The most recent inspection on October 1, 2025, was a complaint investigation that found no deficiencies. Earlier inspections generally showed no deficiencies, with one substantiated complaint in January 2021 involving inadequate supervision and safety measures for a resident with Alzheimer’s who eloped but was unharmed. The main issues cited at that time related to oversight, resident supervision, and use of safety devices for at-risk residents. Complaint investigations since then have been unsubstantiated, and no fines, enforcement actions, or license issues were listed in the available reports. The facility’s inspection record shows improvement following the 2021 findings, with no further deficiencies noted in recent years.
Deficiencies (last 6 years)
Deficiencies (over 6 years)0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this inspection was to investigate intake GA00210217, which began on 2020-12-15 and was completed on 2021-01-28.
Findings
No rule violations were cited as a result of this inspection. The facility failed to provide adequate supervision for Resident #1, who has Alzheimer's dementia and eloped from the facility on 2020-12-02. The resident was found unharmed after being missing for approximately one hour. The facility did not utilize appropriate safety measures to protect residents at risk of eloping.
Complaint Details
The investigation was complaint-related, focusing on Resident #1 who eloped from the facility on 2020-12-02. The complaint was substantiated by findings that the resident was unsupervised during daily walks despite a diagnosis of Alzheimer's dementia and a service plan advising staff escort.
Severity Breakdown
D: 3
Deficiencies (3)
Description
Severity
The governing body failed to provide oversight to ensure compliance with applicable regulations.
D
The facility failed to provide supervision consistent with the needs of Resident #1, who eloped from the facility.
D
The facility failed to utilize appropriate effective safety devices to protect residents at risk of eloping.
D
Report Facts
Date of police incident report: Dec 2, 2020Resident admission date: Apr 1, 2020Service plan date: Nov 18, 2020
Employees Mentioned
Name
Title
Context
Staff A mentioned in relation to Resident #1 elopement and supervision issues; no full name provided.