Calhoun Crossing Of Journey LLC
1387 Highway 41 North, Calhoun, GA 30701 · For profit - Limited Liability company · 100 certified beds · (706) 629-1289 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2023
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has citations for mishandling residents’ money or property (F0567, F0568, F0569)
- it has 4 actual-harm citations
- a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $107,867 in federal fines (most recent 2024-08-28)
- its payroll-based staffing rating is low (1/5)
- its facility-reported quality-measure rating is low (1/5)
- CMS ownership filings flag it as owned by a private-equity firm or REIT — a category that performs worse on staffing on average, though that average says nothing certain about this home, and CMS filings undercount these ties, so other homes here may have them unflagged (what the research actually shows →)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 34.6% | 15.3% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.0% | 5.6% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.6% | 0.9% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.1% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 77.2% | 11.3% | 6.5% | check this† — see note marked dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.6% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 32.0% | 15.2% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 33.7% | 20.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 88.9% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.2% | 5.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 13.7% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 32.5% | 19.9% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 3.4% | 2.6% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 7.1% | 78.4% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 19.8% | 25.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 21.8% | 11.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.96 | 2.15 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.42 | 1.90 | 1.80 | worse |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
41.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 48.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 50 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 56% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 41.8%CMS range 27.4–54.1 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.2%CMS range 7.0–15.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 48.0% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 46.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 46.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.3%CMS range 5.1–13.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.32 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 100 beds and averages 89.1 residents a day — about 89% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.08 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.83 hrs/resident/day on weekends vs 3.18 on weekdays — 11% thinner on weekends. RN hours go from 0.28 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.
- Actual harm · G2024-08-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and review of the facility policy, the facility failed to implement a person-centered comprehensive plan of care with measurable goals and plans related to fall prevention for three of 22 sampled residents (R31, R47, and R10). Harm was identified to have occurred on 07/18/24 when the facility failed to develop and implement a care plan for R31 that addressed his desire for more independence with ambulation and his desire for bilateral prostheses. (Cross reference F657, F689 and F688) Findings included: Review of facility policy titled Comprehensive Care Plans undated indicated . It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. The comprehensive care plan will describe, at a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2024-08-28 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and facility policy review, the facility failed to provide appropriate adaptive equipment as directed by Physical Therapy recommendation for one of 22 sampled residents (R) (R31) related to a bi-lateral prosthesis to prevent further potential decline in muscle strength, joint mobility, and an ability to ambulate independently. Psychosocial harm was determined to exist on 7/18/24 due to R31's emotional state when he repeatedly expressed his need for the prosthesis to promote his independence. (Cross Reference F656) Findings included: A review of a facility's policy titled Reporting of Therapy Services dated 02/12/22 indicated . Specialized rehabilitative services (physical therapy, occupational therapy, speech-language pathology services) are provided as indicated to ensure the needs of the residents are met in accordance with their comprehensive plan of care. This policy addresses how the facility reports what rehabilitative services were provided. A review of R31's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2024-08-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and facility policy review, the facility failed to prevent a fall for two of three residents (R) (R10 and R47) reviewed for falls. This failure resulted in harm to R10 when the nursing assistant failed to provide incontinence care with the assistance of another staff member per the care plan; R10 fell off the bed and suffered a closed head injury, laceration to the forehead, and fracture of the fifth finger on the right hand. Findings included: 1. A review of R10's undated admission Record located in the Profile tab of the electronic medical record (EMR) revealed R10 was admitted to the facility on [DATE] with diagnoses that included hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and morbid obesity due to excess calories. A review of R10's annual Minimum Data Set (MDS) located in the MDS tab of the EMR with an Assessment Reference Date (ARD) of 02/14/24, indicated a Brief Interview for Mental Status (BIMS) score of 10 out…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2023-03-16 