Inspection Reports for Tranquility of Cartersville
60 MASSELL DR SE, CARTERSVILLE, GA, 30121
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 16, 2021, found no deficiencies. Earlier inspections showed some issues, including failures to investigate and report serious resident injuries and lapses in staff CPR training. Prior reports noted problems with timely incident investigations and reporting to the Department, primarily related to resident safety and staff competency. Complaint investigations in 2020 substantiated concerns about the facility’s handling of serious incidents involving residents. The inspection history suggests improvement over time, with the latest inspection showing no cited violations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 0
Date: Apr 16, 2021
Visit Reason
The purpose of this visit was to conduct a change of ownership inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 12, 2020
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00204707 and GA00204708, with the investigation beginning on 2020-05-04 and completed on 2020-05-12.
Complaint Details
The investigation was complaint-driven based on intake numbers GA00204707 and GA00204708. The facility was found noncompliant in investigating and reporting serious incidents involving residents.
Findings
The facility failed to investigate serious incidents involving residents resulting in injuries or death, failed to ensure immediate investigation of accidents or injuries, and failed to report serious injuries to the Department within 24 hours for sampled residents. Specific deficiencies involved Resident #1's uninvestigated bruise and Resident #3's delayed reporting of a fractured wrist.
Deficiencies (3)
Failed to investigate serious incidents involving residents resulting in injuries or death for Resident #1.
Failed to ensure immediate investigation of circumstances associated with an accident or injury for Resident #1.
Failed to report a serious injury to the Department within 24 hours for Resident #3.
Report Facts
Sampled residents: 9
Incident report delay days: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who failed to investigate Resident #1's bruise and delayed reporting Resident #3's injury |
Inspection Report
Monitoring
Deficiencies: 0
Date: 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
Routine
Deficiencies: 4
Date: Dec 20, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection of the personal care home.
Findings
The facility failed to investigate serious incidents involving residents that resulted in injuries, failed to ensure staff received proper CPR training with return demonstration of competency, failed to conduct immediate investigations of resident injuries, and failed to report a serious injury requiring medical treatment to the Department.
Deficiencies (4)
The administrator failed to investigate serious incidents involving residents resulting in injuries for 2 of 6 sampled residents.
The facility failed to ensure staff received current CPR certification with return demonstration of competency for 2 of 5 staff.
The administrator or on-site manager failed to conduct an immediate investigation of an injury involving a resident and retain the investigative review for quality assurance for 1 of 6 residents.
The facility failed to report a serious injury requiring medical treatment to the Department for 1 of 6 sampled residents.
Report Facts
Sampled residents: 6
Staff reviewed for CPR training: 5
Staff failed CPR competency: 2
Incident dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding incident investigations and reporting | |
| Staff B | Observed blood running down leg of Resident #1 on 3/6/19 | |
| Staff F | Found Resident #1 on floor with skin tear and hip fracture on 8/14/19; observed bruise on Resident #2 on 8/23/19 | |
| Staff C | Staff whose CPR training was online without return demonstration | |
| Staff D | Staff whose CPR training was online without return demonstration | |
| AA | Interviewed by telephone regarding Resident #1's history and death |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 7, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection.
Findings
No violations were cited as a result of this inspection.
Viewing
Loading inspection reports...
