Inspection Report Summary
The most recent inspection on July 11, 2025, identified a deficiency related to a staff member lacking a satisfactory fingerprint record check. Earlier inspections showed a mix of deficiencies primarily involving personnel file management, medication administration records, resident oversight, and physical plant issues such as missing grab bars and emergency preparedness documentation. Complaint investigations were mostly unsubstantiated, except for a substantiated case in October 2024 involving a resident elopement, missing records, and delayed reporting. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows some recurring administrative and oversight issues, with no clear pattern of improvement or worsening over time.
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
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 15, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50002198. The onsite visit was made on 2025-06-25.
Complaint Details
Investigation of intake #GA50002198 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 1
Date: Jul 11, 2025
Visit Reason
The purpose of this visit was to conduct a re-licensure inspection with an onsite visit made from 2025-07-01 to 2025-07-14.
Findings
The facility failed to ensure that each staff member obtained a satisfactory fingerprint record check, as evidenced by one sampled staff member (Staff B) lacking a background check on file.
Deficiencies (1)
Facility failed to ensure that each staff obtain a satisfactory fingerprint record check for 1 of 1 sampled staff (Staff B).
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Sampled staff member without a satisfactory fingerprint record check. | |
| Staff A | Confirmed during interview that Staff B did not have a background check on file and stated Staff B will complete a background check. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 31, 2025
Visit Reason
An onsite visit was made to conduct a compliance inspection and investigate intake GA 50001081.
Complaint Details
Investigation of intake GA 50001081; no violations found.
Findings
No rules violations were cited as a result of this inspection and investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Oct 8, 2024
Visit Reason
The purpose of this visit was to complete a compliance inspection and to investigate complaint intakes #GA00249895 and #GA00249902. An unannounced onsite visit was made on 2024-09-10 and the investigation was completed on 2024-10-08.
Complaint Details
The investigation was triggered by complaint intakes #GA00249895 and #GA00249902 regarding Resident #1 eloping from the facility on 2024-08-22. The complaint was substantiated as the facility failed to prevent elopement, maintain required records, and report the incident timely.
Findings
The facility failed to provide adequate oversight by the governing body, resulting in a resident elopement incident. Deficiencies included failure to maintain individual resident files, failure to update medication administration records, and failure to timely report the elopement to the Department as required by regulation.
Deficiencies (4)
Failure of the governing body to provide oversight in compliance with applicable rules, evidenced by Resident #1 eloping from the facility unnoticed and lack of surveillance or sign in/out policy.
Failure to update the Medication Assistance Record (MAR) each time medication was given or offered to Resident #5.
Failure to maintain an individual resident file for Resident #1, including required documentation such as admission agreement, physical exam, and care plans.
Failure to report the initiation and discontinuation of a Mattie's Call to the Department within 30 minutes of communication with law enforcement for Resident #1's elopement.
Report Facts
Sampled residents: 5
Date of elopement: Aug 22, 2024
Time of elopement: 1330
Time police notified: 1347
Medication administration frequency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1 elopement, lack of surveillance, sign in/out policy, and reporting failure | |
| Staff C | Interviewed regarding medication administration to Resident #5 and lack of MAR |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 11, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00242020. An on-site visit was made to the facility on 1/11/24, with the investigation completed on 1/12/24.
Complaint Details
Investigation was initiated based on intake #GA00242020. The investigation was conducted on 1/11/24 and completed on 1/12/24.
Findings
The facility failed to ensure employee personnel files were available for inspection for 3 sampled staff members, and the facility lacked a working doorbell or doorknocker audible to staff inside at all times.
Deficiencies (2)
Facility failed to ensure each employee file was available in the home or made available for inspection for 3 of 3 sampled staff.
Facility failed to have a doorbell or doorknocker audible to staff inside at all times.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Oct 4, 2023
Visit Reason
The purpose of this visit was to conduct the compliance inspection and investigate intake #GA00239088.
Complaint Details
Investigation of intake #GA00239088; deficiencies found related to personnel file accessibility, home design requirements, and physical plant health and safety standards.
Findings
The facility failed to provide personnel files within one hour of request, failed to install grab bars in all showers and bath areas, and failed to show documentation of emergency preparedness, drills, and evacuation requirements.
Deficiencies (3)
Facility failed to provide personnel files within one hour of request or prior to the end of the on-site survey.
Facility failed to install grab bars in all showers and bath areas; temporary grab bars were observed lying on the back of commodes in some bathrooms.
Facility failed to show documentation of emergency preparedness, drills, and evacuation requirements; no documentation of fire drills was available.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 31, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00228216 and #GA00226557.
Complaint Details
Investigation of intake #GA00228216 and #GA00226557 with no rule violations found.
Findings
No rule violation was cited as a result of this investigation.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Mar 21, 2022
Visit Reason
The visit was conducted to investigate intake #GA00222106 and to perform the annual inspection of the facility.
Complaint Details
Investigation of intake #GA00222106 was completed with no violations found.
Findings
No rule violations were cited as a result of the investigation and the annual inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 25, 2021
Visit Reason
The visit was conducted to investigate intake #GA002142208 and to perform 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: May 28, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00203429, which started on 2020-03-17 and was completed on 2020-05-28.
Complaint Details
Investigation of intake #GA00203429 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
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