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the facility failed to ensure one (Resident (R) 87) of two residents reviewed for abuse was free from physical abuse. Actual harm occurred on 2/4/2023 when R87 sustained a contusion to the scalp, left shoulder, and left knee after R300 attacked him in the common area. Findings include: Review of the facility-provided policy titled Abuse, Neglect and Exploitation, dated 2/1/2022, revealed, It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property . Definitions: . Abuse, means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations. Physical Abuse includes, but is not limited to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-29 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff interview, and review of the facility policy titled Use of Psychotropic Medication(s), the facility failed to ensure a stop date was implemented, not to exceed 14 days, for psychotropic medications administered to one resident (R) (R84) from a sample of 33 residents. The deficient practice increased the risk of adverse clinical outcomes. Findings include:A review of the facility policy Use of Psychotropic Medication(s), dated 03/20/2025, documented as needed (PRN) orders for psychotropic medications would require the prescriber to specify a duration over 14 days with a clinical rationale. Per the policy, psychotropic orders would require a set duration time and could not be renewed for longer than 14 days without a direct evaluation of the patient by the prescriber.A review of the physician (MD) orders dated 10/23/2025, revealed the MD ordered lorazepam injection solution 2 mg/ml {milligrams per milliliter} intramuscularly every 12 hours as needed. There was no stop date for the order.A review of the pharmacist's consultation report dated 12/22/2025,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-08-28 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespreadHave a plan that describes the process for conducting QAPI and QAA activities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and review of facility documentation, the facility failed to ensure a Quality Assurance Performance Improvement (QAPI) plan was developed to drive quality assurance (QA) measures that addressed resident care and safety, quality of life, and resident choice. This failure had the potential to affect all 91 residents who currently lived in the facility. Findings included: A review of a document provided by the facility titled Quality Assurance Performance Improvement (QAPI) Plan, dated 2022 prepared by Compliance Store, indicated . Introduction . The QAPI Plan of [Facility Name] is designed to establish and maintain an organized facility-wide program that is data-driven and utilizes a proactive approach to improving the quality of care and services throughout the facility. This is a living document that will continue to be refined and revisited. It is written in accordance with the Facility's vision and mission statement. Objectives of the QAPI plan include . Establish a facility-wide process to identify opportunities for improvement through continuous attention to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-28 · tag F0582 — patternGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to provide Form CMS-10055 (Centers for Medicaid and Medicare Services) Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) to two of three residents (R) (R145 and R146) reviewed for liability notices. This failure prevented the resident or responsible party the ability to make an informed decision related to the cost of continued therapy services. Findings included: A review of the CMS site, Form Instructions Advance Beneficiary Notice of Non-coverage (ABN) OMB Approval Number: 0938-0566 accessed at https://www.cms.gov/medicare/medicare-general-information/bni/downloads/abn-form-instructions.pdf on 06/04/24 revealed, The beneficiary or his or her representative must choose only one of the three options listed in Blank (G). Unless otherwise instructed to do so according to the specific guidance provided in these instructions, the notifier must not decide for the beneficiary which of the 3 checkboxes to select . If the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-08-28 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy, record review, and staff interviews, the facility failed to ensure notice regarding the reason for the transfer was provided, in writing for three of three residents (R) (R64, R70, and R94) reviewed for hospitalization. This failure created the potential for the residents to be uninformed about their rights related to hospital transfer and subsequent return to the facility. Findings included: The facility's policy regarding written notice of hospital transfer was requested on 08/27/24. During an interview conducted with the Administrator and the Director of Nursing (DON) on 06/28/25 at 9:25 AM, the DON confirmed the facility did not have a policy regarding written notification with hospital transfer and stated her expectation was federal regulation would be followed related to hospital transfers. 1. A review of the electronic medical record (EMR) for R64 revealed the resident was admitted to the facility on [DATE] with diagnoses including type 2 diabetes and a history of heart attack.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-28 · tag F0645 — patternPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to complete Pre-admission Screening and Resident Reviews (PASARR) as required for two of three sampled residents (R) (R31 and R64) reviewed for PASARR status. Findings included: A review of a policy titled, Resident Assessment - Coordination with PASARR Program dated 02/12/22 indicated . The facility will only admit individuals with a mental disorder or intellectual disability whom the State mental health or intellectual disability authority has determined as appropriate for admission. The Social Services Director shall be responsible for keeping track of each resident's PASARR screening status, and referring to the appropriate authority. There was no evidence in the facility policy that addressed the facility's responsibility if the PASARR was inaccurate. 