Cycle 1
Health 2025-10-02 · Fire 2025-10-02
15 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Chatsworth, GA
Murray Woods Of Journey LLC
1-star overall rating with 1-star inspections with $15,092 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
102 Hospital Drive, Chatsworth, GA
(706) 695-8313
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Journey Healthcare
Operator or chain grouping
Approved since
1981-08-01
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
No
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
0.20
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.82
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.14
CMS adjusted RN staffing hours
Adjusted total hours
2.24
CMS adjusted total nurse staffing hours
Case-mix index
1.96
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
13,660
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
2.06
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
Baseline 18.00% · Performance 22.02% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.92% · Performance 11.17% · 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
0.62
Baseline 2.39 hours · Performance 2.76 hours · Measure score 0.62 · Achievement 0 · Improvement 0.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.47% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 12.17% · Lower 95% interval 7.15% |
| Discharge to community | 40.95% |
50.57%
9.6 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 30.67% · Lower 95% interval 30.66% |
| Medicare spending per beneficiary | 1.46 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 98.9% |
95.27%
3.6 pts better
|
Numerator 90 · Denominator 91 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 91 |
| Discharge self-care score | 54.84% |
53.69%
1.2 pts better
|
Numerator 34 · Denominator 62 |
| Discharge mobility score | 66.13% |
50.94%
15.2 pts better
|
Numerator 41 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 5.49% |
2.29%
3.2 pts worse
|
Numerator 5 · Denominator 91 · Adjusted rate 4.1% |
| Healthcare-associated infections requiring hospitalization | 11.17% |
7.12%
4 pts worse
|
Worse than the National Rate · Eligible stays 57 · Observed rate 22.81% · Lower 95% interval 7.3% |
| Staff COVID-19 vaccination coverage | 0.95% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 105 |
| Staff flu vaccination coverage | 31.08% |
42%
10.9 pts worse
|
Numerator 46 · Denominator 148 |
| Discharge function score | 64.52% |
56.45%
8.1 pts better
|
Numerator 40 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 19 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 9.62% |
25.2%
15.6 pts worse
|
Numerator 5 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.2
0.2 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
91.2%
8.6 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% |
3.2%
3.2 pts worse
|
3.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.6% · Q3 6.9% · Q4 5.6% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 59.4% |
9.6%
49.8 pts worse
|
11.4%
48 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 61.6% · Q3 61.2% · Q4 76.2% · 4Q avg 59.4% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.9%
0.8 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 4.9% · Q3 6.2% · Q4 7.5% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.0% |
20.7%
2.3 pts worse
|
19.6%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 22.7% · Q3 23.8% · Q4 18.3% · 4Q avg 23.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.2% |
21.4%
19.8 pts worse
|
16.7%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 37.5% · Q3 44.3% · Q4 43.9% · 4Q avg 41.2% · 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 | 6.2% |
17.9%
11.7 pts better
|
16.3%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 6.7% · Q3 4.4% · Q4 0.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
16.2%
4.5 pts better
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.5% · Q3 13.9% · Q4 14.0% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.1%
0.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.5%
2.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.2% |
16.1%
12.9 pts better
|
19.8%
16.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 5.1% · Q4 2.0% · 4Q avg 3.2% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
6.2%
0.4 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 8.3% · Q3 6.7% · Q4 4.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
80.4%
11 pts better
|
81.7%
9.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 93.8% · Q3 91.6% · Q4 91.4% · 4Q avg 91.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.9% |
12.2%
7.7 pts worse
|
12.0%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 20.8% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.9% |
2.2%
3.7 pts worse
|
1.6%
4.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 6.1% · Q4 6.1% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.7% |
78.2%
9.5 pts better
|
79.7%
8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
24.2%
4 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 27.8% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-30 · Fire 2024-05-30
6 health deficiencies
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2022-12-21 · Fire 2022-12-21
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
10 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-10-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-10
E · Potential for more than minimal harm
2025-10-02
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
K221 · Egress Deficiencies
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-12-10
D · Potential for more than minimal harm
2024-05-30
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-14
F · Potential for more than minimal harm
2022-12-21
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-02-04
E · Potential for more than minimal harm
2022-12-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-04
E · Potential for more than minimal harm
2022-12-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-04
D · Potential for more than minimal harm
2022-12-21
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 2023-02-04
D · Potential for more than minimal harm
2022-12-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-04
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-10-02
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-12-10
F · Potential for more than minimal harm
2025-10-02
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 2025-12-10
F · Potential for more than minimal harm
2025-10-02
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-12-10
F · Potential for more than minimal harm
2025-10-02
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-12-10
E · Potential for more than minimal harm
2025-10-02
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
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 2025-12-10
D · Potential for more than minimal harm
2025-10-02
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 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
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 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-10-02
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-12-10
F · Potential for more than minimal harm
2024-05-30
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-14
F · Potential for more than minimal harm
2024-05-30
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-14
E · Potential for more than minimal harm
2024-05-30
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
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 2024-07-14
D · Potential for more than minimal harm
2024-05-30
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-14
D · Potential for more than minimal harm
2024-05-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-14
E · Potential for more than minimal harm
2022-12-21
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 2023-02-04
Penalties and ownership
What sits behind the stars
$15,092
2024-05-30
Fine
Fine · fine $15,092
Fine
Ownership
Bilbo, Richard
Operational/Managerial Control · Individual
Blackwell, Hailey
Operational/Managerial Control · Individual
Conrad, Cameron
Operational/Managerial Control · Individual
Cook, Robert
Operational/Managerial Control · Individual
Dodd, Angela
Operational/Managerial Control · Individual
Ferenti, Leon
Operational/Managerial Control · Individual
Johnson, Jennifer
Operational/Managerial Control · Individual
Jones, Antonio
Operational/Managerial Control · Individual
Journey Ox Ga Management LLC
Operational/Managerial Control · Organization
Mcguinness, Bernard
Operational/Managerial Control · Individual
Omara, Jody
Operational/Managerial Control · Individual
Roopnauth, Lloyd
Operational/Managerial Control · Individual
Sillings, Nikki
Operational/Managerial Control · Individual
Trammell, Matthew
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Regency Park Health And Rehabilitation
Dalton, GA
5-star overall rating with 4-star inspections with $8,512 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Quinton Mem Hc & Rehab Center
Dalton, GA
4-star overall rating with 4-star inspections with $8,512 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Ridgewood Manor Health And Rehabilitation
Dalton, GA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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