Most inspections found no deficiencies, including the two most recent complaint investigations on July 26, 2024, and May 29, 2024, which both had no violations. Earlier reports showed isolated issues such as a failure to treat a resident with respect in May 2022 and a failure to report a serious injury within 24 hours in September 2020. There was also a minor deficiency related to fire drill practices in September 2017. Several complaint investigations over the years were unsubstantiated. The facility’s record shows improvement with no deficiencies noted in recent inspections.
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00223352. An onsite visit was made on 2022-05-11 and the inspection was completed on 2022-05-17.
Findings
The facility failed to treat one of three sampled residents (Resident #1) with dignity, kindness, consideration, and respect. Staff C was observed on video repeatedly scolding and verbally threatening Resident #1 for requesting toileting assistance, leaving the resident alone in the bathroom and refusing to return a magazine to the resident.
Complaint Details
The visit was complaint-related, investigating intake #GA00223352. Resident #1 and AA reported Staff C was harsh, verbally threatening, and left the resident alone in the bathroom. Staff C denied the allegations. AA stated the resident was frightened and that Staff C's behavior elevated the resident's blood pressure. Resident #1 was discharged soon after the conversation about Staff C.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility failed to treat Resident #1 with dignity, kindness, consideration, and respect, including verbal scolding, threats, and leaving resident alone in bathroom.
SS= D
Employees Mentioned
Name
Title
Context
Staff C
Named in findings related to verbal abuse and neglect of Resident #1.
Staff A
Spoke with AA about allegations concerning Staff C; did not speak with Resident #1.
AA
Reported observations and concerns about Staff C's treatment of Resident #1.
The purpose of this inspection was to investigate intake #GA00208114, which was opened on 2020-09-21 and completed on 2020-09-29.
Findings
The facility failed to report to the Department within 24 hours a serious injury to Resident #3 who sustained a spleen hematoma after an unwitnessed fall on 2020-08-30. The incident was not reported because the responsible staff was unaware that it required reporting.
Complaint Details
Investigation of intake #GA00208114 regarding failure to report a serious injury to Resident #3. The complaint was substantiated based on record review and interviews.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to report to the Department within 24 hours a serious injury to Resident #3 requiring medical attention after a fall.
D
Report Facts
Residents sampled: 3Date of fall: Aug 30, 2020Hospital admission date: Aug 31, 2020Hospital discharge date: Sep 3, 2020
Employees Mentioned
Name
Title
Context
Staff B was responsible for reporting the incident but did not report because unaware the incident required reporting
CC
Interviewed staff who provided details about Resident #3's fall and hospital stay
The purpose of this visit was to conduct the annual inspection and to investigate complaint #GA00178378. An onsite visit was made on 2017-08-23 and the investigation was completed on 2017-09-08.
Findings
The facility failed to ensure fire evacuation drills were rehearsed in compliance with fire safety standards, specifically drills were not conducted on rotating shifts so that each shift rehearsed a fire drill once per quarter. Documentation showed multiple fire drills conducted mostly during daytime hours with only one drill during sleeping hours.
Complaint Details
Investigation was conducted related to complaint #GA00178378 during the annual inspection.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Facility failed to ensure fire evacuation drills were rehearsed in compliance with fire safety standards, including conducting drills on rotating shifts.