1. A review of R31's electronic medical records (EMR) titled admission Record located under the Profile tab indicated the resident was admitted to the facility on [DATE]. A…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-28 · tag F0847 — patternInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to contain specific language in the facility's arbitration agreement for two of three sampled residents (R) (R86 and R84) reviewed for an arbitration agreement. Findings included: A review of a facility document titled Resident and Family Arbitration Agreement revealed no evidence that expressly stated that the resident/family was not required to sign the agreement as a condition of admission or to continue to receive care at the facility. 1. A review of R86's electronic medical record (EMR) titled admission Record indicated the resident was admitted to the facility on [DATE]. A review of a document provided by the facility titled Resident and Family Arbitration Agreement dated 01/31/24, indicated R86 signed the agreement. The document did not expressly state that the resident/family was not required to sign the agreement as a condition of admission or to continue to receive care at the facility. A review of R86's EMR titled admission Minimum Data Set…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0567 — failed to protect residents' money held by the home — isolatedHonor the resident's right to manage his or her financial affairs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff and resident interviews, the facility failed to ensure the timely availability of personal resident funds for three of eight residents (R) (R3, R31, and R37) reviewed for access to their funds. The facility's banking hours were limited to Monday through Friday from 9:00 AM to 3:00 PM and residents did not have access to their money outside of these hours. Findings included: The facility's banking hours, posted on the Business Office Door at the facility entrance, indicated the facility's banking hours were Monday through Friday from 9:00 AM to 3:00 PM. The sign indicated there were no banking hours on the weekend. 1. A review of R3's admission Record, dated 08/27/24 and found in the electronic medical record (EMR) under the Profile Tab, revealed R3 was admitted to the facility on [DATE] with diagnoses including heart failure and end-stage renal disease (ESRD). A review of R3's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/22/24 and found in the EMR…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0568 — isolatedProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy, interviews, and record review, the facility failed to ensure accurate financial accounting and record retention for two of eight residents (R) (R31 and R37) reviewed for resident funds. Findings included: A review of the facility's policy titled, Resident Trust Policy updated on 08/27/24, indicated, Calhoun Health Care maintains a resident trust that is available, free of charge, for any long-or-short-term resident. The facility will hold, safeguard, manage, and account for the personal trust account; and 4. The resident shall have reasonable access, upon request, to their transaction records and shall receive an itemized quarterly statement of his/her accounts.? 1. A review of R31's admission Record, dated 08/27/24 and found in the electronic medical record (EMR) under the Profile Tab, revealed R31 was admitted to the facility on [DATE] with diagnoses including type 2 diabetes and dependence on renal dialysis. A review of R31's annual Minimum Data Set (MDS) with an Assessment Reference…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0569 — isolatedNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to ensure resident funds managed by the facility in a Personal Needs (PN) Account were released to the resident or resident's Responsible Party (RP) within 30 days of discharge for three of eight residents (R) (R195, R197, and R199) reviewed for personal funds. Findings included: 1. A review of R195's admission Record, dated 08/27/24 and found in the electronic medical record (EMR) under the Profile Tab, revealed R195 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease and acute and chronic respiratory failure. The record indicated the resident passed away in the facility on 07/21/23. A review of R195's Resident Fund Statement, dated 08/28/24 and provided by the facility, indicated the resident still had an active PN Account as of that date (more than 13 months after the resident's discharge from the facility). The document revealed a total balance of $4882.92 was still in the resident's PN account as of 08/28/24. 2.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and facility policy, the facility failed to ensure the facility's Bed Hold Policy was provided in writing to three of three residents (R) (R64, R70, and R94) reviewed for hospitalization. This failure created the potential for the residents to be uninformed about their rights related to the facility's bedhold procedures. Findings included: A review of the facility's policy titled, Bed Hold Prior to Transfer Policy dated 2023, indicated, It is the policy of this facility to provide written information to the resident and/or the resident representative regarding bed hold policies prior to transferring a resident to the hospital or the resident goes on therapeutic leave; and The facility will provide written information about these policies to residents and/or resident representatives prior to and upon transfer for such absences. 1. A review of R64's admission Record, dated 08/27/24 and found in the electronic medical record (EMR) under the Profile tab, revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 20 citations
