Inspection Reports for Wesley Woods of Athens/Talmage Terrace
801 Riverhill Dr, Athens, GA 30606, United States, GA, 30606
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 23, 2024, found no deficiencies during a complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to staff certifications in CPR and emergency training, medication administration record updates, and maintaining fire extinguisher inspections. Prior reports also noted issues with medication refills and hot water temperature exceeding regulatory limits. Complaint investigations were mostly unsubstantiated, with no enforcement actions or fines listed in the available reports. The facility’s record indicates improvement over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
2.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 23, 2024
Visit Reason
The purpose of this survey was to conduct a compliance inspection and investigate complaint #GA00247838.
Findings
No rule violations were cited during the onsite visit.
Complaint Details
Investigation of complaint #GA00247838; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 26, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00234107.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was conducted onsite on 2023-04-26 and completed on 2023-04-27 with no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 11, 2022
Visit Reason
The purpose of this survey was to conduct a compliance inspection and investigate complaint #GA00225745. The onsite visit was conducted on 8/11/2022.
Findings
The facility failed to ensure that each staff member received current certification in cardiopulmonary resuscitation (CPR) with required return demonstration of competency for 1 of 3 sampled staff (Staff C). Staff C's CPR training was an online course dated 2/11/2021.
Complaint Details
Investigation of complaint #GA00225745 regarding staff CPR certification compliance.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure that each staff received current certification in cardiopulmonary resuscitation (CPR) with return demonstration of competency for 1 of 3 sampled staff (Staff C). | D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A interviewed regarding CPR training and made aware of the finding. |
Inspection Report
Complaint Investigation
Deficiencies: 10
Oct 26, 2021
Visit Reason
The purpose of this survey was to conduct a compliance inspection and investigate complaint #GA00218107. The investigation started on 2021-10-22 and was completed on 2021-10-26.
Findings
The facility failed to ensure staff had current certifications in emergency first aid, CPR, emergency evacuation procedures, training in medical and social needs, resident rights, and abuse reporting. Additionally, the facility failed to provide sufficient staff time for timely medication administration for 2 of 3 sampled residents, failed to update medication administration records properly, and failed to maintain fire extinguishers with current inspection tags.
Complaint Details
Investigation of complaint #GA00218107 conducted from 2021-10-22 to 2021-10-26.
Severity Breakdown
D: 10
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to ensure staff have evidence of current certification in emergency first aid for 2 of 4 sampled staff (Staff B and Staff C). | D |
| Failed to ensure staff had evidence of current certification in cardiopulmonary resuscitation (CPR) for 2 of 4 sampled staff (Staff B and Staff C). | D |
| Failed to ensure staff received training in emergency evacuation procedures within 60 days of employment for 1 of 4 sampled staff (Staff B). | D |
| Failed to ensure staff received training in medical and social needs and characteristics of the resident population for 1 of 4 sampled staff (Staff B). | D |
| Failed to ensure staff received training in resident's rights for 1 of 4 sampled staff (Staff B). | D |
| Failed to ensure staff received training in the Long-Term Care Facility Resident Abuse Reporting Act for 1 of 4 sampled staff (Staff B). | D |
| Failed to ensure staff received at least sixteen (16) hours of training per year for 1 of 4 sampled staff (Staff C). | D |
| Failed to provide sufficient staff time so that residents receive medications as prescribed for 2 of 3 sampled residents (Resident #1 and Resident #2). | D |
| Failed to ensure the facility had at least one charged 5 lb. multipurpose ABC fire extinguisher on each occupied floor and in the basement with current annual inspection. | D |
| Failed to update the medication administration record (MAR) each time medication was offered or taken for 2 of 3 sampled residents (Resident #1, Resident #2, and Resident #3). | D |
Report Facts
Number of sampled staff with training deficiencies: 4
Number of sampled residents with medication timing issues: 2
Number of sampled residents with MAR documentation issues: 3
Fire extinguisher inspection date: 202003
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and acknowledged findings related to staff training and medication administration. | |
| Staff B | Sampled staff lacking current first aid, CPR, evacuation, resident population, resident rights, and abuse reporting training. | |
| Staff C | Sampled staff lacking current first aid, CPR, and sufficient annual training hours; also reported medication timing issues. |
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 processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control measures.
Inspection Report
Routine
Deficiencies: 3
Oct 7, 2019
Visit Reason
The purpose of this visit was to conduct a compliance inspection from 10/4/19 to 10/7/19.
Findings
The facility failed to ensure personnel files included required recertifications for emergency first aid for 1 of 4 sampled staff. Additionally, the facility failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 1 of 5 sampled residents and failed to obtain timely refills of prescribed medications, resulting in a missing Lidocaine 5% patch for a resident.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Personnel file did not include recertification in emergency first aid for 1 of 4 sampled staff (Staff D). | SS= D |
| Failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 1 of 5 sampled residents (Resident #1). | SS= D |
| Failed to obtain timely refills of prescribed medications, resulting in interruption of routine dosing for 1 of 5 sampled residents (Resident #1). | SS= D |
Report Facts
Sampled staff: 4
Sampled residents: 5
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Staff member lacking current first aid training recertification | |
| Staff A | Interviewed staff who confirmed Staff D's lack of current first aid training | |
| Staff F | Interviewed staff who confirmed MAR was not updated and medication refill issues for Resident #1 |
Inspection Report
Follow-Up
Deficiencies: 0
Jan 10, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 10/12/17 follow-up inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 1
Oct 12, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to the 5/25/17 annual inspection.
Findings
The facility failed to ensure that the hot water temperature did not exceed 120 degrees Fahrenheit, with a measured temperature of 121.5 degrees F in a resident bathroom. The issue was previously cited on 5/25/17 and corrective actions were implemented including maintenance of the mixing valve and daily temperature logs.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure that the hot water did not exceed 120 degrees Fahrenheit. | E |
Report Facts
Hot water temperature: 121.5
Date of previous citation: May 25, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding hot water temperature and notification of maintenance |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 1, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00175262.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint GA00175262 was conducted with no rule violations found.
Inspection Report
Annual Inspection
Deficiencies: 2
May 24, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection with an on-site visit made on 5/24/17 and the survey completed on 5/25/17.
Findings
The facility failed to ensure that the hot water temperature did not exceed 120 degrees Fahrenheit and failed to ensure that staff updated the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 4 residents.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure that the hot water did not exceed 120 degrees Fahrenheit, with a measured temperature of 127.5 degrees F in a resident bathroom. | D |
| Staff failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 4 residents, with missing staff initials on multiple medication administrations. | D |
Report Facts
Residents with MAR documentation issues: 2
Hot water temperature: 127.5
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