The most recent inspection on October 7, 2025, found no deficiencies. Earlier inspections generally did not identify violations, with the exception of a substantiated complaint in March 2024 where inspectors cited deficiencies related to inadequate oversight and protective care for a resident who eloped and was hospitalized with injuries. The main issues involved failure to prevent elopement, lack of effective safety devices, and insufficient resident monitoring and documentation. Complaint investigations since then have been unsubstantiated, and no fines or enforcement actions were listed in the available reports. The facility’s record shows improvement following the March 2024 findings, with no further deficiencies noted in subsequent inspections.
Deficiencies (last 6 years)
Deficiencies (over 6 years)0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA50002985. An onsite visit was made to the facility on 7/1/25.
Findings
No violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA50002985; no violations found.
The purpose of this visit was to investigate complaint intakes #GA00243791 and GA00244170.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation started on 2024-03-13, on-site visit was made on 2024-03-13, and the investigation was completed on 2024-04-03. No deficiencies or violations were found.
The purpose of this visit was to investigate multiple complaint intakes (GA00242371, GA00242551, GA00242879, GA00242190, GA00242216) regarding the facility.
Findings
The facility failed to provide adequate oversight and protective care for Resident #1, who eloped from the assisted living section to the independent living section, was found in a vacant apartment in poor condition, and was subsequently hospitalized with injuries and medical complications. The facility lacked effective safety devices to prevent elopement and failed to maintain accurate resident sign-in/out documentation, resulting in delayed response to the resident's absence.
Complaint Details
The investigation was initiated due to multiple complaint intakes alleging failure to provide adequate care and oversight for Resident #1, who eloped and was found in a vacant apartment in poor condition. The resident was hospitalized with injuries and medical complications. The facility's failure to prevent elopement and delayed response were substantiated.
Severity Breakdown
SS= D: 4SS= J: 1
Deficiencies (5)
Description
Severity
Governing body failed to provide necessary oversight to ensure compliance with state laws and regulations for Resident #1.
SS= D
Facility staff failed to maintain awareness of Resident #1's normal appearance and intervene when health was in jeopardy.
SS= D
Assisted living community failed to provide protective care and watchful oversight meeting Resident #1's needs.
SS= D
Facility failed to utilize effective safety devices to prevent Resident #1 from eloping.
SS= D
Facility failed to provide adequate and appropriate care and services to Resident #1 in compliance with state law and regulations.
SS= J
Report Facts
Incident date: Dec 27, 2023Resident age: 88Distance: 100Time missing: 1.5Discharge date: Jan 15, 2024
Employees Mentioned
Name
Title
Context
Staff A
Interviewed regarding Resident #1 elopement and new protocol implementation
Staff B
Interviewed regarding Resident #1 elopement, condition when found, and timeline
Staff C
Responsible for checking sign in/out log and erroneously reporting Resident #1 signed out
Staff D
Delayed calling Resident #1's family to verify whereabouts
Staff E
Staff who had not seen Resident #1 on 12/25/23
Staff F
Staff who had not seen Resident #1 on 12/25/23
Staff G
Staff who had not seen Resident #1 on 12/25/23
Staff H
Staff who had not seen Resident #1 on 12/25/23
Staff I
Staff who had not seen Resident #1 on 12/25/23
Staff J
Staff who had not seen Resident #1 on 12/25/23
Staff K
Reported missing Resident #1 and questioned whereabouts
Staff L
Found Resident #1 in vacant apartment and provided immediate assistance