- Potential for harm · Dcited before2024-08-28 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the facility failed to make a referral for a Level II Preadmission admission Screening and Resident Review (PASARR) evaluation for one of three sampled residents (R) (R31) reviewed for PASARR Level II evaluations. Findings included: A review of a facility document titled Resident Assessment-Coordination with PASARR Program dated 02/12/22 indicated .Any resident who exhibits a newly evident or possible serious mental disorder .or related condition will be referred promptly to the state mental health.authority for a level II resident review. Examples include.A resident who exhibits behavioral, psychiatric, or mood-related symptoms suggesting the presence of a mental disorder (where dementia is not the primary diagnosis). A review of a document provided by the facility titled PASARR Level I dated 05/05/23, indicated R31 did not have a diagnosis of major depressive disorder. A review of R31's EMR titled admission Record indicated the resident was admitted to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-28 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the facility failed to label the enteral feeding bag in accordance with professional standards of practice for enteral feeding tube administration for one of 22 sampled residents (R) (R69). This failure had the potential to result in the incorrect amount of feeding administered to the resident. Findings included: A review of R69's undated admission Record located in the electronic medical record (EMR) revealed R69 was admitted to the facility on [DATE] with diagnoses of dysphagia following cerebral infarction, other artificial openings of gastrointestinal tract status and gastroparesis. Review of R69's Physician's Order, dated 01/03/24, located in the EMR under the Orders tab, revealed order to in the morning for PEG related to dysphagia following cerebral infarction . stop cont [continuous] feeding @ [at] 6[:00] AM/ Enteral Nutrition via Nutren 2.0 at 45/ml [milliliters] per hour for 20 hours via pump per PEG [percutaneous endoscopic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, staff interviews, and policy review, the facility failed to ensure a medication error rate of less than 5% for two of six residents (R) (R54 and R79) reviewed for medication administration. Two errors were made with a total of 33 opportunities for error, resulting in a 6.06% error rate. The nurse observed administering medication to R54 failed to ensure the resident's insulin pen was primed appropriately before the administration of insulin and the nurse observed administering R79's medication did not leave the resident's insulin pen needle inserted in the resident's skin for the proper amount of time to ensure full absorption of the medication. These failures created the potential for R54 and R79 to experience negative effects related to not receiving the full dose of their insulin. Findings included: A review of the facility's policy titled Insulin Policy dated 02/01/22 indicated, It is the policy of this facility to use insulin pens to improve the accuracy of insulin…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-28 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policies, the facility failed to maintain an effective infection control program for two of 22 sampled residents (R) (R10 and R89) related to R89's indwelling catheter tubing observed on the floor and R10 was COVID-19 positive, however, staff failed to don personal protective equipment (PPE) prior to entering the resident's room. This failure had the potential to spread the COVID-19 virus to other residents in the facility. Findings included: 1. A review of R10's undated admission Record located in the Electronic Medical Record (EMR) under the Profile tab revealed that R10 was admitted to the facility on [DATE] and readmitted to the facility on [DATE] with COVID-19. A review of R10's Physician's Order, dated 08/23/24, located in the EMR under the Orders tab revealed an order for Contact precautions until date ending 09/01/24. (May remove from isolation 09/02/24) d/t [due to] COVID-19 (+) [positive]. A review of R10's comprehensive Care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-28 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, review of the Centers for Disease Prevention and Control (CDC) guidelines, and facility policy review, the facility failed to offer the pneumococcal vaccination in accordance with the nationally recognized standards for two of six residents (R) (R48 and R55) reviewed for immunizations. This failure had the potential to increase the risk for the residents to contract pneumonia. Findings included: A review of a facility policy titled Pneumococcal Vaccine (Series), revised 07/01/24, indicated . Policy: It is our policy to offer residents and staff immunization against pneumococcal disease in accordance with current CDC guidelines and recommendations. Policy Explanation and Compliance Guidelines: . 6. The type of pneumococcal vaccine (PCV I 5, PCV20, or PPSV23) offered will depend upon the recipient's age and susceptibility to pneumonia, in accordance with current CDC guidelines and recommendations A review of the CDC website titled Pneumococcal Vaccination: Summary of Who and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-03-16 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and facility policy review, the facility failed to store and prepare food in a manner designed to assure food sanitation. The facility failed to assure the kitchen's metal exhaust hood cover was free of chipping paint. Food preparation sheet pans were not cleaned and sanitized prior to storing them for use, bread products and nutritional shakes that were stored in the kitchen were not dated. Undated and expired foods that were stored in the two resident hallway refrigerators were not discarded. This had the potential to affect 88 of 92 residents who consumed food from the kitchen or food stored in the two resident hall refrigerators. Findings include: Review of the facility's policy titled, Food Preparation, dated 10/2019, specified, 2. The Dining Services Director or Cook(s) are responsible for food preparation procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination. 