Inspection Reports for The Retreat at Cascade
1001 Research Center Drive Atlanta SW, Atlanta, GA 30331, United States, GA, 30331
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
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...
