Inspection Reports for The Reserve at Towne Lake
1962 EAGLE DRIVE, WOODSTOCK, GA, 30189
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 12, 2019, identified deficiencies related to resident care, including failure to protect residents from aggressive behavior, notify families of condition changes, investigate incidents, and report serious injuries and abuse. Earlier inspections showed additional issues such as insufficient staffing in the memory care unit, incomplete care plan reviews, medication administration errors, and a lack of required background checks for the Executive Director. Complaint investigations from 2019 were substantiated, confirming problems with resident safety and care practices. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The inspection history shows a pattern of recurring care and administrative deficiencies without clear improvement over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than Georgia average
Georgia average: 4.9 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Nov 12, 2019
Visit Reason
The purpose of this visit was to investigate complaint numbers #GA00200559 and GA00200837 regarding resident care and safety.
Complaint Details
The visit was complaint-related, investigating allegations of inadequate care, resident-to-resident aggression, failure to notify families, failure to investigate incidents, and failure to report serious injuries and abuse. The complaints were substantiated based on record reviews and staff interviews.
Findings
The facility failed to ensure residents received adequate and appropriate care, including failure to protect residents from aggressive behavior by others, failure to notify families of changes in resident conditions, failure to investigate incidents properly, and failure to report serious injuries and abuse to the Department and law enforcement.
Deficiencies (5)
Failure to provide protective care to residents who were slapped, hit, attacked, pushed, and had objects thrown at them.
Failure to notify resident's next of kin/legal representative related to a change in the resident's condition.
Failure to initiate immediate investigation of the cause of an accident, injury, or death involving a resident.
Failure to report all serious injuries requiring medical attention to the Department.
Failure to report allegations of rape, assault, battery, abuse, neglect, or exploitation of a resident to the Department and law enforcement.
Report Facts
Incident dates: 7
Serious injury date: 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who confirmed failures in notification, investigation, and reporting of incidents |
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 4
Date: Aug 15, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake #GA00198626 and GA00198601.
Complaint Details
The inspection was conducted to investigate complaint intakes #GA00198626 and GA00198601.
Findings
The facility failed to obtain a satisfactory fingerprint records check for the Executive Director prior to service, had insufficient staffing to meet residents' needs in a memory care setting, failed to review and update individual written care plans quarterly for sampled residents, and failed to administer medications as ordered to all sampled residents.
Deficiencies (4)
Failed to obtain a satisfactory fingerprint records check for the Executive Director prior to serving in that position.
Failed to have sufficient staff on duty at all times to meet the needs of the residents in a memory care facility.
Failed to ensure that the written care plan (ISP) was reviewed at least quarterly and modified as changes in the resident's needs occur for 6 of 6 residents sampled.
Failed to provide medications as ordered by the physician to 6 of 6 sampled residents.
Report Facts
Facility census: 24
Staff per shift: 4
Residents needing spoon-feeding: 7
Residents sampled for ISP review: 6
Residents sampled for medication administration: 6
Minutes waited for dinner: 22
Minutes waited for dinner: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Named in deficiency for failure to obtain fingerprint records check and medication administration issues. |
| BB | Staff interviewed regarding insufficient staffing and resident care needs. | |
| AA | Family member interviewed about feeding residents and staffing shortages. | |
| CC | Staff interviewed about staffing shortages and resident care needs. | |
| DD | Staff interviewed about staffing and resident supervision. | |
| EE | Certified Medication Aide (CMA) | Staff interviewed about staffing and resident feeding needs. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 15, 2017
Visit Reason
The purpose of this visit was to investigate complaint Intake # GA 00178194 and complete an annual inspection.
Complaint Details
Complaint Intake # GA 00178194 was investigated during this visit.
Findings
No rule violations were cited as a result of this inspection.
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