3. The Dining Services Director and Cook(s) is responsible to ensure that all utensils, food contact equipment and food contact…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-03-16 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespreadHave a plan that describes the process for conducting QAPI and QAA activities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and review of facility documentation, the facility failed to ensure a Quality Assurance Performance Improvement (QAPI) plan was developed to drive quality assurance (QA) measures which addressed resident care and safety, quality of life, and resident choice. This failure had the potential to affect all 92 residents who currently live in the facility. Findings include: Review of three documents provided by the facility and referred to as the facility's QAPI plan(s) revealed they were blank templates and contained no QAPI information specific to the facility. Review of the documents revealed the facility's QAPI plan failed to address the following potential quality of care issues: There was no data-driven information, such as tracking and trending, and the measurement of performance made by the facility on specific clinical concerns. There was no evaluation of general nursing issues and corrective action taken in areas such as pressure ulcers, abuse prevention/investigations, infection control matters, and/or falls. There was no evidence of effective training that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-03-16 · tag F0607 — failed to have anti-abuse policies — patternDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to implement their abuse policy related to the screening component. The facility failed to ensure references were checked prior to employment for five of 10 employees whose employee files were reviewed. Findings include: Review of the facility-provided policy, titled Abuse, Neglect and Exploitation, dated 2/1/2022, revealed The components of the facility abuse prohibition plan are discussed herein: I. Screening A. Potential employees will be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property. 1. Background, reference, and credentials' checks shall be conducted on potential employees, contracted temporary staff, students affiliated with academic institutions, volunteers, and consultants. 2. Screenings may be conducted by the facility itself, third-party agency or academic institution. 3. The facility will maintain documentation of proof that the screening occurred. a. Review of documents provided by the facility, referred to as the employee file, for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-03-16 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation (including tasting of food served on a requested test tray), interview, record review, recipe review and facility policy review, the facility failed to serve food that was hot and/or well-seasoned to six of six sampled residents reviewed for food palatability (Resident (R) 21, 73, R39, R13, R89, and R9). Finding include: Review of the facility's policy titled, Food Quality and Palatability, dated 10/2019, revealed It is the center policy that food is prepared by methods that conserve nutritive value, flavor and appearance. Food is palatable, attractive, and served at a safe and appetizing temperature .1. The Dining Service Director and Cook(s) are responsible for food production. Menu items are prepared according to the menu, production guidelines and standardized recipes. 1.a. During an interview on 3/13/2023 at 11:05 AM, R21 stated the food Ain't worth a damn. The resident stated the food was not worth eating and the facility did not serve warm food. b. Review of R73's March 2023 Physician Orders in the electronic medical record (EMR) under the Orders tab…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-03-16 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and review of information from ASHRAE (American Society of Heating, Refrigerating and Air-Conditioning Engineers) and the Centers for Disease Control and Prevention (CDC), the facility failed to have an adequate water management program designed to prevent the spread of infection. The facility's water management program was incomplete and was not consistent with current ASHRAE Guidelines, which call for specific design and maintenance procedures related to the potential exposure of Legionnaire's disease (a serious pneumonia infection) within a healthcare facility. This failure created a potential to affect 24 facility residents, who were over the age of 65, of a total census of 92. Findings include: Review of a website for ASHRAE, titled Risk Management for Legionellosis, dated 10/2015. indicated The design engineer first needs to evaluate which requirements of the standard apply to their project. This evaluation determines if the project contains any of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-03-16 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of facility policy, the facility failed to ensure the bathrooms on the 300-unit were clean and in good repair. This failure affected 23 residents' rooms (room [ROOM NUMBER]B, 303A, 301B, 301A, 302B, 302A, 304B, 304A, 306B, 306A, 308A, 308B, 307A, 307B, 305B, 305A, 310A, 310B, 312A, 312B, 311B, 311A and 309A). Additionally, shower rooms on two units (200 Hall and 500 Hall) were in disrepair with black substance on the tile and walls. The facility census was 92. Finding include: Review of a facility policy titled, Resident Environmental Quality, dated 2/1/2022 revealed, It is the policy of this facility to be designed, constructed, equipped, and maintained to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public .Preventive maintenance schedules, for the maintenance of the building and equipment, should be followed to maintain a safe environment. During a tour of the facility beginning on 3/14/2023 at 10:20 AM, the following…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the facility failed to report an injury of unknown origin for one (Resident (R) 201) of 64 sampled residents. R201 was identified with bruising to the breast with no witnessed/verified etiology; however, the facility failed to immediately report the injury to the State Survey Agency (SSA). Findings