Inspection Report Summary
The most recent inspection on June 5, 2025, found no deficiencies. Earlier inspections generally showed no rule violations, with only a few substantiated deficiencies related to staff training, medication management, and resident care documented in reports from 2019 to early 2023. Inspectors cited issues such as missing medication training documentation, incomplete criminal background checks, delays in medication refills, and failure to provide timely resident care. Complaint investigations were mostly unsubstantiated, with the exception of a few substantiated cases involving staff neglect and documentation lapses. The overall trend suggests improvement, as recent inspections have consistently found no deficiencies.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
Complaint Details
Investigation of intake # GA50003448 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
Complaint Details
Investigation of intake # GA50001268 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
Complaint Details
Investigation was related to multiple intake numbers; no rule violations were found.
Findings
No rule violation was cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 26, 2024
Visit Reason
The visit was conducted to investigate intake # GA00247323 and to perform a compliance inspection.
Complaint Details
Investigation of intake # GA00247323 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation and compliance inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 16, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00246099 and #GA00246268 through an unannounced onsite visit.
Complaint Details
Investigation of intake #GA00246099 and #GA00246268; no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 20, 2024
Visit Reason
The purpose of this visit was to investigate intakes #GA00243869 and #GA00243705.
Complaint Details
Investigation of complaint intakes #GA00243869 and #GA00243705 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
Complaint Details
Investigation of intake #GA00243079; no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 13, 2023
Visit Reason
The purpose of this visit was to investigate intakes #GA00241255 and #GA00241166.
Complaint Details
Investigation of intakes #GA00241255 and #GA00241166 with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 3, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00239778, #GA00239260, and #GA00239092.
Complaint Details
The inspection was complaint-related, investigating three intakes, with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 5, 2023
Visit Reason
The visit was conducted to perform a compliance inspection and investigate intake #GA00237952.
Complaint Details
Investigation was completed on 9/5/23 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 7, 2023
Visit Reason
The purpose of this visit was to investigate intake# GA00234723.
Complaint Details
Investigation of intake# GA00234723 with no rule violations cited.
Findings
No rule violations were cited as a result of this visit.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: 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.
Complaint Details
Investigation of complaint intakes #GA00232293 and #GA00231956. The findings were substantiated based on record review and staff interviews.
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).
Deficiencies (2)
Facility failed to have documentation of medication training for 2 of 3 staff reviewed (Staff B and Staff C).
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).
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
Date: 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
Date: Jan 25, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00230828, #GA00230599, #GA00230258, and #GA00230209.
Complaint Details
Investigation of four complaint intakes with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 4, 2022
Visit Reason
The purpose of this visit was to investigate intakes #GA00226127, GA00226168, GA00226244, and GA00226434.
Complaint Details
Investigation of four complaint intakes with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
Complaint Details
Investigation of intakes #GA00227485 and #GA00227614 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation completed on 9/30/22.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 5, 2022
Visit Reason
The purpose of this visit was to investigate intake #GA00225352 and #GA00225625.
Complaint Details
Investigation was conducted on-site on 2022-08-05 and completed on 2022-08-10. No violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 27, 2022
Visit Reason
The visit was conducted to investigate complaint intakes #GA00225117, GA00224115, GA00224837, and GA00224864 and to conduct a compliance inspection.
Complaint Details
Investigation started on 2022-06-13 and was completed on 2022-07-27. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 15, 2021
Visit Reason
The inspection was conducted to investigate intake GA00213810 and to perform a compliance inspection.
Complaint Details
Investigation of intake GA00213810 was completed with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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).
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
Date: 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.
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.
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.
Deficiencies (1)
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.
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
Date: Dec 22, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00205780.
Complaint Details
Investigation of intake #GA00205780 with no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 28, 2020
Visit Reason
The inspection was conducted to investigate intake #GA00208814, starting on 2020-10-21 and completed on 2020-10-28.
Complaint Details
Investigation of intake #GA00208814 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 14, 2020
Visit Reason
The purpose of this inspection was to investigate intake GA00206300.
Complaint Details
Investigation began on 2020-07-10 and was completed on 2020-07-14. No rule violations were found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 0
Date: 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
Date: Oct 8, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00199737.
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.
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.
Deficiencies (2)
Refills of prescribed medications were not obtained timely, causing interruptions in routine dosing for Resident #1 and Resident #2.
The facility failed to ensure a written plan of care for proxy caregiver services was developed and updated for Resident #1 and Resident #2.
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
Date: 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.
Complaint Details
The visit was conducted to investigate intake #GA00198079.
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.
Deficiencies (3)
Failed to maintain evidence of trainings, skills competency, and recertification as required by the Rules for Proxy Caregivers for 6 sampled staff.
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).
Failed to have physician's orders for all medications for 1 of 6 sampled residents (Resident #6).
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
Date: Jul 10, 2018
Visit Reason
The visit was conducted to perform an initial inspection and investigate complaint GA #00189619.
Complaint Details
Complaint GA #00189619 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection and investigation.
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