Inspection Report Summary
The most recent inspection on July 18, 2025, found no deficiencies. Earlier inspections generally showed no deficiencies, except for a few issues identified in 2021 and 2022 related to medication packaging, staff training, and resident safety, including elopement risks. Complaint investigations were mostly unsubstantiated, with no fines or enforcement actions listed in the available reports. The main themes of past deficiencies involved medication management and safety measures to prevent resident elopement. The facility’s inspection record shows improvement over time, with recent inspections free of cited violations.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 18, 2025
Visit Reason
The visit was conducted to perform a relicensure inspection and to investigate intake #GA50003419 at the facility.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 6, 2024
Visit Reason
The purpose of this visit was to investigate a complaint received on 2024-11-04.
Complaint Details
Complaint investigation conducted; no rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00247839.
Complaint Details
Investigation started and completed on 2024-07-16 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 26, 2024
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake # GA00242570.
Complaint Details
Investigation of intake # GA00242570 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 30, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00240041 with an onsite visit made to the facility on 10/30/23.
Complaint Details
Investigation of intake #GA00240041 completed with no citations.
Findings
The investigation was completed with no citations.
Inspection Report
Routine
Deficiencies: 2
Date: Dec 14, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection of the facility.
Findings
The facility failed to have an admission agreement specifying how medications should be packaged. Observations showed multiple residents' medications were not unit or multidose packaged, and staff failed to operate within their scope of practice regarding medication packaging and administration.
Deficiencies (2)
Facility failed to have an admission agreement that gave specific direction on how medications should be packaged.
Facility staff failed to operate within their scope of practice related to medication packaging and administration.
Report Facts
Residents with medications not unit or multidose packaged: 6
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 21, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00225411 and conduct the compliance inspection.
Complaint Details
Investigation of intake #GA00225411 was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 17, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00214814.
Complaint Details
Investigation started on 2021-06-14 and was completed on 2021-06-17. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 5
Date: May 25, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00214186 following a complaint regarding resident safety and staff training.
Complaint Details
The investigation was initiated due to intake #GA00214186 concerning resident elopement and safety. Resident #1 eloped twice by climbing over a chain-link fence in the memory care unit courtyard, despite alarms and staff presence. The resident had diagnoses including dementia and was at risk for wandering. Staff failed to prevent elopement and did not provide adequate supervision or secure environment.
Findings
The facility failed to ensure staff had required continuing education hours, did not use appropriate safety devices to prevent resident elopement, failed to maintain secured outdoor spaces preventing undetected egress, and did not complete required quarterly medication aide observations by licensed professionals. Resident #1 eloped twice by climbing over a fence, exposing safety deficiencies.
Deficiencies (5)
Staff providing hands-on personal services did not have the required minimum sixteen hours of job-related continuing education annually for 2 of 3 sampled staff.
Facility failed to utilize appropriate effective safety devices that did not impede residents' rights or violate fire safety standards to protect residents at risk of eloping.
Facility failed to have secured outdoor spaces that allowed residents to ambulate safely but prevented undetected egress for 1 of 3 sampled residents.
Certified medication aide quarterly observations were not completed by a licensed professional nurse or pharmacist for 1 of 4 sampled staff.
Facility failed to ensure each resident received adequate and appropriate care and services in compliance with state law for 1 of 3 sampled residents.
Report Facts
Continuing education hours: 8
Continuing education hours: 6
Fence height: 5.5
Resident height: 6.25
Census: 7
Staff on duty: 2
Temperature: 87
Timeframe: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding staff continuing education, placement of shelves blocking exit doors, and resident elopement incidents. | |
| Staff B | Interviewed about resident elopement, staff awareness, and memory care unit staffing. | |
| Staff C | Interviewed about resident elopement, alarm sounding, and courtyard visibility. | |
| Staff D | Sampled staff member with insufficient continuing education and incomplete quarterly medication aide observations. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 22, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210946.
Complaint Details
Investigation started on 2021-01-13 and was completed on 2021-01-22. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 7, 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 procedures.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Feb 14, 2019
Visit Reason
The purpose of this visit was to conduct the initial inspection and to investigate complaint #GA00194444.
Complaint Details
Complaint #GA00194444 was investigated during this visit; no rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
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