include: Review of the facility policy titled, Abuse, Neglect and Exploitation, dated 2/1/2022, revealed that alleged violations were to be reported, not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. Review of R201's undated admission Record located in the electronic medical record (EMR) and under the Clinical tab revealed R201 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, obesity, and osteoarthritis. Review of R201's quarterly Minimum Data Set (MDS), with an assessment reference date (ARD) of 10/12/2021 in the EMR under the Clinical tab, revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-16 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to provide written notice of transfer to the resident and/or the resident's representative for two (Resident (R)198 and R68) of two sampled residents reviewed for facility-initiated transfers. The facility failed to provide the required written transfer notice, which includes information about the reason, date, and location of the transfer, as well as information on how to appeal the transfer, when the facility initiated a transfer to the hospital for R198 and R68. Findings include: Review of the facility policy titled, Transfer and Discharge, dated 2/1/2022, revealed, 4. The facility's transfer/discharge notice will be provided to the resident and the resident's representative in a language and manner in which they can understand. The notice will include all of the following at the time it is provided: a. The specific reason and basis for transfer or discharge. b. The effective date of the transfer and discharge. c. The specific…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0626 — isolatedPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to permit a resident to return to the facility after a facility-initiated transfer to a hospital for behavior assessment for one (Resident (R) 198) of two sampled residents reviewed for facility-initiated transfers. Findings include: Review of the facility policy titled, Transfer and Discharge, dated 2/1/2022, revealed, 12. Emergency Transfers and Discharges- initiated by the facility for medical reasons to an acute care setting such as a hospital, for immediate safety and welfare of a resident (nursing responsibilities unless otherwise specified) . i. The resident will be permitted to return to the facility upon discharge from the acute care setting. j. In a situation where the facility initiates discharge while the resident is in the hospital following an emergency transfer, the facility will have evidence that the resident's status at the time the resident seeks to return to the facility meets one of the specified exemptions…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure one resident (Resident (R) 28) of six residents reviewed for nutrition had an accurate Minimum Data Set (MDS) assessment. The facility failed to code that the resident experienced a significant weight loss, based on a 10% weight loss in six months. Findings include: Review of the RAI Manual, dated 10/01/2019, indicated, It is important to note here that information obtained should cover the same observation period as specified by the Minimum Data Set (MDS) items on the assessment and should be validated for accuracy (what the resident's actual status was during that observation period) by the IDT [interdisciplinary team] completing the assessment. Review of R28's admission Record, located in the electronic medical record (EMR) under the Profile tab, indicated the resident was admitted to the facility on [DATE]. Review of R28's Weights located under the Wts (Weights)/Vitals tab indicated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-16 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to make a referral for a Level II Preadmission admission Screening and Resident Review (PASARR) evaluation after a resident experienced a change in mental health status and was newly diagnosed with paranoid schizophrenia. The failure to ensure the required PASARR screening and review was completed affected one (Resident (R) 80) of two sampled residents reviewed for PASARR Level II evaluations. Findings include: Review of R80's admission Record, located in the resident's electronic medical record (EMR) under the Profile tab, revealed R80 was admitted to the facility on [DATE] with diagnoses which included Parkinson's disease, traumatic subdural hemorrhage, psychotic disorder with hallucinations, and psychotic disorder with delusions due to known physiological condition. Review of R80's PASARR information, located in the resident's EMR under the Misc[ellaneous] tab, revealed R80 had a PASARR Level I screen completed on 8/10/2022. Review of R80's PASARR…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to ensure resident care plans were revised for one (Resident (R) 59) of 64 sampled residents so that the care plan accurately reflected the resident's health status. In addition, the facility failed to invite R21 to her quarterly care conference. This failure created an increased risk for the resident to receive care and services not appropriate for their current clinical condition and/or in accordance with their preferences. Findings include: Review of a document provided by the facility, titled Comprehensive Care Plan, dated 2/1/2022, indicated It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment.The comprehensive care plan will be prepared by an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-16 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and job description review, the facility failed to provide care that met professional standards of practice for one (Resident (R) 200) of 64 sampled residents. Licensed Practical Nurse (LPN) 5 acted outside the LPN's scope of practice and removed a peripherally inserted central catheter (PICC) without competency. This failure placed Resident (R) 200) a risk for poor quality care and complications related to the removal of the PICC line. Findings include: Review of an undated facility job description, titled, Charge Nurse, revealed the charge nurse, Provides direct nursing care to the residents .in