Inspection Reports for The Phoenix at James Creek
90 Ruth Ln, Cumming, GA 30041, United States, GA, 30041
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 1, 2025, found no deficiencies related to complaint investigations. Earlier inspections mostly showed no violations, with one substantiated deficiency in July 2023 involving the facility’s failure to secure a resident’s personal property, including missing money from a wallet. Prior reports from 2021 cited issues with staff training on infection control, background checks, medication aide certification, medication administration records, resident care, and communication with residents’ representatives. Complaint investigations were generally unsubstantiated except for the July 2023 case and earlier substantiated deficiencies in 2021. The inspection history shows improvement over time, with recent investigations not identifying new deficiencies.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 1, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection related to complaint numbers GA00222515 and GA0034356.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Complaint inspection conducted for complaints GA00222515 and GA0034356; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 14, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250185.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of intake #GA00250185; no violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 7, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00248225, GA00248313, and GA00249066.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of complaint intakes #GA00248225, GA00248313, and GA00249066 with no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 9, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00247054 and #GA00246605.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of intakes #GA00247054 and #GA00246605; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 8, 2024
Visit Reason
The purpose of this visit was to investigate complaint #GA00241800.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00241800 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 18, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00237232.
Findings
No violations were cited as a result of this survey.
Complaint Details
Investigation of intake #GA00237232; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 14, 2023
Visit Reason
The purpose of this survey was to investigate complaints #GA00235891, #GA00236419, and #GA00236419, with an onsite visit conducted on 7/14/2023 and investigation completed on 8/10/2023.
Findings
The facility failed to secure personal property and possessions of Resident #2. Camera footage and grievance forms showed that a wallet containing $500 was missing and returned without the money, with staff suspected of taking the money.
Complaint Details
Investigation was complaint-related, triggered by grievances regarding missing money from Resident #1's wallet, with substantiation implied by findings.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to secure personal property and possessions of Resident #2, including missing money from a wallet. | SS= D |
Report Facts
Missing money amount: 500
Date of camera footage: May 24, 2023
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 5, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00232978.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00232978 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 3, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA00223546.
Findings
An onsite visit was made to the facility on 5/3/22. The investigation was started on 5/3/22 and completed on 5/17/22. No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake GA00223546 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 6, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220061. The survey was started on 2022-01-04 and was completed on 2022-01-18, with an onsite visit made on 2022-01-06.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00220061 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 9, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00218598. The investigation was started on 11/2/21 and completed on 11/9/21 with an on-site visit on 11/9/21.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00218598 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 3
Sep 2, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00216623. The investigation was started on 2021-08-31 and completed on 2021-09-02.
Findings
The facility failed to ensure that staff received required training on infection control principles within the first 60 days of employment, failed to document tuberculosis screenings for staff, and failed to obtain satisfactory criminal background checks for certain employees.
Complaint Details
The visit was complaint-related, investigating intake #GA00216623. The investigation found substantiated deficiencies related to staff training, health screenings, and background checks.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure staff received training within the first 60 days of employment on general infection control principles including hand hygiene and attendance policies when ill for one of three sampled staff (Staff E). | SS= D |
| Failure to document that each employee had received a tuberculosis screening by a licensed provider within twelve months prior to providing care for one of three sampled staff (Staff E). | SS= D |
| Failure to obtain a satisfactory fingerprint records check determination for two out of three sampled staff (Staff C and Staff E) in compliance with criminal background check regulations. | SS= D |
Report Facts
Number of sampled staff with deficiencies: 3
Date survey completed: Sep 2, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in deficiencies for lack of infection control training, tuberculosis screening, and criminal background check | |
| Staff C | Named in deficiency for lack of criminal background check | |
| Staff F | Interviewed staff who confirmed lack of training and background checks for Staff E and Staff C |
Inspection Report
Complaint Investigation
Deficiencies: 6
Aug 9, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate complaint intakes #GA00216239, #GA00216001, and #GA00215946, with the investigation starting on 2021-08-02 and completing on 2021-08-09.
Findings
The facility failed to ensure medication aides were properly certified before administering medications, failed to include specific medication directions on the Medication Assistance Record for a resident, and failed to provide adequate care and timely response to resident calls. Additionally, the facility did not properly inform residents or their representatives about changes in care or medications, and failed to notify representatives of adverse changes in a resident's condition.
Complaint Details
The investigation was complaint-driven, triggered by intakes #GA00216239, #GA00216001, and #GA00215946. The findings included substantiated failures related to medication aide certification, medication administration records, resident care adequacy, communication with residents' representatives, and notification of adverse changes in condition.
Severity Breakdown
SS= D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to check the Registry to ensure medication aides were listed in good standing before permitting them to administer medications (Staff G). | SS= D |
| Failed to include specific directions for medication use on the Medication Assistance Record for Resident #2. | SS= D |
| Failed to provide adequate and appropriate care and services in compliance with state law for Resident #1, including delayed response times to pendant calls. | SS= D |
| Failed to fully inform Resident #2 and their representative about care and medication changes. | SS= D |
| Failed to allow Resident #2 and their legal surrogate to fully participate in care planning and to question changes in the plan of care. | SS= D |
| Failed to notify the representative or legal surrogate of an adverse change in Resident #2's condition and failed to retain records of such notifications. | SS= D |
Report Facts
Dates medication administered by uncertified aide: 4
Response times to pendant calls: 12
Admission date Resident #1: Sep 18, 2020
Admission date Resident #2: Jan 21, 2021
Date medication order: Feb 3, 2021
Date medication aide certification: Apr 10, 2021
Date Staff G terminated: May 24, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Medication Aide | Named in deficiency for administering medications before certification. |
| Staff A | Interviewed regarding medication aide certification verification and nurse practitioner communication. | |
| Staff B | Interviewed regarding medication administration and family notification. | |
| Staff C | Interviewed regarding medication administration and resident care. | |
| CC | Interviewed regarding communication with families and nurse practitioner visits. | |
| DD | Resident #2's family member who reported lack of authorization and notification for medication changes. | |
| EE | Interviewed regarding nurse practitioner visit and family notification. |
Inspection Report
Monitoring
Deficiencies: 0
Apr 8, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
No specific deficiencies or findings are detailed in the report beyond the stated purpose to monitor COVID 19 cases and infection control.
Inspection Report
Original Licensing
Deficiencies: 0
Mar 19, 2019
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
No rules violations were cited as a result of this inspection.
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