Inspection Reports for The Retreat at Cascade
1001 Research Center Drive Atlanta SW, Atlanta, GA 30331, United States, GA, 30331
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 9, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed a mixed pattern, with some substantiated deficiencies related to resident care and documentation. Inspectors cited issues such as failure to provide appropriate care resulting in injuries during care attempts and missing signed medical orders for end-of-life care. Complaint investigations were mostly unsubstantiated except for these noted cases, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The trend suggests some improvement in recent months, as the latest inspections have not identified new deficiencies.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 9, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake GA 50005139. The inspection and investigation began on 2025-09-03 and ended on 2025-09-09, with an onsite visit conducted on 2025-09-09.
Findings
No rules were cited as a result of this inspection and investigation.
Complaint Details
Investigation of intake GA 50005139; no deficiencies or rule citations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 23, 2025
Visit Reason
The visit was conducted to investigate intake #GA50003330 as part of a complaint investigation.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA50003330; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 23, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001925. An unannounced visit was made on 4/23/25.
Findings
No rule violations were cited during the investigation.
Complaint Details
Investigation of intake #GA50001925 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 21, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50000695. An unannounced visit was made on 2025-02-18 and the inspection was completed on 2025-02-21.
Findings
The facility failed to provide appropriate care and services to Resident #1, who was refusing showers and became combative during care attempts, resulting in bruises and a skin tear. Staff intervened physically to prevent injury, and the administrator was notified and held a meeting with staff to resolve the issue.
Complaint Details
The visit was complaint-related, investigating intake #GA50000695 regarding Resident #1's refusal of showers and resulting injuries during care attempts. The complaint was substantiated by observations, record reviews, and staff interviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to provide care and services which were appropriate and in compliance with state regulations for Resident #1, evidenced by bruises and a skin tear sustained during care attempts. | SS= D |
Report Facts
Date of care plan: Nov 25, 2024
Date of progress note: Dec 27, 2024
Number of showers scheduled weekly: 2
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 31, 2024
Visit Reason
The purpose of this visit was to investigate intake numbers #GA50000086 and GA00252451.
Findings
The investigation was completed on 2025-01-30 with no rule violations cited as a result of this investigation.
Complaint Details
Investigation of complaint intake numbers #GA50000086 and GA00252451 resulted in no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 9, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes ##GA00250465 and GA00250665, with an on-site visit made on 10/9/2024 and the investigation completed on 10/23/2024.
Findings
The facility failed to ensure that each resident file included a signed medical order impacting end of life care, specifically a Do Not Resuscitate order was missing for 1 of 3 sampled residents (Resident #1).
Complaint Details
Investigation of complaint intakes ##GA00250465 and GA00250665. The investigation was substantiated by the finding that Resident #1's file lacked a Do Not Resuscitate order.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that each resident file included a signed medical order impacting end of life care, e.g. Do Not Resuscitate order for Resident #1. | D |
Report Facts
Sampled residents: 3
Resident #1 admission date: Feb 22, 2024
Loading inspection reports...