accordance with current federal, state, and local regulations and guidelines and established facility policies and procedures. Review of Georgia Administrative Code Standards of Practice for Licensed Practical Nurses dated 2/2/2023 revealed LPNs may Perform other specialized tasks as appropriately educated. Review of R200's Progress Notes, under the Progress Notes tab in the Electronic Medical Record (EMR), revealed that on 10/28/2021 at 8:21 AM, LPN5…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of facility policy, the facility failed to ensure the proper storage for vials of insulin for three residents (Resident (R) 36, R65, and R90) on two medication carts observed. The use of expired insulin, which was available in the medication carts, creates the potential for decreased medication efficacy. Findings include: Review of a facility policy titled, Storage of Medications, dated 9/2018, revealed that, Medications and biologicals are stored safely, securely, and properly . The nurse will check the expiration date of each medication before administering it. No expired medication will be administered to a resident. All expired medications will be removed from the active supply and destroyed in accordance with facility policy, regardless of amount remaining .When the original seal of a manufacturers container or vial is initially broken, the container or vial will be dated. The nurse shall place a date opened sticker on the medication and record the date opened and the new date of expiration. The expiration date of the vial or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-16 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, the facility failed to ensure that the room for one (Resident (R) 87) of 64 sampled residents was equipped with a functioning call light that was accessible to the resident. This failure had the potential to result in a delayed response to the needs of the resident. Findings include: Review of the facility-provided policy titled Maintenance Inspection, dated [DATE], revealed It is the policy of this facility to utilize a maintenance inspection checklist in order to assure a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Policy Explanation and Compliance Guidelines: 1. The Director of Maintenance Services will perform routine inspections of the physical plant. 2. The Administrator, or designee, will perform random inspections of the physical plant. 3. Any personnel who observe a maintenance concern should complete a work order form. 4. All opportunities will be corrected immediately by…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$107,867 in federal fines across 7 penalties.
- $69,934 — penalty dated 2024-08-28
- $4,938 — penalty dated 2024-02-20
- $4,938 — penalty dated 2024-02-12
- $13,674 — penalty dated 2024-01-22
- $3,798 — penalty dated 2024-01-08
- $3,176 — penalty dated 2024-01-02
- $7,409 — penalty dated 2023-12-11
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to JOURNEY HEALTHCARE — 32 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 1.9 | -0.9 vs chain |
| Health inspection | 3 of 5 | 2.3 | +0.7 vs chain |
| Staffing | 1 of 5 | 1.5 | -0.5 vs chain |
| Quality measures | 1 of 5 | 2.7 | -1.7 vs chain |
The other 31 homes this chain runs (chain average 1.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
CMS ownership filings flag an owner of this facility as a real-estate investment trust (REIT). That’s a fact worth knowing: peer-reviewed research links private-equity and REIT ownership to lower staffing and more citations on average — though any individual home can run well or poorly regardless. Read the inspection and staffing record above on its own merits.
- SHASAM FAMILY TRUST — REIT · 31.70% share · Indirect Ownership Interest
Source: CMS SNF ownership filings (PECOS). These flags are self-reported and undercount — federal auditors (GAO) and researchers find CMS captures only a fraction of true private-equity and REIT ties, so the absence of a flag on other homes is not proof they lack investor owners. How investor ownership affects care →
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| JOURNEY OX OF GA LLC | Organization | DIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| 3 BEES HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| AJOJ HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| BEES FAMILY IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| BLUE OCEAN TRUST | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| JOURNEY OX GA HEALTHCARE HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| SHASAM FAMILY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| SHASAM HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 11/01/2024 |
| MCGUINNESS, BERNARD | Individual | INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNF | since 08/28/2025 |
| JOURNEY OX GA MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| BILBO, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/20/2024 |
| BROWN, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| CONRAD, CAMERON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| FOCO, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| FRINKS, TERENCE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| JOHNSON, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| JONES, ANTONIO | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/18/2024 |
| OMARA, JODY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| PRICE, HEATHER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| SILLINGS, NIKKI | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/13/2025 |
| TRAMMELL, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| WASHINGTON, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| WILLIAMS, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| SUMMIT CALHOUN LLC | Organization | ADP OF THE SNF | since 11/01/2024 |
CMS files one row per role, so the 42 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $469K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in GA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115340. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.