Federal inspection record · CMS data as of October 1, 2026
Twin City Trails of Journey LLC
211 Mathis Avenue, Twin City, GA · (478) 763-2141
- Certified beds
- 110
- Residents per day
- 92
- Ownership
- For-Profit
- Chain
- Journey Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1993
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Twin City Trails of Journey LLC carries 23 inspection points. That is fewer than 68% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2022. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Keep all essential equipment working safely.
Resident Rights2E
- E
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
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service1E
- E
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-10
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-06-21
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-10-13
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 49 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
2 h 49 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 86% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.7 pts better | 1.4 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.7 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine29.5 pts worse | 62.2% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts worse | 94.3% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms28.9 pts worse | 40.6% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 8.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts worse | 28.7% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication26.1 pts worse | 45.9% | 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 worsened6.2 pts better | 7.5% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 8.1% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts worse | 3.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts better | 12.1% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 6.4% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.2 pts worse | 19.4% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6 pts better | 5.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts better | 17.2% | 24.4% | 23.4% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| Gbd LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Barnes, Michelle | W-2 Managing Employee · Individual | 0% | 11 facilities |
| Barres, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Crino, Bryan | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Feuer, Scott | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Gbd LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Lindeman, Stuart | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 34 facilities |
| Lindeman, Stuart | Corporate Officer · Individual | 0% | 34 facilities |
| Mission Health Of Georgia, LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Passero, Joseph | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 18 facilities |
| T And C Capital Assets, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 33 facilities |
| Windward Health Partners LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Yoakum, Jamie | Corporate Officer · Individual | 0% | 30 facilities |
| Yoakum, Jamie | Operational/Managerial Control · Individual | 0% | 30 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- D
Have an enclosure around a vertical opening shaft.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- 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.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress5E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2E
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous2E
- E
Have restrictions on the use of portable space heaters.
- D
Have restrictions on the use of highly flammable decorations.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
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Other homes nearby
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Pruitthealth - Swainsboro
Swainsboro, GA · Pruitthealth · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 2 min
- Fines
- $0
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Emanuel County Nursing Home
Swainsboro, GA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
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Azalea Health And Rehabilitation
Metter, GA · Ethica Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $8,788