Inspection Reports for The Phoenix at Lake Joy
100 Lake Crossing Dr, Warner Robins, GA 31088, United States, GA, 31088
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
Moderate
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 23, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50002143 with an on-site visit made to the facility on 2025-06-23.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA50002143; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 4, 2024
Visit Reason
The purpose of this investigation was to investigate intake # GA00251466 through an on-site investigation conducted from 12/4/2024 to 12/5/2024.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was complaint-related intake # GA00251466; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 12, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00249954 and #GA00249956.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intakes #GA00249954 and #GA00249956 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 6, 2024
Visit Reason
The visit was conducted to investigate intake #GA00248588 as an unannounced complaint investigation.
Findings
No rule violations were cited as a result of this inspection and investigation.
Complaint Details
Investigation of intake #GA00248588 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 29, 2024
Visit Reason
The visit was conducted to investigate intake #GA00246206 with an onsite visit on 5/29/2024 and completion of the investigation on 6/3/2024.
Findings
The facility failed to ensure that staff hired to provide hands-on personal services to residents had current certifications in emergency first aid and cardiopulmonary resuscitation for 1 of 3 sampled staff (Staff C).
Complaint Details
Investigation was initiated based on intake #GA00246206. The complaint was substantiated as deficiencies were found related to staff certification.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Staff C did not have a current certification in emergency first aid. | D |
| Staff C did not have a current certification in cardiopulmonary resuscitation. | D |
Report Facts
Sampled staff: 3
Deficiencies found: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Staff member lacking current certifications in emergency first aid and CPR | |
| Staff A | Interviewed staff who was unaware of Staff C's lack of certifications |
Inspection Report
Complaint Investigation
Deficiencies: 2
Nov 15, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00240617 and #GA00240615 with an onsite visit conducted on 11/15/2023 and investigation completed on 11/20/2023.
Findings
The facility failed to provide medication administration services in accordance with physicians' orders and failed to ensure residents received adequate and appropriate care for Resident #3. Resident #3 was found on the floor with no pulse or respiration, and staff failed to administer prescribed medications and did not perform required resident checks during the 7a-3p shift on 10/27/2023.
Complaint Details
The visit was complaint-related, investigating intakes #GA00240617 and #GA00240615. The complaint involved failure to administer medications and inadequate resident supervision, substantiated by staff interviews and record reviews.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide medication administration services to Resident #3 in accordance with physicians' orders and resident needs. | SS= D |
| Failed to ensure Resident #3 received adequate, appropriate care and supervision as required by state law and regulations. | SS= D |
Report Facts
Medication doses not administered: 9
Date of resident hospital admission: Oct 23, 2023
Date of resident hospital discharge: Oct 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Interviewed and aware that Resident #3 did not receive medications on 10/27/2023 7a-3p shift. | |
| Staff D | Interviewed and admitted not checking Resident #3 during 7a-3p shift on 10/27/2023 and not verifying resident's return to facility. | |
| Staff E | Interviewed and stated not administering medications to Resident #3 on 10/27/2023 7a-3p shift because advised resident was at hospital. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 29, 2023
Visit Reason
The visit was conducted to investigate complaints #GA00237681, #GA00237322, and #GA00237217.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaints #GA00237681, #GA00237322, and #GA00237217 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 28, 2023
Visit Reason
The visit was conducted to investigate intake numbers GA00236616, GA00237089, and GA00237104.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of three intake complaints with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 19, 2023
Visit Reason
The purpose of this visit was to investigate intake # GA0000234062 and GA00234027.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2023-04-19 and was completed on 2023-04-21 with no rule violations cited.
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 2
Nov 16, 2022
Visit Reason
The visit was conducted to investigate multiple intakes (#GA00228812, #GA00228701, #GA00228570, and #GA00228270) concerning the facility.
Findings
The facility failed to staff the memory care unit (MCU) with sufficient staff to meet resident needs, resulting in inadequate supervision and multiple resident falls. Staffing schedules showed limited overnight staff, and interviews with family members confirmed concerns about staff availability and response, especially at night.
