Inspection Reports for The Phoenix at Tucker

2060 Idlewood Rd, Tucker, GA 30084, United States, GA, 30084

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Inspection Report Summary

The most recent inspection on August 25, 2025, found no deficiencies following a complaint investigation. Earlier inspections also consistently showed no rule violations or deficiencies, with complaint investigations from 2018 through 2025 resulting in no citations. Prior to this period, inspections in 2020 and 2021 identified deficiencies related to resident safety, staffing, and care oversight, including an incident of resident elopement and issues with disease outbreak response and monitoring. No fines, immediate jeopardy findings, or license actions were listed in the available reports, and most complaint investigations were unsubstantiated. The facility’s inspection history shows improvement over time, with recent inspections free of deficiencies after earlier issues were cited.

Deficiencies (last 8 years)

Deficiencies (over 8 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

84% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2019
2020
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
An onsite visit was made to conduct a compliance inspection and investigate complaint intakes GA 50004953 and GA 50004968.

Complaint Details
Investigation of complaint intakes GA 50004953 and GA 50004968 with no deficiencies cited.
Findings
No rules were cited as a result of this investigation and compliance inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 7, 2025

Visit Reason
The visit was conducted to investigate complaint intakes #GA00252447, #GA00252485, #GA00252506, and #GA00252795.

Complaint Details
Investigation of complaint intakes #GA00252447, #GA00252485, #GA00252506, and #GA00252795 resulted in no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 21, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00248557.

Complaint Details
Investigation of intake #GA00248557 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 25, 2024

Visit Reason
The purpose of this visit was to investigate intakes# GA00248371 and GA00246299.

Complaint Details
Investigation started 2024-07-24 and was completed 2024-07-25. No rule violations were cited.
Findings
No rule violations were cited as a result of this visit.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 10, 2024

Visit Reason
The visit was conducted to investigate complaint intakes #GA00241920, #GA00241868, and #GA00241833 with an onsite visit made on 2024-01-10.

Complaint Details
Investigation of complaint intakes #GA00241920, #GA00241868, and #GA00241833 was completed with no rule violations cited.
Findings
No rules were cited as a result of this investigation; no deficiencies were found.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 3, 2023

Visit Reason
The purpose of this visit was to investigate intake # GA00231960.

Complaint Details
Investigation started on 2023-05-03 and was completed on 2023-05-10 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Dec 15, 2022

Visit Reason
The purpose of this visit was to investigate intake #GA00228429 with an onsite visit made on 12/15/22 and the investigation completed on 12/21/22.

Complaint Details
Investigation of intake #GA00228429; no rule violations were found.
Findings
No rule violations were cited during the investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jan 28, 2022

Visit Reason
The purpose of this visit was to investigate intake #GA00220471.

Complaint Details
Investigation began 2022-01-19 and was completed 2022-01-28. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Dec 28, 2021

Visit Reason
The visit was conducted to investigate intake #GA00219345 and #GA00219361 through an unannounced visit on 2021-12-10. The investigation started on 2021-11-30 and was completed on 2021-12-28.

Complaint Details
Investigation of intake #GA00219345 and #GA00219361 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 10, 2021

Visit Reason
The visit was conducted to investigate intake #GA00216280 and #GA00216238.

Complaint Details
Investigation of intake #GA00216280 and #GA00216238 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Jun 7, 2021

Visit Reason
The purpose of this visit was to conduct a complaint inspection and to investigate intake #GA00214314, related to a resident elopement incident.

Complaint Details
The complaint investigation was triggered by intake #GA00214314 regarding Resident #1 eloping from the facility on 5/8/2021. The resident was found approximately eleven miles away at a grocery store after leaving through an unsecured exit door. The investigation found failures in staffing, safety device functionality, and care oversight.
Findings
The facility failed to implement policies and procedures to ensure resident safety, resulting in Resident #1 eloping from the facility unnoticed by staff. The facility also failed to have adequate staffing and effective safety devices to prevent elopement, and failed to provide adequate care and oversight for Resident #1.

Deficiencies (4)
Failure to implement policies, procedures, and practices supporting resident dignity, respect, choice, independence, and privacy in a safe environment, resulting in Resident #1 eloping.
Failure to have enough staff to meet specific resident ongoing health and safety needs for Resident #1.
Failure to utilize appropriate effective safety devices to protect residents at risk of eloping, including malfunctioning exit door alarms.
Failure to ensure each resident received adequate and appropriate care and services in compliance with state law and regulations for Resident #1.
Report Facts
Distance resident eloped: 11 Number of residents in MCU: 10 Number of residents requiring total care: 6 Number of times Resident #1 required redirection: 3 Temperature: 70 Temperature: 66

Employees mentioned
NameTitleContext
Staff AReported Resident #1 elopement, reviewed video footage, and notified law enforcement and family.
Staff BProvided information about exit door alarms and resident behavior; spoke with Resident #1 after elopement.
Staff COn duty during elopement, did not observe Resident #1 exit, alerted management, and participated in search.
Staff DOn duty during elopement, unaware of Resident #1 exit, provided care for MCU residents.
Staff EClosed and reset MCU exit door alarm during tour; no audible alarm was heard.
FFVisited daily to walk Resident #1, reported MCU back exit door did not always close tightly.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jun 3, 2020

Visit Reason
The purpose of this visit was to investigate intake # GA00204788, which was opened on 2020-05-08 and completed on 2020-06-03.

Complaint Details
The visit was complaint-related, investigating intake # GA00204788. The complaint involved failure to respond to a disease outbreak and inadequate resident care. Substantiation status is not explicitly stated.
Findings
The facility failed to respond appropriately to a disease outbreak involving Resident #1, who exhibited COVID-19 symptoms but was not tested or reported to health authorities. Additionally, the facility failed to provide adequate care and services to Resident #1, who experienced multiple falls and was not properly assessed or monitored.

Deficiencies (2)
Failed to respond to disease outbreak appropriately for 1 of 3 sampled residents (Resident #1) related to COVID-19 symptoms and testing.
Failed to provide each resident care and services which were adequate, appropriate, and in compliance with state law and regulations for 1 of 3 sampled residents (Resident #1) related to falls and monitoring.
Report Facts
Resident falls: 5 Weight loss: 11 Temperature: 102.2 Temperature threshold: 100.4

Employees mentioned
NameTitleContext
Staff BCharted Resident #1's symptoms on 3/16/20 and stated Resident #1 was not tested for COVID-19.
Staff AStated Resident #1 was monitored for symptoms and fell five times; noted no physician assessment while in facility.
Staff EWorked end of March and did not remember Resident #1 being sick; received masks before last week of March.
AAReported Resident #1's symptoms by telephone and asked about COVID-19 testing.
BBReceived text from AA about Resident #1's dry hacking cough.

Inspection Report

Monitoring
Deficiencies: 0 Date: Apr 6, 2020

Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess the infection control process.

Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 12, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00203274.

Complaint Details
Investigation of intake #GA00203274 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 16, 2019

Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake #GA00199939.

Complaint Details
Investigation of intake #GA00199939; no violations found.
Findings
No violations were cited as a result of this inspection.

Inspection Report

Original Licensing
Deficiencies: 0 Date: Dec 19, 2018

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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