The most recent inspection on August 7, 2024, found that all previously cited Life Safety Code deficiencies had been corrected. Earlier inspections generally showed compliance with state licensure and Medicare/Medicaid requirements, with only occasional Life Safety Code issues such as labeling of electrical panels and sprinkler system tagging. The main themes of deficiencies involved fire safety measures, including maintenance of sprinkler systems, fire alarm testing, and proper storage of flammable materials. Multiple complaint investigations over time were consistently unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement in correcting cited deficiencies, with recent surveys indicating compliance and resolution of prior issues.
Deficiencies (last 8 years)
Deficiencies (over 8 years)1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Georgia average
Georgia average: 4.9 deficiencies/year
Deficiencies per year
86420
2017
2018
2019
2020
2021
2022
2023
2024
Census
Latest occupancy rate73 residents
Based on a July 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report Life SafetyDeficiencies: 0Aug 7, 2024
Visit Reason
A Life Safety Code Revisit Survey was conducted to verify correction of previously cited Life Safety Code deficiencies.
Findings
All previously cited Life Safety Code deficiencies have been corrected as of the revisit survey date.
A standard survey was conducted at The Place at Martinez from July 19, 2024, through July 21, 2024, including investigation of Complaint Intake Number GA00247526.
Findings
The facility was found to be in substantial compliance with the Health portion of Medicare/Medicaid regulations. The complaint investigated was found unsubstantiated.
Complaint Details
Complaint Intake Number GA00247526 was investigated and found unsubstantiated.
Inspection Report Life SafetyCensus: 73Capacity: 100Deficiencies: 1Jul 20, 2024
Visit Reason
The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.
Findings
The facility was found not in substantial compliance due to failure to have the sprinkler system green tagged on the last inspection. Seven of eight deficiencies identified in the sprinkler system inspection were corrected, but one spare head was still on order without an estimated time of arrival, resulting in a yellow tag status.
Deficiencies (1)
Description
Failure to have the sprinkler system green tagged on the last inspection due to one outstanding deficiency (spare head on order without ETA).
Report Facts
Deficiencies cited: 8Deficiencies corrected: 7
Employees Mentioned
Name
Title
Context
Staff M
Confirmed findings during facility tour on 7/20/2024
An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints identified by their codes GA00244746, GA00242906, GA00240325, GA00239359, and GA00236855.
Findings
The complaints investigated were unsubstantiated and no deficiencies were cited related to these complaints.
Complaint Details
Complaints GA00244746, GA00242906, GA00240325, GA00239359, and GA00236855 were investigated and found to be unsubstantiated.
A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey investigating complaints #GA00233410, #GA00233303, and #GA00232110 was conducted from April 25, 2023 to April 27, 2023.
Findings
The complaints were unsubstantiated and no regulatory violations were cited. The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Complaint Details
Complaints #GA00233410, #GA00233303, and #GA00232110 were investigated and found to be unsubstantiated.
A standard survey was conducted from September 13 through September 15, 2022, including investigation of multiple complaint intake numbers in conjunction with the standard survey.
Findings
The standard survey revealed that the facility was in compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities.
Complaint Details
Complaint Intake Numbers GA00217500, GA00217589, GA00222872, GA00224220, and GA00222945 were investigated in conjunction with the standard survey.
Inspection Report Life SafetyCensus: 68Capacity: 100Deficiencies: 1Sep 13, 2022
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.
Findings
The facility was found not in substantial compliance due to failure to label electrical panel boxes in the B side boiler room, affecting one of five smoke compartments. The Emergency Preparedness Program was found compliant.
Severity Breakdown
E: 1
Deficiencies (1)
Description
Severity
Failure to label panel boxes in the B side boiler room electrical panels 2 and 3.
A COVID-19 Focused Infection Control Survey and an Abbreviated/Partial Extended Survey investigating complaint GA00211380 were conducted from 1/26/2021 to 1/28/2021.
Findings
The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint was unsubstantiated with no deficiencies identified.