Complaint Details
The investigation was complaint-driven based on multiple intakes. Family interviews indicated substantiated concerns about inadequate staffing, poor supervision, multiple resident falls, and unavailability of staff to answer calls at night.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to staff the memory care unit with sufficient staff to meet resident needs, leading to inadequate supervision and increased resident falls. | SS= D |
| Facility failed to ensure at least one registered nurse, licensed practical nurse, or certified medication aide was on-site at all times in the memory care center. | SS= D |
Report Facts
Residents in memory care unit: 28
Falls reported: 34
Documented falls for Resident #6: 15
Residents incontinent: 21
Residents incapable of self-preservation: 8
Residents at elopement risk: 2
Residents requiring feeding: 8
Staff on 10/28/22 overnight shift: 4
Staff on 10/31/22 overnight shift: 4
Staff on 11/4/22 overnight shift: 4
Staff on 11/7/22 overnight shift: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Confirmed CMA gave medication on AL side and was unaware CMA was required to remain in MCU | |
| HH | Family member interviewed regarding staffing and resident falls | |
| II | Family member interviewed regarding hospice care and staffing concerns | |
| JJ | Family member interviewed regarding multiple falls and staff unavailability |
Inspection Report
Complaint Investigation
Deficiencies: 6
Jun 13, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00223816 and GA00224469 with onsite visits made on 6/13/22 and 6/14/22.
Findings
The facility failed to ensure safety from health or safety risks such as an unattended housekeeping cart with accessible chemicals, failed to discharge a resident whose care needs could not be met, restricted free movement of memory care residents by locking rooms, failed to involve families in care plan development, failed to maintain incident reports for resident injuries, and failed to report a serious injury to the Department.
Complaint Details
The visit was complaint-related to investigate intake GA00223816 and GA00224469. The findings included multiple deficiencies related to resident safety, care, and reporting.
Severity Breakdown
D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Unattended housekeeping cart with accessible cleaning fluids in memory care unit. | D |
| Failure to discharge a resident when specific care needs cannot be met by available staff. | D |
| Memory care residents prevented from free movement due to locked rooms. | D |
| Resident's family did not participate in development of written care plans for 2 residents. | D |
| Failure to maintain incident report for a resident with bruising and injury. | D |
| Failure to report serious injury requiring medical attention to the Department for one resident. | D |
Report Facts
Sampled residents: 6
Incident report missing dates: 4
Incident report date: May 19, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A, Staff B, Staff C, Staff D mentioned in interviews related to findings but no full names provided |
Inspection Report
Complaint Investigation
Deficiencies: 3
Dec 1, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00219251 with an on-site visit made on 12/1/21 and the investigation completed on 12/13/21.
Findings
The facility failed to have an administrator with a valid license from the State Board, failed to consistently provide needed assistance with CPAP application for one sampled resident, and failed to meet staffing requirements for the memory care unit.
Complaint Details
The investigation was initiated due to intake #GA00219251. The complaint involved issues with administrator licensure, inconsistent CPAP assistance for Resident #4, and inadequate staffing in the memory care unit.
Severity Breakdown
D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to have an administrator with a valid license from the State Board. | D |
| Facility failed to consistently provide needed assistance with CPAP application for 1 of 4 sampled residents (Resident #4). | D |
| Facility failed to meet the staffing requirements for the memory care unit. | D |
Report Facts
Sampled residents: 4
Date of intake report: Nov 15, 2021
Admission date: Apr 8, 2021
Dates of staff shifts: 111121
Dates of staff shifts: 112721
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Questioned about licensure and documented staff working with Resident #4 | |
| Staff B | Interviewed about CPAP assistance tasks and documentation | |
| Staff G | Interviewed regarding interactions with Resident #4 and CPAP awareness | |
| Staff F | Interviewed about assignment to memory care unit and CPAP assistance | |
| Staff H | Interviewed about assignment on 11/11/21 | |
| Staff J | Worked with Resident #4 on 11/27/21 | |
| Staff I | Worked with Resident #4 on 11/27/21 | |
| Staff K | Worked with Resident #4 on 11/11/21 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 29, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00217440, with the investigation starting on 2021-09-20 and completing on 2021-09-29.
