Tucker Operating Company: Abuse Reporting Failures - GA
The facility owner found the man a quarter mile from the nursing home at 10:15 pm on October 1, 2025. Staff had been looking for him since around 8:40 pm, but concentrated their search indoors because they believed he was unable to walk.
The administrator attempted to call law enforcement but hung up after waiting on hold for 40 minutes without filing a police report.
CNA QQ had seen the resident around 7:00 pm when the morning shift was leaving. She asked other staff if he was a visitor, and they told her he was a resident. When she checked his room at 8:40 pm, he was gone.
She searched outside the building and nearby apartments but couldn't find him. She returned to the facility after 10:00 pm to learn he had been located.
Corporate Owner FF was driving in the area when the administrator reported the missing resident. He drove around the facility and found the man sitting on the curbside of a road. The owner was unaware whether law enforcement had been notified.
The resident's daughter received a call from facility staff between 7:00 pm and 8:00 pm telling her that her father was missing and that police had been notified. Staff later called back to say they had found him inside the building and that he had never left.
That wasn't true.
The daughter had warned the facility about her father's wandering tendencies. She explained he had attempted to leave the hospital against medical advice and had exit-seeking behaviors. Staff never asked the family about elopement risks during admission.
When the Social Services Director visited the resident the night after the incident, he could not recall leaving the facility and was unaware of the date and time. His family requested his transfer.
The facility had no elopement training program. CNA JJ, who worked on the rehabilitation unit, said she had never received training on elopement drills. The facility only began discussing elopement training on October 2, the day after the incident.
RN OO explained that the facility had never conducted elopement drills. She said RN DD failed to investigate the cause of an alarm as required, and that staff should have completed a head count and rounds to ensure all residents were accounted for.
The administrator was the only person with access to review security camera footage. She admitted she didn't review the cameras because she was too busy.
She also chose not to notify the state about the incident because the resident wasn't harmed.
The administrator acknowledged that staff hadn't reviewed the resident's history and physical prior to admission. "Mistakes were made," she concluded.
She started mandatory training the night of the incident and placed a wander guard on the resident. But by then, the family had already decided to move him.
The facility's assumption that the resident couldn't walk had kept staff from expanding their search beyond the building's interior. While they checked rooms and hallways, he sat alone on a roadside curb in the dark for over two hours.
The administrator's 40-minute wait on hold with law enforcement meant no official report was filed and no professional search was initiated. The corporate owner's presence in the area became the only reason the resident was found when he was.
The resident's daughter had provided clear information about her father's tendency to wander, but staff failed to incorporate this critical safety information into his care plan. The facility's lack of elopement protocols left them unprepared when a predictable risk became reality.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Tucker Operating Company LLC from 2025-11-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
TUCKER OPERATING COMPANY LLC in TUCKER, GA was cited for abuse-related violations during a health inspection on November 20, 2025.
The facility owner found the man a quarter mile from the nursing home at 10:15 pm on October 1, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.