Complaint Details
Complaint GA00211380 was investigated and found to be unsubstantiated with no deficiencies.
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR §483.80 infection control regulations and has implemented the recommended practices to prepare for COVID-19.
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations for COVID-19.
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted on August 4-5, 2020 by Ascellon on behalf of the Georgia Department of Community Health.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and has implemented the recommended practices to prepare for COVID-19.
A revisit survey was conducted to verify correction of deficiencies cited during the 8/29/19 Standard Survey.
Findings
All deficiencies cited as a result of the 8/29/19 Standard Survey were found to be corrected during the revisit survey.
Inspection Report Life SafetyCensus: 77Capacity: 100Deficiencies: 0Aug 27, 2019
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found in compliance with the Life Safety Code requirements and the Emergency Preparedness plan was also in compliance with Appendix Z.
Standard survey conducted from July 30, 2018, through August 2, 2018, including investigation of Complaint #GA00189996.
Findings
The facility was found to be in compliance with the Health portion of Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.
Complaint Details
Complaint #GA00189996 was investigated during the standard survey.
Report Facts
Resident census: 68
Inspection Report Life SafetyCensus: 69Capacity: 100Deficiencies: 1Aug 1, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance due to failure to maintain gasoline outside the building. A gasoline-powered pressure washer with fuel was observed inside the laundry room, posing a fire risk to residents and staff.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility failed to maintain gasoline outside the building; gasoline-powered pressure washer with fuel was located inside the laundry room.
SS= D
Report Facts
Census: 69Total Capacity: 100
Employees Mentioned
Name
Title
Context
Staff M
Confirmed observation of gasoline-powered pressure washer inside laundry room
An abbreviated survey was conducted to investigate complaint GA00186089 at the facility.
Findings
The facility was found to be in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.
Complaint Details
Investigation of complaint GA00186089; facility found in substantial compliance.
A standard survey was conducted at The Place at Martinez from September 5, 2017 through September 7, 2017 to assess compliance with Medicare/Medicaid regulations.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 43, Subpart B-Requirements for Long Term Care Facilities.
Inspection Report Life SafetyCensus: 77Capacity: 100Deficiencies: 6Sep 7, 2017
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance with fire safety requirements, including failures in maintaining door closers, fire alarm system testing and maintenance, sprinkler system clearance, fire and smoke wall integrity, electrical wiring, and emergency lighting.
Severity Breakdown
D: 2E: 4
Deficiencies (6)
Description
Severity
Kitchen door leading to pantry was missing its door closer.
D
Fire alarm system was not properly maintained: sensitivity testing of smoke alarms not documented, annual fire alarm testing certification not completed, and fire alarm batteries marked with install dates instead of manufacturer dates.
E
Facility failed to maintain clearance around Fire Department Connections (FDCs) due to overgrown bushes.
E
Facility failed to maintain fire and smoke walls free of open penetrations, properly sealed with rated materials, and sealed to deck.
E
Electrical wiring was improperly maintained: spliced wiring inside fire alarm panel and electrical panel not completely labeled.
D
Facility failed to maintain emergency lighting; emergency light in medication room at A station did not work when manually tested.
E
Report Facts
Residents at risk: 77Certified beds: 100
Employees Mentioned
Name
Title
Context
Staff M
Staff member who confirmed findings during the tour and interviews
An unannounced abbreviated survey was conducted to investigate complaint GA00177330.
Findings
The facility was found to be in substantial compliance with 42 CFR, part 483, Subpart B, requirements for Long Term Care Facilities. The complaint GA00177330 was unsubstantiated with no deficiencies.
Complaint Details
Complaint GA00177330 was investigated and found to be unsubstantiated with no deficiencies.
The inspection was conducted to investigate complaint #GA 00175040 and determine compliance with Federal and State Long Term regulations for Long Term Care Facilities.
Findings
No deficiencies were cited during the complaint survey.
Complaint Details
Complaint #GA 00175040 was investigated and found to have no deficiencies.