Inspection Reports for The Place at Martinez
409 PLEASANT HOME ROAD, GA, 30907
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Life Safety
Deficiencies: 0
Aug 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.
Inspection Report
Renewal
Deficiencies: 0
Jul 21, 2024
Visit Reason
The inspection was conducted as a State Licensure survey to determine compliance with the State Long Term Care Requirements.
Findings
No State Health deficiencies were cited during the survey conducted from July 19 through July 21, 2024.
Inspection Report
Routine
Census: 73
Deficiencies: 0
Jul 21, 2024
Visit Reason
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 Safety
Census: 73
Capacity: 100
Deficiencies: 1
Jul 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: 8
Deficiencies corrected: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour on 7/20/2024 |
Inspection Report
Abbreviated Survey
Census: 78
Deficiencies: 0
May 22, 2024
Visit Reason
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.
Report Facts
Complaints investigated: 5
Inspection Report
Abbreviated Survey
Census: 86
Deficiencies: 0
Apr 27, 2023
Visit Reason
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.
Report Facts
Total census: 86
Inspection Report
Follow-Up
Deficiencies: 0
Oct 28, 2022
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 15, 2022
Visit Reason
A State Licensure survey was conducted from September 13, 2022 through September 15, 2022 to assess compliance with state licensure requirements.
Findings
The inspection found no deficiencies; the facility was in compliance with all applicable regulations.
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 0
Sep 15, 2022
Visit Reason
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 Safety
Census: 68
Capacity: 100
Deficiencies: 1
Sep 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. | E |
Report Facts
Census: 68
Total Capacity: 100
Smoke Compartments: 5
Inspection Report
Abbreviated Survey
Census: 61
Deficiencies: 0
Aug 11, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00216704.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA00216704 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Facility census: 61
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 19, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA002121095.
Findings
The complaint was unsubstantiated and no deficiencies were cited during the survey.
Complaint Details
Complaint #GA002121095 was investigated and found to be unsubstantiated with no deficiencies cited.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Feb 19, 2021
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00212059 from 2/17/2021 to 2/19/2021.
Findings
The complaint was found to be unsubstantiated and no deficiencies were identified during the survey.
Complaint Details
Complaint GA00212059 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Census: 64
Deficiencies: 0
Jan 28, 2021
Visit Reason
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.
Report Facts
Facility census: 64
Inspection Report
Abbreviated Survey
Deficiencies: 0
Nov 12, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints #GA00207336 and #GA00207597.
Findings
The complaints #GA00207336 and #GA00207597 were unsubstantiated and no regulatory violations were cited.
Complaint Details
Complaints #GA00207336 and #GA00207597 were investigated and found to be unsubstantiated.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Oct 14, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00208643.
Findings
The complaint was unsubstantiated and no regulatory violations were cited during the survey.
Complaint Details
Complaint #GA00208643 was investigated and found to be unsubstantiated.
Inspection Report
Routine
Census: 51
Deficiencies: 0
Sep 22, 2020
Visit Reason
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.
Inspection Report
Routine
Census: 50
Deficiencies: 0
Aug 26, 2020
Visit Reason
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.
Inspection Report
Abbreviated Survey
Census: 66
Deficiencies: 0
Aug 5, 2020
Visit Reason
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.
Report Facts
Total census: 66
Inspection Report
Routine
Census: 72
Deficiencies: 0
Jul 16, 2020
Visit Reason
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.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Feb 24, 2020
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaints GA00202857 and GA00202855.
Findings
The complaints were unsubstantiated and no deficiencies were found during the survey.
Complaint Details
The survey investigated complaints GA00202857 and GA00202855, both of which were found to be unsubstantiated.
Inspection Report
Re-Inspection
Deficiencies: 0
Sep 30, 2019
Visit Reason
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 Safety
Census: 77
Capacity: 100
Deficiencies: 0
Aug 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.
Report Facts
Certified beds: 100
Census: 77
Inspection Report
Complaint Investigation
Deficiencies: 0
May 1, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00196207.
Findings
The complaint was unsubstantiated and no deficiencies were found during the investigation.
Complaint Details
Complaint GA00196207 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jan 17, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00193964.
Findings
The complaint was unsubstantiated and no deficiencies were found during the survey.
Complaint Details
Complaint GA00193964 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Dec 4, 2018
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00193219.
Findings
The complaint was unsubstantiated and no deficiencies were found during the survey.
Complaint Details
Complaint GA00193219 was investigated and found to be unsubstantiated with no deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Sep 14, 2018
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected at the time of the follow-up survey.
Inspection Report
Routine
Census: 68
Deficiencies: 0
Aug 2, 2018
Visit Reason
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 Safety
Census: 69
Capacity: 100
Deficiencies: 1
Aug 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: 69
Total Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed observation of gasoline-powered pressure washer inside laundry room |
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 22, 2018
Visit Reason
An abbreviated survey was conducted at The Place at Martinez on 5/21 and 5/22 to investigate Complaint Intake Number GA00188574.
Findings
Based on findings, no deficiencies were cited during the abbreviated survey.
Complaint Details
Investigation of Complaint Intake Number GA00188574; no deficiencies were cited.
Inspection Report
Abbreviated Survey
Census: 76
Deficiencies: 0
Mar 27, 2018
Visit Reason
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.
Inspection Report
Follow-Up
Deficiencies: 0
Nov 9, 2017
Visit Reason
A Follow-Up Survey was conducted to verify that all previously cited survey tags had been corrected.
Findings
The surveyor noted that all previously cited deficiencies had been corrected.
Inspection Report
Routine
Census: 79
Deficiencies: 0
Sep 7, 2017
Visit Reason
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 Safety
Census: 77
Capacity: 100
Deficiencies: 6
Sep 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: 2
E: 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: 77
Certified beds: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Staff member who confirmed findings during the tour and interviews |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 21, 2017
Visit Reason
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.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jun 8, 2017
Visit Reason
An unannounced abbreviated survey was conducted to investigate complaints GA00175767 at The Place at Martinez.
Findings
The facility was found to be in substantial compliance with 42 CFR, Part 483, Subpart B, Requirements for long term care facilities.
Complaint Details
Investigation of complaints GA00175767; facility found in substantial compliance.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 24, 2017
Visit Reason
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.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 25, 2017
Visit Reason
An Abbreviated Survey was conducted to investigate complaint GA00171813.
Findings
The complaint was not substantiated and no deficiencies were cited.
Complaint Details
Complaint GA00171813 was investigated and found not substantiated.
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