Findings
An onsite visit was made to the facility on 2021-09-29. No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00217440 was conducted and no rule violations were found.
Inspection Report
Routine
Deficiencies: 0
Jul 27, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection starting on 2021-07-21 and completed on 2021-07-27.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Deficiencies: 0
Feb 22, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for the facility Phoenix at Lake Joy, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 13, 2020
Visit Reason
The purpose of this survey was to investigate intake #GA00207487.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation initiated and completed on 10/13/2020 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 12, 2020
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00206145 and #GA00205828, with the investigation beginning on 2020-08-07 and completing on 2020-08-12.
Findings
The facility failed to ensure that staff received required training to assist residents with transferring by a Hoyer lift for 7 of 7 sampled staff. Additionally, the facility admitted a resident who was incapable of actively participating in transferring from place to place, contrary to admission criteria.
Complaint Details
The investigation was initiated based on complaint intakes #GA00206145 and #GA00205828. The complaint was substantiated by findings that staff lacked required training and that a resident was admitted without meeting physical participation criteria.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure staff received training needed to assist residents with transferring by a Hoyer lift for 7 of 7 sampled staff. | SS= D |
| Facility failed to ensure that at the time of admission, residents are capable of actively participating in transferring from place to place for 1 of 4 sampled residents. | SS= D |
Report Facts
Number of sampled staff lacking training: 7
Number of sampled residents not meeting admission transfer criteria: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff I | Interviewed and stated no training was provided on Hoyer lift use | |
| Staff A | Interviewed and stated training was scheduled but not completed due to technical difficulties |
Inspection Report
Monitoring
Deficiencies: 0
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 assessing infection control processes at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 3, 2020
Visit Reason
The purpose of this visit was to investigate complaint #GA0020294 with an onsite visit made on 3/3/2020.
Findings
The facility failed to provide for each resident the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation, specifically verbal abuse by Staff A towards Resident #1. Multiple interviews confirmed Staff A called Resident #1 a derogatory name, causing the resident to feel insulted and embarrassed.
Complaint Details
Investigation of complaint #GA0020294 regarding verbal abuse by Staff A towards Resident #1. Resident #1 and multiple staff confirmed Staff A called the resident a derogatory name. Resident #1 refused to give a statement to law enforcement about the incident.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to provide for each resident the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation (Resident #1). | SS= D |
| Facility failed to ensure each resident has the right to be free from verbal abuse for 1 of 1 residents in the sample (Resident #1). | SS= D |
Report Facts
Complaint number: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in verbal abuse finding towards Resident #1 | |
| Staff D | Interviewed regarding verbal abuse incident involving Staff A | |
| Staff C | Interviewed regarding verbal abuse incident involving Staff A | |
| AA | Interviewed and reported Resident #1's complaint about Staff A | |
| BB | Reported Resident #1 refused to give statement to law enforcement |
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 3
Jan 6, 2020
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate complaint intakes #GA00201459, #GA00201705, #GA00201916, and #GA00201975, starting on 01/08/2020 and completed on 01/16/2020.
Findings
The facility failed to have sufficient staff on duty at all times to meet residents' needs, evidenced by observations and incident reports including resident injuries and elopements. Additionally, the facility failed to provide adequate care and services to residents with dementia and did not ensure timely delivery of residents' mail.
Complaint Details
The inspection investigated complaint intakes #GA00201459, #GA00201705, #GA00201916, and #GA00201975. Findings included substantiated issues of understaffing, inadequate resident care, and failure to deliver mail timely.
