Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 14, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA00252326, with the investigation beginning on 2025-01-07 and completed on 2025-01-14.
Findings
There were no rule violations cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00252326 was conducted with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 10, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240086.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00240086 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 27, 2023
Visit Reason
The visit was conducted to investigate intake #GA00235519 with an onsite visit made on 6/27/23. The investigation started on 6/27/23 and was completed on 7/27/23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00235519 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 29, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00221033 and #GA00220830. An on-site visit was made to the facility on 2022-02-11, with the inspection starting on 2022-02-11 and completing on 2022-03-28.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intakes #GA00221033 and #GA00220830 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 13, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00219639 and intake #GA00219701.
Findings
No rule violations were cited during the inspection completed on 12/17/21.
Complaint Details
The visit was complaint-related, investigating two intakes (#GA00219639 and #GA00219701). No violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 7, 2021
Visit Reason
The inspection was conducted to investigate intake #GA00216294, starting on 2021-08-23 and completed on 2021-10-07.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00216294 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 27, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake complaints #GA00215461, GA00215321, GA00214918, and GA00216713 with an on-site visit made to the facility on 6/27/21.
Findings
The facility failed to ensure each resident received adequate and appropriate care in compliance with state law and regulations. Specifically, a medication error occurred where Staff B administered an extra dose of Seroquel 25 mg to Resident #4, who did not sustain injury. Disciplinary action was taken against Staff B, including removal and retraining.
Complaint Details
Investigation was complaint-related, initiated by multiple intake complaints. The medication error was substantiated with disciplinary action taken against Staff B.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident received care and services which were adequate, appropriate, and in compliance with state law and regulations, including a medication error involving an extra dose of Seroquel 25 mg to Resident #4. | D |
Report Facts
Medication dose: 25
Date of incident report: Apr 21, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Administered extra dose of medication, removed from position, and retrained | |
| Staff A | Reported medication error and disciplinary action taken |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 27, 2020
Visit Reason
The inspection was conducted to investigate intake #GA00208671.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00208671 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 23, 2020
Visit Reason
The visit was conducted to investigate intake #GA00207578, initiated on 2020-09-07 and completed on 2020-09-23.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00207578 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 9, 2020
Visit Reason
The visit was conducted to investigate intake #GA00205429 with an onsite visit on 6/9/2020 and investigation completion on 6/10/2020.
Findings
No violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00205429; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 22, 2020
Visit Reason
The inspection was conducted to investigate self-reported incidents #GA00204039 and #GA00204065 involving a resident eloping from the assisted living community.
Findings
The assisted living community failed to provide adequate protective care and watchful oversight for one resident who eloped from the facility. Additionally, the facility failed to notify the local police within 30 minutes of learning the resident was missing, violating the Mattie's Call Act.
Complaint Details
The investigation was triggered by a complaint regarding Resident #1 eloping from the facility on 3/28/20. The resident was found by police at a local grocery store with no apparent injuries. The facility delayed notifying police until approximately 8:30 a.m., despite staff knowing the resident was missing since 7:35 a.m.
Severity Breakdown
J: 1
D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide protective care and watchful oversight for Resident #1 who eloped off the property. | J |
| Failed to call the local police department within 30 minutes of staff receiving actual knowledge that Resident #1 was missing, violating the Mattie's Call Act. | D |
Report Facts
Incident report time: 7.35
Police report time: 8.21
Resident last seen time: 23.35
Resident elopement time: 2.25
Temperature high: 87
Temperature low: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 elopement and observations | |
| Staff B | Med Tech | Interviewed about shift during Resident #1 elopement and interactions |
| Staff E | Interviewed about night shift and training status during elopement | |
| Staff F | Wrote charting notes about Resident #1 missing | |
| Staff C | Last staff to see Resident #1 before elopement | |
| Staff G | Called police after Resident #1 was found missing | |
| AA | Interviewed about Resident #1 elopement and observations |
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
Complaint Investigation
Deficiencies: 0
Oct 25, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00200109.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00200109; no rule violations were found.
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