The most recent inspection on May 7, 2025, found no deficiencies. Earlier inspections showed a mixed record with some deficiencies related mainly to medication administration documentation, staff certifications and training, and resident care practices. Complaint investigations occasionally substantiated issues such as missing medication records, incomplete staff training, and lapses in resident safety and fire drill documentation, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaint investigations were unsubstantiated, and no enforcement actions were noted. The facility’s inspection history suggests some improvement over time, with the most recent inspections showing no cited violations.
Deficiencies (last 7 years)
Deficiencies (over 7 years)2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
A visit was made to the facility on 6/24/24 to investigate complaint intake numbers GA 00246767 and GA00247095.
Findings
The facility failed to ensure that staff updated the Medication Administration Record (MAR) each time medication was offered or taken for 1 of 2 sampled residents. Specifically, on May 15, 2024, the MAR was not updated to reflect why Resident #1's Trulicity medication was not offered or taken.
Complaint Details
Investigation was conducted based on complaint intake #GA 00246767 and #GA00247095. The deficiency involved failure to update MAR for medication administration for Resident #1.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Failure to update the Medication Administration Record (MAR) each time medication was offered or taken for Resident #1 on May 15, 2024.
D
Report Facts
Deficiencies cited: 1Date of medication record: May 15, 2024Date of in-service training: Aug 30, 2023
Employees Mentioned
Name
Title
Context
Staff A
Interviewed regarding medication administration documentation and training
The purpose of this visit was to investigate intake #GA00236903 with an on-site visit made on 8/1/23, and the investigation completed on 8/4/23.
Findings
The facility failed to have evidence of recertifications for 1 of 3 sampled staff, specifically missing current First Aid and CPR documentation. Additionally, the facility failed to comply with fire and safety rules due to lack of documented fire drills as required.
Complaint Details
Investigation was initiated due to intake #GA00236903. The complaint was substantiated based on findings of missing staff certifications and fire drill documentation.
Severity Breakdown
D: 3
Deficiencies (3)
Description
Severity
Facility failed to have evidence of current First Aid certification for Staff A.
D
Facility failed to have evidence of current Cardiopulmonary Resuscitation (CPR) certification for Staff A.
D
Facility failed to have documented fire drills as required by fire and safety rules.
D
Report Facts
Number of sampled staff reviewed: 3Date of fire drill review: Aug 1, 2023
Employees Mentioned
Name
Title
Context
Staff A
Named in findings for missing First Aid and CPR certification and fire drill interview
The purpose of this visit was to investigate complaint intakes #GA00221528 and #GA00221535.
Findings
The facility failed to ensure that each resident was provided care and services which were adequate, appropriate, and in compliance with state law and regulations. Specifically, Resident #1 was found on the bathroom floor without assistive devices nearby and was not wearing the emergency call pendant, leading to an EMS transport for evaluation.
Complaint Details
The visit was complaint-related, investigating intake #GA00221528 and #GA00221535. The complaint was substantiated based on findings related to Resident #1's care and safety.
Severity Breakdown
D: 1
Deficiencies (1)
Description
Severity
Failure to ensure adequate care and services for Resident #1, who was found on the bathroom floor without assistive devices and not wearing the emergency call pendant.
The purpose of this visit was to conduct a compliance inspection and to investigate intake #GA00214425, with an onsite visit made on 6/3/21 and the investigation completed on 7/26/21.
Findings
The facility failed to ensure sufficient staff time to provide prescribed services, treatments, medications, and diet for one of three sampled residents (Resident #1). Additionally, staff did not consistently use the written care plan as a guide for care delivery, and medications were not stored securely under lock and key at all times in the memory care unit.
Complaint Details
Investigation was initiated due to intake #GA00214425. The complaint was substantiated based on findings of insufficient staffing, failure to follow care plans, and improper medication storage.
Severity Breakdown
SS= D: 3
Deficiencies (3)
Description
Severity
Failed to ensure sufficient staff time was provided so each resident received prescribed services, treatments, medications, and diet (Resident #1).
SS= D
Failed to require staff to use the written care plan as a guide for delivery of care and services (Resident #1).
SS= D
Failed to store medications securely under lock and key at all times in the memory care unit.
SS= D
Report Facts
Number of sampled residents with deficiencies: 1Dates of investigation: Investigation started on 2021-06-02 and completed on 2021-07-26.Medication storage issues: 5
The purpose of this visit was to investigate intake #GA00212068, with the investigation started on 2021-02-23 and completed on 2021-02-26.
Findings
The administrator or on-site manager failed to ensure that staff working in the assisted living community received required training within the first 60 days of employment in multiple areas including residents' rights, abuse identification and reporting, infection control, emergency preparedness, medical and social needs of residents, and job-specific duties for 5 to 6 of 6 sampled staff. Training records were missing or not located due to new administration.
Complaint Details
Investigation of intake #GA00212068 regarding staff training compliance. The investigation was substantiated by findings of missing or incomplete training records for multiple required training areas for 5 to 6 of 6 sampled staff.
Severity Breakdown
SS= D: 6
Deficiencies (6)
Description
Severity
Failure to ensure staff received training within the first 60 days on residents' rights and identification of abuse, neglect, or exploitation.
SS= D
Failure to ensure staff received training within the first 60 days on general infection control principles.
SS= D
Failure to ensure staff received training within the first 60 days on emergency preparedness.
SS= D
Failure to ensure staff received training within the first 60 days on medical and social needs and characteristics of the resident population, including dementia care.
SS= D
Failure to ensure staff received training within the first 60 days on residents' rights and provision of individualized and helpful care.
SS= D
Failure to ensure staff received training within the first 60 days on job-specific duties including assistance with medications, transferring, ambulation, food preparation, and dementia-related behaviors.
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and assessing the facility's infection control processes; no specific deficiencies or findings are detailed.