The most recent inspection on September 18, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed a mixed record with some deficiencies related to resident oversight, such as a resident leaving unsupervised in January 2025, and an overcapacity issue in November 2023. Prior reports also cited failures in protective care and reporting related to a financial exploitation case in February 2021. Most complaint investigations were unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows some recurring themes around resident oversight and compliance, but recent inspections indicate improvement with no deficiencies noted in the latest visits.
Deficiencies (last 8 years)
Deficiencies (over 8 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of the visit was to investigate intake #GA00252776 and to conduct a compliance inspection at the assisted living facility.
Findings
The facility failed to provide protective care and watchful oversight for one of three sampled residents, as evidenced by Resident #2 leaving the facility unsupervised and being found 0.5 miles away. Staff retrieved the resident and returned them to the facility.
Complaint Details
The visit was complaint-related, investigating intake #GA00252776. The complaint was substantiated by findings that Resident #2 left the facility unsupervised.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Failure to provide protective care and watchful oversight meeting the needs of residents, specifically Resident #2 who left the facility unsupervised.
SS= D
Report Facts
Distance Resident #2 was located from facility: 0.5Date of internal incident report: Nov 16, 2024
Employees Mentioned
Name
Title
Context
Staff C
Staff member who retrieved Resident #2 after the resident left the facility.
The purpose of this visit was to investigate intake #GA00240056. An onsite visit was made to the facility on 11/8/23 as part of the investigation started on 11/6/23 and completed on 11/9/23.
Findings
The facility was found to be serving more residents than its approved licensed capacity. Specifically, the posted permit showed a capacity of 18 for memory care, but the census showed 19 residents in memory care. Staff acknowledged the overcapacity and stated it would be corrected.
Complaint Details
Investigation was initiated due to intake #GA00240056. The visit was complaint-related and focused on verifying the reported overcapacity issue.
Severity Breakdown
SS= D: 1
Deficiencies (1)
Description
Severity
Facility was serving more residents than its approved licensed capacity of 18, with 19 residents in memory care.
SS= D
Report Facts
Residents in memory care: 19Licensed capacity: 18
Employees Mentioned
Name
Title
Context
Staff A interviewed regarding resident census and overcapacity issue
The purpose of this visit was to investigate intake GA00218382 and GA00218781 with an onsite visit made to the facility on 11/9/21. The investigation started on 11/8/21 and was completed on 11/17/21.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes GA00218382 and GA00218781 found no rule violations.
The visit was conducted to investigate intake #GA00216555, with the investigation starting on 2021-09-15 and completing on 2021-09-16, including an onsite visit on 2021-09-15.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00216555 was completed with no rule violations found.
The purpose of this visit was to investigate complaint intakes #GA00210696 and GA00211305, starting on 2021-01-25 and completed on 2021-02-03.
Findings
The facility failed to provide oversight to ensure compliance with licensing and enforcement rules, failed to protect Resident #1 from financial exploitation by a staff member who stole and forged a $3,000 check, failed to ensure reasonable safeguards for Resident #1's personal property, and failed to report the alleged exploitation to the Department and law enforcement within 24 hours as required.
Complaint Details
The investigation was initiated due to complaints regarding exploitation of Resident #1 by Staff B, who stole a blank check and forged it for $3,000. The facility failed to report the incident to the Department and law enforcement within 24 hours as required. The staffing agency terminated Staff B after confirming employment on the date of the incident.
Severity Breakdown
D: 3G: 1
Deficiencies (4)
Description
Severity
Governing body failed to provide oversight necessary to ensure compliance with licensing and enforcement rules.
D
Facility failed to ensure Resident #1 was free from exploitation by Staff B who stole and forged a $3,000 check.
G
Facility failed to ensure reasonable safeguards for Resident #1's personal property.
D
Facility failed to report alleged exploitation to the Department and law enforcement within 24 hours.
D
Report Facts
Amount stolen: 3000Date investigation started: Jan 25, 2021Date investigation completed: Feb 3, 2021
Employees Mentioned
Name
Title
Context
Staff B
Agency Staff
Named in exploitation and theft of Resident #1's check
Staff A
Interviewed regarding facility policies and reporting of the incident
The purpose of this visit was to investigate complaint #GA00190370 and conduct a compliance inspection at the assisted living community.
Findings
The facility failed to have an effective fire safety program considering the unique needs of residents, as evidenced by residents not evacuating properly during a fire alarm and frequent false alarms causing residents to ignore alarms. Additionally, the facility failed to maintain heated water temperature below 120 degrees Fahrenheit, with observed water temperature at 122.1 degrees Fahrenheit.
Complaint Details
The visit was complaint-related to investigation #GA00190370. The complaint involved concerns about fire safety and evacuation procedures during fire alarms.
Severity Breakdown
SS= D: 2
Deficiencies (2)
Description
Severity
Failed to have an effective fire safety program that accounts for the unique needs of residents, including inadequate evacuation during fire alarm and frequent false alarms.
SS= D
Failed to maintain heated water temperature that did not exceed 120 degrees Fahrenheit, with water temperature observed at 122.1 degrees Fahrenheit.
SS= D
Report Facts
Water temperature: 122.1Fire alarm duration: 7
Employees Mentioned
Name
Title
Context
Staff A
Reported that the fire alarm was frequently activated due to smoke from the kitchen hood and that the facility needed to fix the fire alarm system to avoid unnecessary activation.
Staff B
Stated that staff gathered residents in the Memory Care Unit common area during the fire alarm and residents continued activities after being told it was a false alarm.