Jesup Ridge of Journey LLC

Location & what’s nearby

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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

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.

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.

47.7% 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 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.3% 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 39 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 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at 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.

Staffing

How full it usually is: this home is certified for 72 beds and averages 52.2 residents a day — about 72% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 2.90 hrs/resident/day on weekends vs 3.57 on weekdays — 19% thinner on weekends. RN hours go from 0.45 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above 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 more than at the previous inspection — worsening. 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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · K2024-11-18 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect 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, document review, and facility policy review, the facility failed to protect a resident's right to be free from sexual, verbal, and physical abuse by a resident. Specifically, the facility failed to protect Resident #7, who was cognitively impaired and wandered in the facility from sexual abuse by Resident #6, who had a history of sexually inappropriate behavior. On 10/18/2024, when staff were unable to locate Resident #7, they initiated a search and found the resident in Resident #6's bathroom seated on the toilet. Resident #6 stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. Furthermore, on 08/09/2024, Resident #6 was found standing over the bed of Resident #8, a cognitively impaired resident, with their genitals in their hand and expressed inappropriate sexual gestures and comments. On 09/03/2024, Resident #6 grabbed the wheelchair of Resident #10 and prevented Resident #10 from moving about in their wheelchair. On 09/18/2024,…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-11-18 · tag F0609 — failed to report abuse allegations — pattern
  Timely 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 facility policy review, the facility failed to report allegations of abuse to the state survey agency. On 08/09/2024, Resident #6 was found standing over the bed of Resident #8, a cognitively impaired resident, with their genitals in their hand and expressed inappropriate sexual gestures and comments. On 09/03/2024, Resident #6 grabbed the wheelchair of Resident #10 and prevented Resident #10 from moving about in their wheelchair. On 09/18/2024, Resident #6 voiced inappropriate sexual comments to Resident #9 as Resident #9 straightened their shirt. On 10/03/2024, Resident #6 was found masturbating in the doorway of Resident #2's room. These deficient practices affected 4 (Residents #2, #8, #9, and #10) of 15 sampled residents reviewed for abuse. It was determined that the provider's non-compliance with one of more requirements of participation had caused, or was likely to cause serious injury, harm, or death to residents. The Immediate Jeopardy (IJ) was related to State…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-11-18 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  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, document review, and facility policy review, the facility failed to thoroughly investigate an allegation of sexual abuse perpetrated by a resident. Specifically, on 10/18/2024, when staff were unable to located Resident #7, a cognitively impaired resident who wandered in the facility, staff initiated a search and found Resident #7 in Resident #6's bathroom seated on the toilet. Resident #6, who had a history of sexually inappropriate behavior, stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. Furthermore, the facility failed to investigate allegation of verbal, sexual, and physical abuse perpetrated by a resident and implement effective measures to prevent further abuse by a resident, Resident #6, who repeatedly exhibited inappropriate sexual aggressive behaviors. Specifically, on 08/09/2024, Resident #6 was found standing over the bed of Resident #8, a cognitively impaired resident, with their genitals in their hand and expressed…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-11-18 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 Administrator, who was responsible for the day-to-day operations of the facility, failed to provide oversight to ensure the abuse policy was implemented when a resident, with a history of sexually inappropriate behaviors, repeatedly exhibited verbal, sexual, and physical abuse towards other residents. Specifically, on 10/18/2024, when staff were unable to located Resident #7, a cognitively impaired resident who wandered in the facility, staff initiated a search and found Resident #7 in Resident #6's bathroom seated on the toilet. Resident #6, who had a history of sexually inappropriate behavior, stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. Furthermore, the facility failed to investigate allegation of verbal, sexual, and physical abuse perpetrated by a resident and implement effective measures to present further abuse by a resident, Resident #6, who repeatedly exhibited inappropriate sexual aggressive behaviors. Specifically, on 08/09/2024, Resident #6 was…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-30 · tag F0582 — pattern
