Calhoun, GA

Calhoun Crossing Of Journey LLC

1-star overall rating with 1-star inspections with $107,867 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1387 Highway 41 North, Calhoun, GA

(706) 629-1289

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Journey Healthcare

Operator or chain grouping

Approved since

1986-10-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.10

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.78

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.20

CMS adjusted RN staffing hours

Adjusted total hours

2.42

CMS adjusted total nurse staffing hours

Case-mix index

1.75

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,679

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

1.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.53

Baseline 18.58% · Performance 21.19% · Measure score 0.53 · Achievement 0.53 · Improvement 0

Healthcare-associated infections

Baseline 7.64% · Performance 8.28% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

Baseline 2.73 hours · Performance 2.51 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.19%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 10.34% · Lower 95% interval 7.02%
Discharge to community	41.75%	50.57% 8.8 pts worse	No Different than the National Rate · Eligible stays 52 · Observed rate 32.69% · Lower 95% interval 27.37%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 75 · Denominator 75
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 75
Discharge self-care score	27.78%	53.69% 25.9 pts worse	Numerator 15 · Denominator 54
Discharge mobility score	37.04%	50.94% 13.9 pts worse	Numerator 20 · Denominator 54
Pressure ulcers or injuries, new or worsened	1.33%	2.29% 1 pts better	Numerator 1 · Denominator 75 · Adjusted rate 1.1%
Healthcare-associated infections requiring hospitalization	8.28%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 5.07%
Staff COVID-19 vaccination coverage	66.96%	8.2% 58.8 pts better	Numerator 77 · Denominator 115
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 121
Discharge function score	40.74%	56.45% 15.7 pts worse	Numerator 22 · Denominator 54
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 4 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.2 About the same	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.7	2.0 1.7 pts worse	1.8 1.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	43.6%	91.2% 47.6 pts worse	93.4% 49.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 31.0% · Q3 30.8% · Q4 36.0% · 4Q avg 43.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.9%	95.0% 6.1 pts worse	95.5% 6.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.2% 0.5 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 3.6% · Q3 2.6% · Q4 2.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	54.8%	9.6% 45.2 pts worse	11.4% 43.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 48.8% · Q3 72.2% · Q4 83.6% · 4Q avg 54.8%
Percentage of long-stay residents who lose too much weight	4.7%	5.9% 1.2 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.0% · Q3 6.6% · Q4 1.7% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.8%	20.7% 16.1 pts worse	19.6% 17.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 39.7% · Q3 38.0% · Q4 33.3% · 4Q avg 36.8%
Percentage of long-stay residents who received an antipsychotic medication	41.5%	21.4% 20.1 pts worse	16.7% 24.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 45.5% · Q3 38.5% · Q4 38.5% · 4Q avg 41.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	29.3%	17.9% 11.4 pts worse	16.3% 13 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 38.1% · Q3 31.8% · Q4 19.6% · 4Q avg 29.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.6%	16.2% 9.4 pts worse	14.9% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 30.4% · Q3 31.3% · Q4 28.4% · 4Q avg 25.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	1.1% 0.6 pts worse	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.2% · Q3 2.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	2.5% 1.1 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.6% · Q3 1.5% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.6%	16.1% 1.5 pts better	19.8% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 13.5% · Q3 15.9% · Q4 11.1% · 4Q avg 14.6%
Percentage of long-stay residents with pressure ulcers	5.4%	6.2% 0.8 pts better	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.8% · Q3 2.8% · Q4 4.5% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	9.7%	80.4% 70.7 pts worse	81.7% 72 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 14.0% · Q3 0.0% · Q4 1.1% · 4Q avg 9.7%
Percentage of short-stay residents who had an outpatient emergency department visit	25.7%	12.2% 13.5 pts worse	12.0% 13.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 25.4% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	5.1%	2.2% 2.9 pts worse	1.6% 3.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 6.2% · Q4 6.7% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	7.1%	78.2% 71.1 pts worse	79.7% 72.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 7.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	24.2% 2.5 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 22.0% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-28 · Fire 2024-08-28

17 health deficiencies

Top issue: Resident Rights (6 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-03-16 · Fire 2023-03-16

16 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2021-04-22 · Fire 2021-04-22

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-28

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2024-10-17

F · Potential for more than minimal harm 2024-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-17

F · Potential for more than minimal harm 2023-03-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-11

F · Potential for more than minimal harm 2023-03-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-11

F · Potential for more than minimal harm 2023-03-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-11

D · Potential for more than minimal harm 2021-04-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-06-06

D · Potential for more than minimal harm 2021-04-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-06-06

D · Potential for more than minimal harm 2021-04-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-06-06

Inspection history

Recent health citations

G · Actual harm 2024-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-17

G · Actual harm 2024-08-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-17

G · Actual harm 2024-08-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-17

F · Potential for more than minimal harm 2024-08-28

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-28

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-28

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-28

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F625 · Resident Rights Deficiencies

Health

Notify 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.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-08-28

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-17

G · Actual harm 2023-03-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-11

F · Potential for more than minimal harm 2023-03-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-11

F · Potential for more than minimal harm 2023-03-16

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-04-11

E · Potential for more than minimal harm 2023-03-16

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-04-11

E · Potential for more than minimal harm 2023-03-16

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-04-11

E · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-11

E · Potential for more than minimal harm 2023-03-16

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-16

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-04-11

D · Potential for more than minimal harm 2021-04-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-06-06

D · Potential for more than minimal harm 2021-04-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-06-06

D · Potential for more than minimal harm 2021-04-22

F761 · Pharmacy Service Deficiencies

Health

Corrected 2021-06-06

D · Potential for more than minimal harm 2021-04-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-06-06

Penalties and ownership

What sits behind the stars

$69,934 2024-08-28

Fine

Fine · fine $69,934

Fine

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$13,674 2024-01-22

Fine

Fine · fine $13,674

Fine

$3,798 2024-01-08

Fine

Fine · fine $3,798

Fine

$3,176 2024-01-02

Fine

Fine · fine $3,176

Fine

$7,409 2023-12-11

Fine

Fine · fine $7,409

Fine