in a specialized memory care unit but was not placed accordingly and was found wandering outside the facility.
Report Facts
Sampled residents: 6 Resident ID: 6 Dates: Apr 17, 2019 Dates: Aug 16, 2019 Dates: Aug 31, 2019

Inspection Report

Follow-Up
Deficiencies: 0 Date: Jan 16, 2019

Visit Reason
The purpose of this visit was to conduct a follow-up to the 10/11/18 compliance inspection and GA00191658.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Oct 10, 2018

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate complaint #GA00191658 with onsite visits on 10/10/18 and 10/11/18.

Complaint Details
Complaint #GA00191658 was investigated during this visit.
Findings
The facility failed to ensure that all staff involved with personal services received at least sixteen hours of training per year for 7 of 8 sampled staff. Additionally, the facility failed to maintain hot water temperatures at or below 120 degrees Fahrenheit, with observed temperatures ranging from 124.7 to 140.3 degrees Fahrenheit in resident rooms.

Deficiencies (2)
Facility failed to ensure all staff involved with personal services received at least sixteen hours of training per year for 7 of 8 sampled staff.
Facility failed to ensure hot water temperature did not exceed 120 degrees Fahrenheit, with observed temperatures up to 140.3 degrees Fahrenheit in resident rooms.
Report Facts
Staff with incomplete training hours: 7 Water temperature readings: 125 Water temperature readings: 124.7 Water temperature readings: 125.2 Water temperature readings: 140.3 Water temperature readings: 138 Water temperature readings: 138.8

Employees mentioned
NameTitleContext
Staff BInterviewed and stated unawareness of incomplete training hours and that a plumber will be contacted to adjust water temperature.

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Nov 21, 2017

Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA001181878.

Complaint Details
Complaint #GA001181878 was investigated during this visit.
Findings
The facility failed to ensure it retained only ambulatory residents capable of self-preservation with minimal assistance, as evidenced by one resident who was bedridden and on hospice care.

Deficiencies (1)
Facility failed to ensure it retained only ambulatory residents who are capable of self-preservation with minimal assistance for 1 of 7 residents (#1) who was bedridden and on hospice.
Report Facts
Residents affected: 1 Total residents reviewed: 7 Previous citation date: Sep 16, 2016

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