Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 5, 2025
Visit Reason
The purpose of this visit was to investigate intake # GA50003448 through an unannounced onsite visit conducted on 2025-06-04 and completed on 2025-06-05.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake # GA50003448 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 6, 2025
Visit Reason
The visit was conducted to investigate intake # GA50001268 through an unannounced onsite visit made on 2025-03-04 and completed on 2025-03-06.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake # GA50001268 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 1, 2024
Visit Reason
The purpose of this investigation was to investigate intake numbers GA00250164, GA00250183, GA00149819, and GA00249905 with an on-site visit conducted from 2024-09-23 to 2024-10-01.
Findings
No rule violation was cited as a result of this investigation.
Complaint Details
Investigation was related to multiple intake numbers; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 26, 2024
Visit Reason
The visit was conducted to investigate intake # GA00247323 and to perform a compliance inspection.
Findings
No rule violations were cited as a result of this investigation and compliance inspection.
Complaint Details
Investigation of intake # GA00247323 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 16, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00246099 and #GA00246268 through an unannounced onsite visit.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00246099 and #GA00246268; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 20, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00243869 and #GA00243705.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint intakes #GA00243869 and #GA00243705 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 25, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00243079 with an onsite visit made on 1/25/24 and the investigation completed on 1/26/24.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00243079; no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 13, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00241255 and #GA00241166.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intakes #GA00241255 and #GA00241166 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 3, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239778, #GA00239260, and #GA00239092.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
The inspection was complaint-related, investigating three intakes, with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 5, 2023
Visit Reason
The visit was conducted to perform a compliance inspection and investigate intake #GA00237952.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation was completed on 9/5/23 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 7, 2023
Visit Reason
The purpose of this visit was to investigate intake# GA00234723.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake# GA00234723 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 1, 2023
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00232293 and #GA00231956 with an on-site visit made on 3/1/23 and the investigation completed on 3/3/23.
Findings
The facility failed to have documentation of medication training for 2 of 3 staff reviewed (Staff B and Staff C) and failed to ensure direct care staff hired after October 1, 2019 had the required criminal background check upon employment or prior to placement for 2 of 3 sampled staff (Staff B and Staff D).
Complaint Details
Investigation of complaint intakes #GA00232293 and #GA00231956. The findings were substantiated based on record review and staff interviews.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to have documentation of medication training for 2 of 3 staff reviewed (Staff B and Staff C). | D |
| Facility failed to ensure direct care staff hired after October 1, 2019 had the required criminal background check upon employment or prior to placement for 2 of 3 sampled staff (Staff B and Staff D). | D |
Report Facts
Staff reviewed: 3
Staff without medication training documentation: 2
Staff without criminal background check: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who provided information about medication training and fingerprint background check issues | |
| Staff B | Staff member lacking medication training documentation and fingerprint background check | |
| Staff C | Staff member lacking medication training documentation | |
| Staff D | Staff member lacking fingerprint background check |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 1, 2023
Visit Reason
The purpose of this visit was to investigate intakes GA00229586, GA00229522, and GA00228466.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00230828, #GA00230599, #GA00230258, and #GA00230209.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of four complaint intakes with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 4, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00226127, GA00226168, GA00226244, and GA00226434.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of four complaint intakes with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 21, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00227485 and #GA00227614. An on-site visit was made on 9/21/22.
Findings
No rule violations were cited as a result of this investigation completed on 9/30/22.
Complaint Details
Investigation of intakes #GA00227485 and #GA00227614 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 5, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00225352 and #GA00225625.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation was conducted on-site on 2022-08-05 and completed on 2022-08-10. No violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 27, 2022
Visit Reason
The visit was conducted to investigate complaint intakes #GA00225117, GA00224115, GA00224837, and GA00224864 and to conduct a compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation started on 2022-06-13 and was completed on 2022-07-27. No rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 15, 2021
Visit Reason
The inspection was conducted to investigate intake GA00213810 and to perform a compliance inspection.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake GA00213810 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 24, 2021
Visit Reason
The purpose of this inspection was to investigate intake #GA00212109. An on-site visit was made on 2/24/21 and the investigation was completed on 3/11/21.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were admitted and retained, as evidenced by one resident who required nursing home placement and was unable to ambulate or propel his/her wheelchair independently.