  Give 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 record review, staff interview, and review of the facility's policy titled F582, F584 Beneficiary Notices, the facility failed to ensure each Medicare resident whose Medicare therapy services were terminated received a two-day notice prior to the discontinuation of skilled services to include the reason the services were ending or what the options were prior to the discontinuation of therapy services. This had the potential to affect three of three Residents (R) (R6, R159 and R37) who were reviewed for Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review. This failure had the potential to provide the resident the wrong information for the appeals process. Findings include: Review of the facility's policy titled, F582, F584 Beneficiary Notices dated 8/2024, revealed, Policy: A Medicare beneficiary has the right to have Medicare make the decision to determine if skilled services are will not be covered by Medicare. Two processes are available: the expedited appeals process and 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0645 — isolated
  PASARR 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 record review, staff interview, and review of the facility's policy titled, Pre-admission Screening and Resident Review, the facility failed to complete the Preadmission Screening and Resident Review (PASARR), when a resident with a mental disorder for one out of two Residents (R) (R31) reviewed for PASARR. This failure placed the resident at risk of not receiving appropriate services, or needs going unmet. Findings include: Review of the facility's policy titled, Pre-admission Screening and Resident Review effective 10/2024 indicated, This community will coordinate assessments with the preadmission screening and resident review (PASARR) program. Upon admission, the Social Worker or designee will, within the context of the established assessment process, the recommendations of the PASARR level ll and the PASARR evaluation report with be incorporated into the resident's assessment, care planning and transitions of care. Notify the state mental health authority or state intellectual disability authority,…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0646 — isolated
  Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
  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 interview, and review of the facility's policy titled, Pre-admission Screening and Resident Review, the facility failed to identify and notify the appropriate state authorities for a Level II Preadmission Screening and Resident Review (PASARR), when a resident with a mental disorder experienced a significant change in condition for one out of two Residents (R) (R 31) reviewed for PASARR. This failure placed the resident at risk of not receiving appropriate services, or needs going unmet. Findings include: Review of policy titled, Pre-admission Screening and Resident Review, effective 10/2024 stated, Residents with newly evident or possible serious mental disorders will be referred for appropriate services based upon their assessed needs, and notify the state mental health authority or state intellectual disability authority, as applicable, promptly after a significant change in the mental or physical condition of the resident who has a mental disorder or intellectual disability for…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, record review and review of the facility provided document titled Infection Control Program-Infection Control Guide for Long-Term Care on Perineal Care, the facility failed to adhere to infection control practices and policies during peri care and suprapubic catheter care related to performing peri care, staff changing gloves and performing hand hygiene for one of 42 sampled residents (R) (R26). Findings include: Review of the facility provided document titled Infection Control Program-Infection Control Guide for Long-Term Care on Perineal Care revealed, .8. Educate staff on proper procedures on perineal care. During perineal care, preform hand hygiene before and after and change gloves when solid to reduce the spread of infection. Review of R26's Physician Orders in the EMR under the Orders tab revealed an order for a suprapubic catheter. 1. Observation on 5/27/2025 at 10:22 am, Certified Nurse Aide (CNA)1 and CNA2 entered R26's room, was in Enhanced barrier precautions (EBP) to provide peri care and catheter care. CNA1 and CNA2 donned gloves…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 interview, record review, and review of the facility's policy titled, Infection Control Program- Antibiotic Stewardship F881, the facility failed to ensure an antibiotic was not used without the presence of a diagnosed infection for one of four Residents (R) (R7) reviewed for antibiotic stewardship. The failure had the potential to increase the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use. Findings include: Review of the facility's policy titled, Infection Control Program- Antibiotic Stewardship F881 dated 10/2024 documented, .d. after order has been received, the infection control coordinator or designee should complete the surveillance document, utilizing the McGeer criteria, noting evidence for the infection. If the antibiotic does not fit the criteria, the physician will be contacted. Review of R7's admission Record located in the Reports tab of the electronic medical record (EMR) revealed, the resident…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-22 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to accurately assess the weight of one of four residents, Resident (R)#2 reviewed for nutrition. This failure could lead to an unnecessary change in diet and/or supplements provided to the resident. Findings include: Review of the October 2019 Resident Assessment Instrument [RAI] Manual showed on page K-3: Planning for Care -Height and weight measurements assist staff with assessing the resident's nutrition and hydration status by providing a mechanism for monitoring stability of weight over a period of time. The Measurement of weight is one guide for determining nutritional status. Steps for Assessment for K0200B, Weight 1. Base weight on the most recent measure in the last 30 days. 2. Measure weight consistently over time in accordance with facility policy and procedure, which should reflect current standards of practice (shoes off, etc.). 