Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lenbrook during CMS and state inspections, most recent first.
A resident with dementia and mobility issues was unable to reach the call light, which was placed on a nightstand far from her recliner. The resident struggled to summon assistance, expressing frustration and a need to use the restroom. CNAs adjusted the recliner's position, and the DON emphasized the importance of accessible call lights for resident safety.
A resident's nasal cannula, used for oxygen therapy, was found on the floor and improperly reused without cleaning or replacement, violating the facility's infection control policy. The CNA involved acknowledged the error, and the LPN replaced the equipment after being informed. The incident highlighted a failure to adhere to established protocols for preventing infections.
The facility failed to apply a 14-day stop date for PRN orders of psychotropic medications for two residents, as required by their policy. An LPN and the DON confirmed the oversight, acknowledging that the orders for lorazepam lacked the necessary stop date, leading to multiple administrations over several weeks.
Inaccessible Call Light Poses Risk to Resident Safety
Penalty
Summary
The facility failed to ensure that a resident's call light was accessible, which is crucial for meeting care needs, safety, and fall prevention. The resident, who has diagnoses including dementia, impaired physical mobility, and cognitive deficits, was observed seated in a recliner with the call light placed on a nightstand by the bed, far from her reach. The resident demonstrated difficulty in summoning assistance, as she struggled with the remote for her recliner and was unable to reach the call light, expressing frustration and a need to use the restroom. During an interview, a CNA acknowledged the inaccessibility of the call light and sought assistance from another CNA. Together, they moved the resident's recliner closer to the nightstand. The Director of Nursing confirmed that all call lights must be within easy reach of residents to ensure timely assistance, noting that inaccessible call lights increase the risk of harm to residents who cannot summon help.
Failure to Replace Contaminated Respiratory Equipment
Penalty
Summary
The facility failed to adhere to its infection control protocols regarding respiratory care equipment, specifically for a resident requiring oxygen therapy. The deficiency was observed when a nasal cannula, used by a resident with diagnoses including dementia, chronic rhinitis, COPD, and hypoxemia, was found unbagged and lying on the floor. A Certified Nursing Assistant (CNA) retrieved the nasal cannula from the floor and placed it back in the resident's nose without cleaning or replacing it, contrary to the facility's policy that mandates discarding and replacing equipment that comes into contact with non-sterile surfaces. The incident was further compounded when another CNA entered the room, observed the situation, and reminded the first CNA of the correct protocol. The first CNA acknowledged the mistake but had not replaced the equipment immediately. The Licensed Practical Nurse (LPN) was informed and subsequently replaced the nasal cannula. Interviews with the involved staff and the Director of Nursing confirmed the expectation that all respiratory equipment must be discarded if contaminated to prevent infections, highlighting a lapse in following established infection control procedures.
Failure to Implement 14-Day Stop Date for Psychotropic Medications
Penalty
Summary
The facility failed to implement a 14-day stop date for PRN orders of psychotropic medications for two residents, leading to a deficiency in medication management. The facility's policy on psychotropic medication use, dated July 2022, mandates that PRN orders for such medications should not exceed 14 days. However, a review of clinical records revealed that Resident 7 had an ongoing PRN order for lorazepam without a stop date, which was administered multiple times over several weeks. Similarly, Resident 21 had a PRN order for lorazepam without a stop date, and the medication was administered on several occasions. Interviews with facility staff, including an LPN and the DON, confirmed the oversight in applying the 14-day stop date to these psychotropic medications. The LPN, responsible for auditing charts, acknowledged the absence of a stop date for Resident 21's lorazepam as an oversight. The DON also confirmed the expectation for all psychotropic medications to have a 14-day stop date unless otherwise indicated by a physician, acknowledging the oversight in the cases of Residents 7 and 21.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Atlanta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Perimeter Rehabilitation Suites By Harborview | 1.9 mi | — | 25 | 1 |
| Nurse Care Of Buckhead | 2.7 mi | — | 6 | 0 |
| A.g. Rhodes Home Wesley Woods | 2.8 mi | — | 5 | 0 |
| Pruitthealth - Brookhaven | 3 mi | — | 19 | 0 |
| Sandy Springs Center For Nursing And Healing Llc | 3.1 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.