Tybee Island Trails 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.

Met the expected recovery: 25.0% 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 20 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 50 beds and averages 48.5 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 1.74 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 0.89 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 1.22 hrs/resident/day on weekends vs 1.95 on weekdays — 38% thinner on weekends — a notable drop. RN hours go from 0.39 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 69% 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 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.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2026-01-30 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, record review, and a review of facility's policy titled Pain Management and Wound Treatment Management, the facility failed to stop and address a resident pulling back during a dressing change and facial grimacing expressions of pain during wound care for one resident (R) (R33) of two residents observed for wound care. Actual harm occurred on 1/28/2026 when Licensed Practical Nurse (LPN) AA failed to assess and administer pain medication to R33 prior to providing wound care treatment, which resulted in pain during the treatment.Findings Include: Review of the facility policy titled Pain Management, date reviewed/revised 04/1/2025, revealed the Policy section included, The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. The Policy Explanation and Compliance Guidelines section included, Recognition: . the facility will: a. Recognize when the resident is…

  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 · Fcited before2026-01-30 · 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, staff interviews, and review of the facility's policy titled Food Safety Requirements, the facility failed to label, store, prepare, and discard food under sanitary conditions. In addition, the facility failed to ensure the cleanliness of the kitchen floors and equipment used for residents. The deficient practices had the potential to place the 48 residents receiving nutrition and hydration at risk for foodborne illness.Findings include: Review of the facility's policy titled Food Safety Requirements, revised on 03/25/2025, documented under Policy Explanation and Compliance Guidelines number 1-e. Equipment used in the handling of food, including dishes, utensils, mixers, grinders, and other equipment that comes in contact with food; number 3- iv. Labeling, dating, and monitoring refrigerated food, including, but not limited to leftovers, so it is used by its use-by date, or frozen (when applicable)/ discarded; number 8-e. Cleaning and sanitizing the internal components of the ice machine according to the manufacturer's guidelines. Observation tour 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-30 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff and resident interviews, and record review, the facility failed to ensure three of 32 sampled residents' (R) (R2, R1, and R45) were treated with dignity. This deficient practice had the potential to place R2, R1, and R45 at risk of a diminished quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life.Findings include: 1. Review of the significant change Minimum Data Set (MDS) for R2, dated 12/15/2025, revealed that Section C (Cognitive Patterns) documented that R2 had a Brief Interview for Mental Status (BIMS) score of 14 (indicating little to no cognitive impairment). Section GG (Functional Abilities and Goals) documented that R2 was moderate assistance with eating and maximal assistance with oral hygiene. Section I (Active Diagnoses) documented diagnoses of, but not all inclusive, encephalopathy, unsteadiness on feet, dysphagia, gastrostomy, end-stage renal disease, hypothyroidism, type two diabetes mellitus, and acute respiratory failure with hypoxia. Review of the care plan for R2, dated…

  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 · D2026-01-30 · tag F0569 — isolated
  Notify 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

  Based on record review and staff interview, the facility failed to notify the resident and/or the resident's responsible party when their personal funds were within $200.00 of the Social Security Income (SSI) limit and when accounts exceeded the $200.00 limit for one of 48 resident (R) (R43) accounts reviewed.Findings include:Review of the electronic health records (EHR) for R43 revealed diagnoses including, but not limited to, paranoid schizophrenia, schizophrenia, and brief psychotic disorder. Review of the quarterly Minimum Data Set (MDS) assessment for R43, dated 12/9/2025, revealed a Brief Interview Mental Status Score (BIMS) score of 11, indicating moderate cognitive impairment.Review of the Trial Balance report dated 01/30/2066 revealed the trust fund account for R43 exceeded the SSI limit of $2000.00.Review of the account document titled Resident Statement Landscape revealed that R43 was awarded $13,115.98 (March 2025), and the remaining balance in her account was $4,856.73.There was no documented evidence that the resident, or the responsible party, was notified 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-30 · tag F0644 — isolated
  Coordinate 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 staff interviews and record reviews, the facility failed to ensure submission to the state-designated authority for a Preadmission Screening and Resident Review (PASRR) Level II for two residents (R) (R1 and R19) reviewed for PASRR from a sample of 32 residents. This deficient practice increased the potential to place R1 and R19 at risk of not receiving services and/or care according to their needs.Findings include: 1. Review of the electronic health record (EHR) under the Diagnosis tab for R1 revealed the resident was admitted to the facility on [DATE] with diagnoses that included, but were not limited to, bipolar disorder and Down syndrome. Review of the quarterly Minimum Data Set (MDS) assessment for R1, dated 12/10/2025, revealed that Section C (Cognitive Patterns) documented that R1 had a Brief Interview for Mental Status (BIMS) score of 0 (indicating severe cognitive impairment). Section I (Active Diagnosis) documented diagnosis of, but not all inclusive, Down syndrome and bipolar disorder. Review…