3. For subsequent assessments, check the medical record and enter the weight taken within 30 days of the ARD of this…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-22 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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, family interview, staff interviews, and review of the facility policy titled, Advance Directives Policy the facility failed to ensure Code Status was correct for one of four Residents (R) #26 reviewed for Advance Directives/Code Status. Specifically, R#26's code status documentation in the resident's Electronic Medical Record (EMR) indicated the resident was full code initiate Cardiopulmonary Resuscitation (CPR.) However, documentation signed prior to admission indicated DNR (Do Not Resuscitate). Findings include: Review of the facility's policy titled, Advance Directives Policy dated 11/2022 read, in pertinent part, Advance directive will be respected in accordance with state and federal law and facility policy; and. The resident has the right to formulate an advanced directive. Guidance 1. Prior to or upon admission of a resident to our facility, the Social Services Director or designee will provide written information to the resident concerning his/her right to made decisions…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-22 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interviews, and review of the facility policy titled, Psychotropic Drug Use Policy, the facility failed to ensure informed consents were obtained prior to the use of a psychoactive medication for two of six Residents (R) (R#1 and R#17) reviewed for psychotropic medication administration. Findings include: Review of the facility policy titled, Psychotropic Drug Use Policy revised date 10/2022 read, in pertinent part, Residents will only receive psychotropic medications when necessary to treat specific conditions for which they are indicated and effective and will not be used for discipline or convenience of the staff; and During the comprehensive, person centered care planning process, the resident and/or their representative should be informed of the prescribed treatment Document such in the clinical record. 1. Review of R#1's admission Record, found in the Electronic Medical Record (EMR) under the Profile Tab, revealed the resident was admitted with diagnoses including malnutrition, history of traumatic brain injury and dementia with behavioral…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interviews, and review of the facility policy titled, Documentation Guidelines, the facility failed to ensure a consent for the 2022 influenza vaccination season accurately reflected the wishes of the resident for one of five residents Resident (R) #7 reviewed for influenza vaccinations. This failure had the potential for facility staff to administer influenza vaccine against the wishes of the resident. Findings include: Review of the facility policy titled Documentation Guidelines, effective 4/2023, revealed under Policy Interpretation and Implementation number 6. Based upon the physician order, documentation of procedures and treatments shall include care-specific details and shall include at a minimum: d. Whether the resident refused the procedure/treatment. Review of R#7's Electronic Medical Record (EMR) undated admission Record located under the Profile tab indicated R#7 was admitted with diagnoses including acute upper respiratory infection, and Type II diabetes mellitus with hyperglycemia. Review of R#7's of the Annual Minimal Data…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2021-10-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure 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 observations and staff interviews, the facility failed to maintain the kitchen in a sanitary manner related to grease and food on the floor, dirt buildup on the air conditioner vents, and dirt and debris on the flour bin lid. This had the potential to effect 35 residents who received an oral diet. Findings include: During initial walk through of the kitchen on 10/12/21 beginning at 9:57 a.m. with the Dietary Manager (DM) the following concerns and sanitation issues were identified: 1. The lid on the flour bin had dirt and debris. 2. There were 4 crates (with boxes of food stored on top of the crates) covered in dirt, debris, and sticky brown substances located in the walk-in pantry. 3. There was grease built up on floor between stove and fryer as evidenced by sticky black oily substances on the floor. 4. The floor behind the stove was covered with onion peels, speckled brown substances, and a small container lid. 5. The window air conditioner vent was covered with a sticky brown substance. The DM wiped the vent with a paper towel and identified the substance on the vent as…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

$45,968 in federal fines across 1 penalty.

• $45,968 — penalty dated 2024-11-18

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 →

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 files one row per role, so the 13 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

5 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 73% 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 $280K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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