Inspection Reports for The Retreat at Canton
3333 E Cherokee Dr, Canton, GA 30115, United States, GA, 30115
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 22, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001986 with an on-site visit conducted on 4/22/25 and completed on 5/05/25.
Findings
No rules violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA50001986 found no rules violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 24, 2024
Visit Reason
The purpose of the visit was to investigate allegation intake GA00252515.
Findings
No rule regulations were cited as a result of this investigation.
Complaint Details
Investigation of allegation intake GA00252515 with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 3, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes # GA00249124 and GA00249318.
Findings
The inspection was conducted from 10/03/2024 to 10/31/2024, and no rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint intakes # GA00249124 and GA00249318 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 5, 2024
Visit Reason
The purpose of this visit was to investigate allegation intake GA00245413.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of allegation intake GA00245413 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 31, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00248653 and GA00248632.
Findings
There were no rule violations cited as a result of this survey.
Complaint Details
Investigation was conducted for two intakes; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 17, 2024
Visit Reason
The purpose of this visit was to investigate allegation intake GA00247740.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of allegation intake GA00247740 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 9, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244612 and GA00244846.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation started on 2024-03-28, on-site visit was made on 2024-04-09 and completed on 2024-04-30. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 29, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00238139 and #GA00238447.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00238139 and #GA00238447 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 4, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00231038.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00231038 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 24, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA00225166.
Findings
No rule violations were cited as a result of the investigation.
Complaint Details
Investigation was conducted on 8/24/22 and completed on 8/30/22 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 22, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00224034.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2022-05-16 and completed on 2022-07-13. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 11, 2022
Visit Reason
The purpose of this visit was to investigate intake GA00222607.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2022-04-11, on-site visit was made on 2022-04-11, and completed on 2022-05-11.
Inspection Report
Renewal
Deficiencies: 0
Feb 28, 2022
Visit Reason
The visit was conducted to investigate intake #GA00221389 and #GA00221205 and to conduct the re-licensure inspection of the facility.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 26, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00220565, GA00220568, GA00220289.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2022-01-21, on-site visit was made on 2022-01-26, and it was completed on 2022-02-18. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 16, 2021
Visit Reason
The purpose of this visit was to investigate intake GA00218540.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 11/16/21, on-site visit was made on 11/16/21 and it was completed on 11/22/21.
Inspection Report
Complaint Investigation
Deficiencies: 4
Apr 6, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00212727, which was started on 2021-03-25 and completed on 2021-04-06.
Findings
The facility failed to implement policies and procedures to ensure the safety of residents at risk of elopement, specifically Resident #1 who eloped from the facility on 2021-03-06. The facility lacked alarms on exit doors, did not have a current photo of the resident in the emergency binder, and failed to conduct a specific elopement risk assessment. Staff interviews and record reviews confirmed these deficiencies and the resident was found outside the facility and taken to a hospital.
Complaint Details
The investigation was initiated due to intake #GA00212727 regarding Resident #1 eloping from the facility on 2021-03-06. The complaint was substantiated based on observations, record reviews, interviews, and law enforcement reports confirming the resident left the facility unaccompanied and was found by a passing driver and taken to a hospital.
Severity Breakdown
J: 3
D: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to implement policies, procedures, and practices supporting dignity, respect, choice, independence, and privacy for Resident #1, who eloped from the facility. | J |
| Failed to utilize appropriate effective safety devices to protect residents at risk of eloping; exit doors lacked alarms or alerts. | J |
| Failed to retain current pictures of residents at risk of elopement on file for Resident #1. | D |
| Failed to ensure each resident received adequate and appropriate care and services in compliance with state law for Resident #1. | J |
Report Facts
Resident sample size: 5
Resident #1 admission date: Mar 3, 2021
Temperature at time of elopement: 49
Distance from facility: 0.2
Time of elopement: 331
Time law enforcement notified: 350
Time family member picked up resident: 630
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding lack of elopement risk assessment and oversight of resident safety | |
| Staff B | Interviewed regarding perimeter door locking and resident behavior before elopement | |
| Staff C | Interviewed regarding resident behavior and discovery of elopement | |
| Staff D | Interviewed regarding search efforts and door alarms | |
| Staff G | Interviewed regarding door locking and video monitoring | |
| AA | Interviewed regarding resident placement and door locking times |
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 30, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00208784, which involved allegations of abuse and failure to provide adequate care to Resident #3.
Findings
The facility failed to implement policies and procedures to protect Resident #3 from abuse and failed to provide adequate care after the resident fell. Staff B was observed on security footage forcibly removing his/her arm from Resident #3, causing the resident to fall and sustain injuries. Staff B failed to immediately assist the resident and did not report the incident as required. Staff B was arrested for aggravated battery and elder abuse. Multiple staff interviews confirmed failures in reporting and care.
Complaint Details
The investigation was initiated due to a complaint alleging that Resident #3 was pushed by a staff member (Staff B), causing a fall and injury. Law enforcement was involved, and Staff B was arrested for aggravated battery and elder abuse. The complaint was substantiated based on interviews, incident reports, security footage, and medical records.
Severity Breakdown
SS=J: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to implement policies and procedures supporting dignity, respect, and safety of residents, resulting in abuse of Resident #3. | SS=J |
| Failure to ensure each resident received adequate and appropriate care, including failure to assist Resident #3 after a fall. | SS=J |
| Failure to ensure each resident was free from abuse, with substantiated abuse of Resident #3 by Staff B. | SS=J |
Report Facts
Date survey completed: Oct 30, 2020
Incident report date: Oct 6, 2020
Incident date: Oct 2, 2020
Arrest date: Oct 6, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in abuse and neglect findings; observed on security footage causing Resident #3 to fall and failing to assist or report the incident; arrested for aggravated battery and elder abuse. | |
| Staff A | Interviewed regarding incident awareness and reporting failures; reviewed security footage. | |
| Staff C | Interviewed; worked with Staff B during incident shift; attempted to assist Resident #3 after fall. | |
| Staff D | Interviewed; on duty during incident; not notified by Staff B of incident. | |
| Staff E | Interviewed; observed Resident #3 post-incident with injuries; called 911 and completed incident report. | |
| FF | Interviewed; spoke with Resident #3 who reported being pushed by staff; noted injuries consistent with abuse. |
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 Cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and assessing the infection control process at the facility.
Inspection Report
Original Licensing
Deficiencies: 0
Jan 16, 2020
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
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