Inspection Report Summary
The most recent inspection on August 13, 2024, found no deficiencies during a complaint investigation. Earlier inspections showed some deficiencies related mainly to staff background checks, personnel file maintenance, medication administration, food safety, and fire drill documentation. Prior complaint investigations were mostly unsubstantiated, with one substantiated case in June 2023 involving multiple issues such as food storage, medication handling, and facility maintenance. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed previous concerns, as recent investigations have not identified new deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 13, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA002489040.
Complaint Details
Investigation of intake # GA002489040 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 1
Date: Apr 30, 2024
Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.
Findings
The facility failed to obtain satisfactory criminal history background checks, including fingerprint checks, prior to employment for 2 of 2 sampled staff members as required by state regulations.
Deficiencies (1)
Failed to obtain a satisfactory criminal records check including fingerprint check prior to employment for 2 of 2 sampled staff (Staff B and Staff C).
Report Facts
Number of sampled staff without fingerprint check: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in deficiency for lack of fingerprint check. | |
| Staff C | Named in deficiency for lack of fingerprint check. | |
| Staff A | Interviewed and stated that Staff B and Staff C did not have fingerprint checks. |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Jun 28, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00235435 and #GA00235472. The onsite visit was made on 6/28/23, with the inspection starting on 6/28/23 and completing on 6/30/23.
Complaint Details
The visit was complaint-related, investigating intakes #GA00235435 and #GA00235472. The deficiencies found were substantiated based on observations, record reviews, and interviews.
Findings
The facility failed to maintain personnel files for employees, keep walls clean and in good repair, store solid waste in proper containers, conduct fire drills monthly covering all shifts, properly administer medication from labeled containers, and ensure food safety regarding spoilage and proper storage.
Deficiencies (6)
Failed to ensure personnel files for each employee were maintained and available for inspection.
Failed to ensure walls were kept clean and in good repair; walls behind trash containers were soiled with hardened food particles.
Failed to ensure solid waste was stored in vermin-proof, leak-proof, nonabsorbent containers with close-fitting covers; trash containers lacked lids and were full of disposed food.
Failed to meet criteria for aging in place by not conducting fire drills at least once per month covering all shifts; no documentation of fire drills for the last 12 months.
Failed to properly take medication from previously dispensed, properly labeled containers and bring it to residents; medication was prepared in advance in papercups and administered in the dining room.
Failed to ensure food was free from spoilage, adulteration, and misbranding; expired milk and cole slaw found, and opened pudding container exposed.
Report Facts
Number of sampled staff with missing personnel files: 5
Number of small papercups containing medication: 15
Timeframe without documented fire drills: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding missing personnel files, trash container lids, fire drills, and medication administration | |
| Staff B | Interviewed regarding missing personnel files and medication preparation | |
| Staff C | Interviewed regarding medication preparation | |
| Staff D | Interviewed regarding medication preparation | |
| Staff E | Presented medication container during tour |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 3, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00208839.
Complaint Details
Investigation began on 2020-11-02 and was completed on 2020-11-03. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jun 18, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00197362.
Complaint Details
Investigation of intake #GA00197362 revealed multiple deficiencies related to workforce qualifications and training.
Findings
The facility failed to document required workforce qualifications and training, including sixteen hours of annual training for 2 of 2 staff, tuberculosis screening and physical examinations within twelve months for 5 of 7 staff, and criminal history background checks prior to employment for 3 of 7 staff.
Deficiencies (3)
Failed to have documentation of sixteen hours of training per year for 2 of 2 staff (A and B).
Failed to ensure all staff have tuberculosis screening and physical examination within twelve months for 5 of 7 staff (C, D, E, F, and G).
Failed to ensure all staff have a criminal history background check prior to employment for 3 of 7 staff (C, D, and F).
Report Facts
Staff without required training documentation: 2
Staff without tuberculosis screening and physical examination: 5
Staff without criminal history background check: 3
Total staff reviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiency for lack of training documentation. | |
| Staff B | Named in deficiency for lack of training documentation. | |
| Staff C | Named in deficiencies for lack of tuberculosis screening, physical examination, and criminal history background check. | |
| Staff D | Named in deficiencies for lack of tuberculosis screening, physical examination, and criminal history background check. | |
| Staff E | Named in deficiency for lack of tuberculosis screening and physical examination. | |
| Staff F | Named in deficiencies for lack of tuberculosis screening, physical examination, and criminal history background check. | |
| Staff G | Named in deficiency for lack of tuberculosis screening and physical examination. | |
| Staff H | Interviewed staff who acknowledged deficiencies and stated plans to obtain missing documentation. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 6, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00192391.
Complaint Details
Complaint GA00192391 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 24, 2018
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate complainant #GA00192026.
Complaint Details
Investigation of complainant #GA00192026 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 20, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 21, 2017
Visit Reason
The purpose of this visit was to investigate complaint GA00171494.
Complaint Details
Investigation of complaint GA00171494 found no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 18, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to complaint #GA00163519.
Complaint Details
Follow-up to complaint #GA00163519; no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
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