Federal inspection record · CMS data as of October 1, 2026
Rosewood at Tybee Island of Journey LLC, The
7 Rosewood Avenue, Tybee Island, GA · (912) 786-4511
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 85
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- Journey Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 7, 2017
3
What inspectors found
37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
L
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
L
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
L
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
L
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Everything else, by area of care
Quality of Life and Care6E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights6D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
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.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning5D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3F
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Nursing and Physician Services3F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- C
Post nurse staffing information every day.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2026-06-07
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-03-14
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
2023-12-07
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 34 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 83% of nursing staff and 100% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$204,299 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-07 | Payment Denial · 26 day denial | $0 |
| 2025-07-31 | Fine | $204,299 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.0 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.6 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine72.2 pts worse | 19.5% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.1 pts worse | 83.5% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms84.1 pts worse | 95.8% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.4 pts better | 0.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better | 15.1% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.7 pts better | 7.1% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.6 pts worse | 16.3% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse | 16.3% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.2% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.5 pts better | 2.9% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts worse | 7.7% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine75 pts worse | 5.6% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.9 pts worse | 24.2% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.8 pts worse | 8.2% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine66.7 pts worse | 12.0% | 78.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts worse | 29.7% | 24.4% | 23.4% |
·
Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Brass Ga Trust | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 3 facilities |
| Gem Bsd Ga Trust | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 3 facilities |
| Care Network Health LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Silberstein, Ari | Corporate Officer · Individual | 0% | 26 facilities |
| Silberstein, Ari | Operational/Managerial Control · Individual | 0% | 26 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Miscellaneous3F
- F
Have restrictions on the use of flammable curtains.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have simulated fire drills held at unexpected times.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have exits that are accessible at all times.
- D
Have properly located and lighted "Exit" signs.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
·
Other homes nearby
-
Tybee Island Trails of Journey LLC
Tybee Island, GA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 21 min
- Fines
- $0
-
Fraser Health Center
Hilton Head Island, SC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 52 min
- Fines
- $0
-
Broad Creek Care Center
Hilton Head Island, SC · Vi Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 13 min
- Fines
- $15,945