Complaint Details
Investigation was complaint-related, intake #GA00212109. Resident #1 was found not capable of self-preservation and required nursing home placement. The complaint was substantiated based on observation, record review, and interviews.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the home admitted and retained only ambulatory residents capable of self-preservation with minimal assistance for 1 of 8 sampled residents (Resident #1). | SS= D |
Report Facts
Number of sampled residents: 8
Date of incident report: Feb 11, 2021
Date of discharge notice: Dec 21, 2020
Inspection Report
Complaint Investigation
Census: 5
Deficiencies: 1
Jan 28, 2021
Visit Reason
The purpose of this inspection was to investigate complaint intakes GA00209193, GA00209408, GA00209732, and GA00209910. The investigation began on 2020-11-02 and was completed on 2021-01-28.
Findings
The facility failed to ensure that residents received adequate and appropriate care and services in compliance with federal and state regulations. Specifically, Staff B neglected to respond to calls for assistance from Resident #1, resulting in delayed care and eventual termination of Staff B.
Complaint Details
The investigation was complaint-driven based on multiple intakes. Staff B was found neglectful for not responding to resident calls and not completing required two-hour checks. Staff B was terminated due to these complaints.
Severity Breakdown
SS= D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure each resident received adequate and appropriate care and services; Staff B did not respond to Resident #1's call for assistance, resulting in Resident #1 waiting over an hour for help. | SS= D |
Report Facts
Residents involved: 5
Date investigation began: 2020-11-02 (not numeric but date)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in deficiency for neglecting resident calls and terminated for this reason | |
| Staff C | Provided interview information regarding Staff B's neglect and termination | |
| AA | Provided interview information about Staff B not responding to calls |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 22, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00205780.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00205780 with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 28, 2020
Visit Reason
The inspection was conducted to investigate intake #GA00208814, starting on 2020-10-21 and completed on 2020-10-28.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00208814 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 14, 2020
Visit Reason
The purpose of this inspection was to investigate intake GA00206300.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation began on 2020-07-10 and was completed on 2020-07-14. No rule violations were found.
Inspection Report
Follow-Up
Deficiencies: 0
Dec 4, 2019
Visit Reason
The purpose of this visit was to conduct the follow up inspection to the 7/22/19 compliance inspection and intake GA00198079.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Oct 8, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00199737.
Findings
The facility failed to ensure timely refills of prescribed medications resulting in interruptions in routine dosing for 2 of 3 sampled residents. Additionally, the facility failed to ensure a written plan of care for proxy caregiver services was current for 2 of 3 sampled residents.
Complaint Details
The visit was complaint-related to intake #GA00199737. Staff interviews confirmed medication refills did not arrive timely, resulting in residents not receiving medications as ordered. Resident #2 did not receive medication for 2 to 3 days between September and October 2019.
Severity Breakdown
J: 1
D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Refills of prescribed medications were not obtained timely, causing interruptions in routine dosing for Resident #1 and Resident #2. | J |
| The facility failed to ensure a written plan of care for proxy caregiver services was developed and updated for Resident #1 and Resident #2. | D |
Report Facts
Medication administration omissions: 26
Resident admission dates: Resident #1 admitted 2017-06-11; Resident #2 admitted 2017-06-17.
Plan of care date: Written plans of care for Residents #1 and #2 dated February 2018.
Inspection Report
Complaint Investigation
Deficiencies: 3
Jul 22, 2019
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00198079 with an onsite visit made on 7/22/19.
Findings
The facility failed to maintain evidence of trainings, skills competency, and recertification for 6 sampled staff. Additionally, the facility failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 6 sampled residents and failed to have physician's orders for all medications for 1 of 6 sampled residents.
Complaint Details
The visit was conducted to investigate intake #GA00198079.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to maintain evidence of trainings, skills competency, and recertification as required by the Rules for Proxy Caregivers for 6 sampled staff. | SS= D |
| Failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 6 sampled residents (Resident #2 and Resident #3). | SS= D |
| Failed to have physician's orders for all medications for 1 of 6 sampled residents (Resident #6). | SS= D |
Report Facts
Sampled staff: 6
Sampled residents: 6
Residents with MAR update issues: 2
Resident with missing physician orders: 1
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2018
Visit Reason
The visit was conducted to perform an initial inspection and investigate complaint GA #00189619.
Findings
No rule violations were cited as a result of this inspection and investigation.
Complaint Details
Complaint GA #00189619 was investigated and found to have no rule violations.
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