Deficiencies (3)
| Description |
|---|
| Facility failed to have sufficient staff on duty at all times to meet the needs of the residents, with only two staff observed for 29 residents in memory care. |
| Facility failed to ensure adequate and appropriate care and services for residents with dementia, including incidents of elopement and injury. |
| Facility failed to ensure residents' mail was delivered unopened and on the day it was received by the community for 2 of 9 sampled residents. |
Report Facts
Resident census during memory care tour: 29
Resident census on 11/29/19: 55
Resident census on 12/19/19: 54
Resident census on 12/31/19: 53
Resident census on 01/04/20: 53
Number of sampled residents with inadequate care: 2
Number of sampled residents with mail delivery issues: 2
Number of workers scheduled in memory care on 11/29/19: 2
Number of workers scheduled in assisted living on 11/29/19: 3
Number of workers scheduled in memory care on 12/19/19: 1
Number of workers scheduled in assisted living on 12/19/19: 2
Number of workers scheduled in memory care on 12/31/19: 3
Number of workers scheduled in assisted living on 12/31/19: 1
Total facility census: 59
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 1
Dec 3, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00200916 concerning the care and services provided to residents at the assisted living community.
Findings
The facility failed to ensure adequate and appropriate care for Resident #1, who was severely demented and suffered a broken hip that was not promptly treated. Multiple falls were documented, and there was concern about possible neglect or abuse, including a hand print observed on the resident's back. Staff interviews revealed uncertainty about when or how the injury occurred.
Complaint Details
Investigation of intake #GA00200916 regarding Resident #1's care, including allegations of injury and possible abuse. The complaint was substantiated by findings of inadequate care and delayed treatment of a broken hip.
Severity Breakdown
J: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide adequate, appropriate care and services to Resident #1 in compliance with state law and regulations. | J |
Report Facts
Resident census: 27
Incident dates: 3
Hospital admission and discharge dates: Resident #1 admitted 11/14/19 and discharged 11/17/19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1's pain complaints and awareness of injury | |
| Staff B | Interviewed about Resident #1's falls and hospital treatment | |
| Staff C | Interviewed about observations of abuse and assistance methods | |
| GG | Family member providing information about Resident #1's condition and injury |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 4
Oct 28, 2019
Visit Reason
The purpose of this visit was to investigate complaints GA00199932 and GA00200184 regarding the facility's compliance with staffing and resident care requirements.
Findings
The facility failed to have sufficient staff on duty at all times to meet residents' needs, resulting in a resident eloping from the memory care area. Additionally, the facility failed to ensure timely delivery of residents' mail and did not report the elopement to the local police within the required 30 minutes as mandated by the Mattie's Call Act.
Complaint Details
The visit was complaint-related, investigating complaints GA00199932 and GA00200184. The complaints involved insufficient staffing leading to a resident elopement, inadequate resident care, delayed mail delivery, and failure to timely report the elopement to authorities.
Severity Breakdown
D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to have sufficient staff on duty at all times to meet the needs of the residents, evidenced by only two staff covering 27 residents in memory care during an elopement incident. | D |
| Failed to ensure each resident received adequate and appropriate care and services, as Resident #1 eloped from memory care and was found outside the facility. | D |
| Failed to deliver each resident's mail unopened on the day it is delivered to the facility, with mail sometimes delayed one to two days. | D |
| Failed to report the elopement of a resident to the local police department within 30 minutes as required by the Mattie's Call Act. | D |
Report Facts
Residents in memory care: 27
Facility census: 56
Time to report elopement: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who described staffing levels, resident elopement, and reporting procedures. | |
| AA | Resident who reported delayed mail delivery. |
Inspection Report
Follow-Up
Deficiencies: 0
May 8, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 02/06/19 initial inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 8, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00196240.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00196240 found no rule violations.
Inspection Report
Original Licensing
Deficiencies: 2
Feb 6, 2019
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
The facility failed to ensure that staff hired to provide hands-on personal services to residents received required training within the first 60 days of employment in emergency first aid and cardiopulmonary resuscitation (CPR) for 3 of 4 sampled staff.
Severity Breakdown
SS= D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Staff hired to provide hands-on personal services did not receive training within the first 60 days of employment in emergency first aid. | SS= D |
| Staff hired to provide hands-on personal services did not receive training within the first 60 days of employment in cardiopulmonary resuscitation (CPR). | SS= D |
Report Facts
Number of sampled staff lacking training: 3
Staff hire dates: Staff B, Staff C, Staff D hired 11/5/18; Staff E hired 11/8/18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and stated training was not in the files of Staff B, Staff C, Staff D, and Staff E |
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