Stone Mountain, GA

Stone Mountain Run Of Journey LLC

3-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5160 Spring View Avenue, Stone Mountain, GA

(770) 498-4144

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

149

Certified beds

Average residents

141

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Journey Healthcare

Operator or chain grouping

Approved since

1994-03-07

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

0.30

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

2.89

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.62

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.21

CMS adjusted RN staffing hours

Adjusted total hours

2.06

CMS adjusted total nurse staffing hours

Case-mix index

1.92

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

13,726

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

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.16% · Performance 21.86% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 6.30% · Performance 9.74% · 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

Baseline 2.80 hours · Performance 2.41 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.53%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 91 · Observed rate 12.09% · Lower 95% interval 7%
Discharge to community	31.44%	50.57% 19.1 pts worse	Worse than the National Rate · Eligible stays 55 · Observed rate 16.36% · Lower 95% interval 23%
Medicare spending per beneficiary	1.56	1.02 0.5 pts worse
Drug regimen review with follow-up	72.62%	95.27% 22.6 pts worse	Numerator 61 · Denominator 84
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 84
Discharge self-care score	34.09%	53.69% 19.6 pts worse	Numerator 15 · Denominator 44
Discharge mobility score	15.91%	50.94% 35 pts worse	Numerator 7 · Denominator 44
Pressure ulcers or injuries, new or worsened	8.33%	2.29% 6 pts worse	Numerator 7 · Denominator 84 · Adjusted rate 6.02%
Healthcare-associated infections requiring hospitalization	9.73%	7.12% 2.6 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 17.46% · Lower 95% interval 6.26%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 65
Staff flu vaccination coverage	23.66%	42% 18.3 pts worse	Numerator 31 · Denominator 131
Discharge function score	25%	56.45% 31.5 pts worse	Numerator 11 · Denominator 44
Transfer of health information to provider	97.3%	95.95% 1.3 pts better	Numerator 36 · Denominator 37
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	30.77%	25.2% 5.6 pts better	Numerator 12 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.2 0.4 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.0 0.5 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.6%	91.2% 2.4 pts better	93.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 94.2% · Q3 90.8% · Q4 94.5% · 4Q avg 93.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.5%	95.0% 0.5 pts better	95.5% About the same	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	3.2% 1.6 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.8% · Q3 1.7% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	90.0%	9.6% 80.4 pts worse	11.4% 78.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 70.7% · Q2 93.8% · Q3 97.4% · Q4 98.3% · 4Q avg 90.0%
Percentage of long-stay residents who lose too much weight	1.8%	5.9% 4.1 pts better	5.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.0% · Q3 1.9% · Q4 1.7% · 4Q avg 1.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.6%	20.7% 4.1 pts better	19.6% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 16.4% · Q3 12.5% · Q4 16.5% · 4Q avg 16.6%
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	11.6%	17.9% 6.3 pts better	16.3% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 10.9% · Q3 9.5% · Q4 15.8% · 4Q avg 11.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.1%	16.2% 3.1 pts better	14.9% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 12.8% · Q3 9.5% · Q4 21.9% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.5% 1.9 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.0%	16.1% 5.9 pts worse	19.8% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 18.2% · Q3 18.3% · Q4 20.0% · 4Q avg 22.0%
Percentage of long-stay residents with pressure ulcers	6.2%	6.2% About the same	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.2% · Q3 8.0% · Q4 7.8% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	46.1%	80.4% 34.3 pts worse	81.7% 35.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 70.7% · Q2 37.5% · Q3 50.0% · Q4 38.2% · 4Q avg 46.1%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	12.2% 5.8 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.9% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.8%	2.2% 1.6 pts worse	1.6% 2.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 2.4% · Q4 8.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	31.9%	78.2% 46.3 pts worse	79.7% 47.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 31.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.4%	24.2% 8.8 pts better	23.9% 8.5 pts better	Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 17.2% · Expected 26.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-10-27 · Fire 2023-10-27

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-03-09 · Fire 2022-03-09

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-02

E · Potential for more than minimal harm 2025-03-20

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-03-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-03-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-02

D · Potential for more than minimal harm 2023-10-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-27

K364 · Smoke Deficiencies

Fire Safety

Install properly constructed windows in hallway walls or doors.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-27

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-20

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-03-20

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 2025-05-02

D · Potential for more than minimal harm 2025-03-20

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 2025-05-02

D · Potential for more than minimal harm 2025-03-20

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-05-02

D · Potential for more than minimal harm 2023-10-27

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 2023-12-11

F · Potential for more than minimal harm 2022-03-09

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 2022-04-23

E · Potential for more than minimal harm 2022-03-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-09

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 2022-04-23

D · Potential for more than minimal harm 2022-03-09

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 2022-04-23

D · Potential for more than minimal harm 2022-03-09

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-09

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 2022-04-23

Penalties and ownership