Inspection Reports for Oaks at Douglasville
4605 Timber Ridge Dr, Douglasville, GA 30135, United States, GA, 30135
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 8, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed mostly clean results, though a complaint investigation in July 2025 identified deficiencies related to inadequate care and failure to notify a responsible party about a resident’s injury. Prior reports from 2020 and 2021 noted issues with staffing, safety policies, and care for memory-impaired residents, including a substantiated complaint about a resident eloping from the memory care unit. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows some isolated care and safety issues in the past, with more recent investigations indicating improvement.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
The purpose of this visit was to conduct a complaint inspection related to complaints GA50005063, GA50005087, and GA50005998.
Complaint Details
Complaint inspection conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
The purpose of this visit was to investigate intake GA 50004637 and GA 50004604.
Complaint Details
Investigation of complaint intakes GA 50004637 and GA 50004604 conducted from 2025-08-07 to 2025-08-20 with no deficiencies cited.
Findings
No rules were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 31, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50004637 with an onsite visit made on 2025-07-23 and the investigation completed on 2025-07-31.
Complaint Details
The investigation was initiated due to intake #GA50004637 regarding Resident #1's injury. The resident was diagnosed with fractures to multiple fingers and was taken to the hospital by emergency contact BB. Interviews revealed delays and failures in notification and appropriate response by staff.
Findings
The facility failed to provide adequate and appropriate care and services to Resident #1, who had multiple hand fractures and was discharged. The facility also failed to immediately notify the responsible party about the resident's injury.
Deficiencies (2)
Failed to provide each resident with care and services which were adequate and appropriate for Resident #1 with multiple hand fractures.
Failed to immediately notify the responsible party of a resident about an injury for Resident #1.
Report Facts
Date of emergency room discharge summary: Jun 14, 2025
Date of incident report: Jun 16, 2025
Date of onsite visit: Jul 23, 2025
Date survey completed: Jul 31, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Observed applying ice to Resident #1's hand and stated BB arrived and took Resident #1 to the hospital | |
| Staff D | Reported swelling of Resident #1's fingers and applied ice; stated he/she worked 7:00 a.m. to 3:00 p.m. on 6/14/25 | |
| Staff E | Observed Resident #1 with swollen right hand and reported incident | |
| Staff C | Called emergency contact BB to notify of Resident #1's injury while BB was in the emergency room | |
| BB | Emergency contact who took Resident #1 to the hospital and provided interview statements regarding the injury and notification |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 21, 2025
Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate complaint #GA50000720.
Complaint Details
Investigation of complaint #GA50000720 with no rule violations cited.
Findings
The inspection started on 2025-04-17 and was completed on 2025-05-16. No rule violations were cited as a result.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
The purpose of this visit was to investigate intake # GA00244113 with an onsite visit made on 3/14/24 and the investigation completed on 3/28/24.
Complaint Details
Investigation of intake # GA00244113; no substantiation status provided.
Findings
The report documents the investigation of a complaint intake; no specific findings or deficiencies are detailed in the provided text.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 9, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00229122 and #GA00229857.
Complaint Details
Investigation of complaint intakes #GA00229122 and #GA00229857; no rule violations were found.
Findings
No rule violations were cited during the investigation completed on 12/16/22.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 4, 2022
Visit Reason
The visit was conducted to investigate intake #GA00221256 and to perform an annual inspection of the facility.
Complaint Details
Investigation was related to intake #GA00221256; no violations were found.
Findings
No rule violations were cited as a result of the investigation and annual inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 16, 2021
Visit Reason
The inspection was conducted to investigate intake #GA00212871, which was initiated on 2021-03-22. An unannounced visit was made to the facility on 2021-04-16, and the investigation was completed on 2021-04-20.
Complaint Details
Investigation of intake #GA00212871 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Census: 11
Deficiencies: 4
Date: Nov 24, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00209568, which involved a complaint regarding the elopement of Resident #1 from the memory care unit (MCU).
Complaint Details
The investigation was initiated due to intake #GA00209568 regarding Resident #1 eloping from the memory care unit on 11/5/2020. The resident was found 1.6 miles away at a nearby restaurant and returned safely. The family declined hospital evaluation. The complaint was substantiated based on findings of inadequate staffing, failure of safety devices, and failure to implement policies to protect residents with cognitive impairments.
Findings
The facility failed to implement policies and procedures to protect memory-impaired residents, failed to have adequate staffing to meet residents' safety needs, failed to utilize effective safety devices to prevent elopement, and failed to ensure adequate care and services for Resident #1. Resident #1 eloped from the MCU through a door that was slightly open and unalarmed during the day shift, was found 1.6 miles away unharmed, and returned to the facility without injury.
Deficiencies (4)
Failed to implement policies, procedures, and practices to support memory impaired residents in a safe environment.
Failed to have enough staff to meet the specific resident ongoing health and safety needs.
Failed to utilize appropriate effective safety devices to protect residents at risk of eloping.
Failed to ensure each resident received adequate and appropriate care and services in compliance with state law and regulations.
Report Facts
Residents in MCU: 11
Distance Resident #1 eloped: 1.6
Times Resident #1 redirected: 3
Times Resident #1 redirected: 4
Residents requiring full assistance: 4
Staff on duty: 2
Time per resident for care: 20
Temperature: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 elopement and facility policies | |
| Staff B | Medication Technician | Interviewed about staffing and Resident #1 elopement; reported working in office and passing medications |
| Staff C | Interviewed about staffing and Resident #1 elopement; reported caring for residents and monitoring | |
| Staff D | Observed exit door slightly open and notified staff; involved in search for Resident #1 |
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 infection control procedures at the facility.
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