The most recent inspection on March 27, 2025, was a complaint investigation that did not result in any cited deficiencies. Earlier inspections showed a generally clean record with isolated issues, including a deficiency in April 2024 related to a malfunctioning exit door that allowed a resident to elope, which was promptly repaired. Prior reports also noted a medication refill delay in 2021 that interrupted a resident’s treatment, but no enforcement actions or fines were listed in the available reports. Most complaint investigations were unsubstantiated, with only the two noted deficiencies related to safety devices and medication management. The inspection history suggests some past issues with resident safety and medication processes, but recent findings indicate improvement and resolution of those concerns.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to investigate Intake #GA00245023, with an on-site visit made on 04/10/2024 and the investigation completed on 05/16/2024.
Findings
The facility failed to have effective safety devices to prevent elopement for one sampled resident. Resident #1 eloped from the memory care unit on 03/21/2024 due to a malfunctioning double door exit that was not completely locked because of a faulty rubber piece. The door was repaired on 03/28/2024 and staff monitored the exit 24/7 until the repair was completed.
Complaint Details
Investigation was complaint-related based on Intake #GA00245023. Resident #1 eloped on 03/21/2024 and was returned without injury. The exit door malfunction was confirmed and repaired. Staff monitored the exit continuously until repair completion.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failed to have effective safety devices to prevent residents from eloping, evidenced by Resident #1 eloping from the memory care unit due to a malfunctioning double door exit.
SS= D
Report Facts
Date of elopement incident: Mar 21, 2024Date of repair completion: Mar 28, 2024Duration of staff monitoring: 7Distance to nearby bank: 1000
Employees Mentioned
Name
Title
Context
Staff A
Provided interview details regarding Resident #1 elopement and door malfunction
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00216478 and GA00217074, with an on-site visit made on 08/18/21.
Findings
The facility failed to ensure timely refills of prescribed medications, resulting in one resident (Resident #1) not receiving Vitamin D for five days due to a delay in obtaining the refill.
Complaint Details
Investigation was initiated based on intake #GA00216478 and GA00217074. The complaint was substantiated as the facility failed to obtain timely medication refills for Resident #1.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failed to ensure refills of prescribed medications were obtained timely, causing interruption in routine dosing for Resident #1.
SS= D
Report Facts
Days medication not administered: 5
Employees Mentioned
Name
Title
Context
Staff B
Confirmed during interview that Resident #1 did not receive Vitamin D for five days because refill was not obtained