  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 · D2026-01-30 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure 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 and staff interviews, the facility failed to ensure that one of two medication rooms was free of expired medication. This deficient practice had the potential to place residents at risk of receiving expired medications. Findings include:Observation on 01/29/2026 at 9:08 AM, of the supply room and over-the-counter medication room on Hall One with the Unit Manager, revealed two bottles of calcium 600 milligrams (mg) plus vitamin D3 400 units expired on 12/2025, three bottles of aspirin 325 mg expired 10/2025, one bottle of aspirin 325 mg expired 12/2025, two bottles of calcium 600 plus D3 expired 11/2025, one milk of magnesium expired 10/2025. The Unit Manager confirmed the expired medications. She stated the nurse was responsible for confirming medications were not expired before removing them from the storage closet. In an interview on 1/29/2026 at 9:26 AM, the Central Supply Clerk confirmed that the medications had expired. She stated that she stocks the medication and supply room and places the medications on the shelves according to the medication. She…

  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 · Dcited before2026-01-30 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record reviews, and a review of the facility's policy titled Enhanced Barrier Precautions, the facility failed to ensure infection control practices were followed for four of 32 sampled residents (R) (R33, R7, R30, and R40). This deficient practice had the potential to place R33, R7, R30, and R40 at risk of infection due to cross-contamination and exposure. Findings include: Review of the facility policy titled Enhanced Barrier Precautions, revised 4/1/2025, revealed the Policy section stated, It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. The Policy Explanation and Compliance Guidelines section included, . 2. Initiation of Enhanced Barrier Precautions: . b. An order for enhanced barrier precautions will be obtained for residents with any of the following: Wounds, . indwelling medical devices (e.g. [such as] central lines, urinary catheters, feeding tubes,…

  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 · Fcited before2024-10-28 · 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 label and date items in the freezer, failed to ensure items in dry food storage were not expired, failed to prevent cross-contamination hazards by storing scoops in the container, failed to wear hairnets, and failed to ensure routine cleaning and sanitation of the kitchen. This deficient practice had the potential to place 49 of 49 residents who received an oral diet from the kitchen at risk of foodborne illness. Findings Include: During the initial kitchen tour on 10/26/2024 at 7:47 am the following items were identified: 1. Dietary Aide AA and Dietary Aide BB were not wearing hairnets upon the surveyor's entry into the kitchen. 2. Items in the white standup freezer were not labeled or dated, including pancakes, cookies, biscuits, sausage, and fish nuggets. 3. In the dry storage pantry there were: a. Three bottles of expired thickened water with a use-by date of 8/24/2022. b. There were four plastic storage containers with sugar, rice, and flour with scoops on top and not in a bag. One scoop was in the container.…

  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
• Potential for harm · F2024-10-28 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to ensure the outdoor garbage and refuse area was maintained in a sanitary manner. This deficient practice had the potential to attract pests and rodents and transfer harmful microorganisms to food leading to food borne illness for the 49 residents residing in the facility. Findings include: During the initial observation of the dumpster area on 10/26/2024 at 8:30 am with Dietary Aide AA, there were two blue dumpsters observed with the door fully opened on one and partially opened on the other with a brief hanging out of the opening. During a second tour of the dumpster area on 10/27/2024 at 10:36 am with the Dietary Manager (DM), trash was on the ground to the right of one of the dumpsters and the door was opened on the other dumpster. The DM acknowledged the trash on the ground and that the dumpster doors should always be closed. During an interview with the Administrator on 10/27/2024 at 4:54 pm, it was acknowledged that the dumpsters should be kept closed on both the top and the sides. The Administrator went on 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-28 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, staff interviews, record review, and review of the facility policies titled, Hand Hygiene and Infection Surveillance, the facility failed to maintain an effective infection prevention control program to ensure proper sanitation between resident interactions, failed to ensure beverages were covered before delivering on the hallway, failed to ensure hand sanitation when delivery meal trays, and failed to demonstrate ongoing surveillance, recognition, investigation, and control of infection to prevent the onset and spread of infection. These deficient practices placed all 49 residents residing in the facility at risk of contracting avoidable infections. Findings include: 1. Review of the facility policy titled Hand Hygiene, dated 2023, indicated the following: Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. This applies to all staff working in all locations within the facility. Observation on 10/26/2024 at 12:36 pm, in the dining room, revealed Registered Nurse (RN) UU…

  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 · E2024-10-28 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 and staff interviews, the facility failed to ensure a clean, comfortable, and homelike environment for nine of 26 resident rooms (Rooms 15, 10, 11, 18, 20, 7, 16, 17, and 9) and one of two shower rooms (Ladies' Shower Room). These deficient practices had the potential to place the residents residing in and using the rooms at risk of living in an unsanitary and unsafe living environment and a potential for diminished quality of life. Findings included: During a resident room observation in room [ROOM NUMBER] on 10/26/2024 at 8:04 am, the following was observed: unlabeled and unbagged personal care products (skin and hair cleanser), unbagged and unclean graduate sitting on the back of the toilet, the paper towel dispenser was empty, the toilet was dirty, and the hand sanitizer dispenser was not working. A resident room observation in room [ROOM NUMBER] on 10/26/2024 at 9:19 am revealed thin linen sheets with stains, stains on the privacy curtain by Bed A, and writing on the walls by Bed A. 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.

  Resident Rights 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

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 88% 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 $193K 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