Twin City Trails of Journey LLC
211 Mathis Avenue, Twin City, GA 30471 · Emanuel County · (478) 763-2141
110 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115540 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 10, 2025, inspectors cited 0 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 13 health citations since October 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.63 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
60.6% of nursing staff left within the year CMS measured (Georgia average 46.0%).
CMS links it to Journey Healthcare, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
410/22
606/24
012/25
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
3E
5F
Potential for minimal harm
0A
0B
0C
June 16, 2026Complaint inspection · 3 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff and resident interviews, record review, and review of the facility policy titled ABUSE, NEGELECT, [sic] AND EXPLOITATION, the facility failed to protect the resident's right to be free from physical abuse for one of 16 sampled residents (R) (R3). Specifically, R13 pushed R3, causing a fall. This deficient practice had the potential to place R3 at increased risk of injury related to being pushed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, record review, and review of the facility policy titled ABUSE, NEGELECT, [sic] AND EXPLOITATION, the facility failed to report a resident-to-resident physical altercation to the State Survey Agency (SSA) within the required timeframe for two of 16 sampled residents (R) (R3 and R13). Specifically, R3 fell as a result of being pushed by R13. This deficient practice had the potential to increase the risk of other potential abuse not being reported.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interviews, record review, and review of the facility policy titled ABUSE, NEGELECT, [sic] AND EXPLOITATION, the facility failed to thoroughly investigate a physical altercation between two of 16 sampled residents (R) (R3 and R13). Specifically, R13 pushed R3, causing a fall. This deficient practice had the potential to increase the risk for abuse to continue.
December 10, 2025Standard inspection · 0 citations
June 21, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and review of the facility policies titled Food Preparation and Service F804 F812 and Refrigerators and Freezers F812, the facility failed to store foods in accordance with professional standards for food service safety. Additionally, the facility staff failed to record the daily temperatures of the refrigerator and freezer for two of two observed for temperature logs. The deficient practices had the potential to place 75 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness.
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled Sanitation F812, the facility failed to ensure doors in the main kitchen remained in good repair to prevent pests from invading the main kitchen and one of two dining areas. This failure had the potential for pests to transfer harmful microorganisms to food leading to foodborne illness for the 75 residents receiving food from the kitchen.
- 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.
Inspectors wroteBased on observations, staff interviews, and review of the facility policy titled Safe, Clean, Comfortable, Homelike Environment F584, the facility failed to ensure that maintenance services necessary to maintain a sanitary, orderly, and comfortable interior environment were provided. Specifically, 11 of 38 resident rooms were found in disrepair. These deficient practices had the potential to place residents at risk for the use of unsanitary and unsafe equipment and a potential for diminished quality of life.
- 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.
Inspectors wroteBased on observations, staff interviews, review of facility-posted signage and temperature logs, and a review of the facility policy titled 5.3 Storage and Expiration Dating of Medications, Biologicals, the facility failed to store vaccines under proper temperature controls with twice daily monitoring and failed to remove from use medications, needles, and laboratory supplies that were kept past their expiration dates in one of one medication storage room and one of two medication carts reviewed. This deficient practice created the potential for residents to receive vaccinations with altered effectiveness and the potential for the use of expired medical and laboratory supplies.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility policy titled Answering the Call Light, the facility staff failed to ensure resident call lights were within reach for three of 18 sampled residents (R) (R5, R46, R70). This failure placed R5, R46, and R70 at risk of accident, injury, and/or unmet needs related to an inability to call for staff assistance.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, record review, and review of the facility policy titled Handwashing/Hand Hygiene F 880, the facility failed to ensure staff administered medications via gastrostomy tube (G-Tube) (a tube surgically placed through the skin into the stomach to provide nutrition, hydration, and medication) to one resident (R) (R46) in a manner to prevent the development and transmission of infections. This deficient practice placed R46 at risk of contracting avoidable infections.
October 13, 2022Standard inspection · 4 citations
- 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.
Inspectors wroteBased on observations, staff interviews, and review of facility policy 'Food Service Staffing', the facility failed to ensure that the staff designated as director of food and nutrition services was a certified dietary or food service manager or had a similar food service management certification or degree. The deficient practice had the potential to affect 73 of 77 residents that received an oral diet.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the kitchen was maintained in a sanitary environment free of standing water in the dishwasher room, watering leaking into a plastic bin in the refrigerator, standing water under the ice machine with brown colored substance pooled beneath the ice machine, and a vent in the dry storage room with a thick coat of black substance. The facility also failed to maintain the holding temperature of five foods on the steam table above 135 degrees, to prevent the potential for food-borne illnesses. This had potential to affect 73 of 77 residents receiving oral diets.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observations and interview, the facility failed to ensure that essential equipment in the kitchen was in working order, specifically the steam table, one of two refrigerators, and one ice machine. This had the potential to affect 73 of 77 residents receiving an oral diet.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure that staff followed recipes for preparing pureed meals to avoid compromising the nutritive value of food items served to residents on a pureed diet when compared with items served to residents on a regular diet for 13 residents receiving a pureed diet.
Fire safety inspections
21 fire safety citations on file: 9 on December 10, 2025, 8 on June 21, 2024, 4 on October 13, 2022.
Every fire safety citation21 citations
- 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.
- 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.
- D Have properly installed electrical wiring and gas equipment.
- F Establish staff and initial training requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Install a fire alarm system that can be heard throughout the facility.
- E Have proper medical gas storage and administration areas.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly installed electrical wiring and gas equipment.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have restrictions on the use of portable space heaters.
- D Have restrictions on the use of highly flammable decorations.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.63 | 3.56 | 3.86 |
| Registered nurses | 0.37 | 0.50 | 0.69 |
| All nursing staff on weekends | 2.17 | 3.10 | 3.42 |
| Nurse aides | 1.71 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 60.6% | 46.0% | 45.8% |
| Registered nurse turnover | 71.4% | 44.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.82 on weekdays and 2.17 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.00 in April to June 2025 to 2.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.63 | 0.37 | 2.82 | 2.17 | 4.0% | 1 of 90 | 85 |
| Oct to Dec 2025 | 2.95 | 0.29 | 3.11 | 2.55 | 0.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 2.77 | 0.30 | 2.92 | 2.39 | 0.1% | 0 of 92 | 84 |
| Apr to Jun 2025 | 3.00 | 0.29 | 3.13 | 2.67 | 0.0% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Georgia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Georgia, all employers | |||
| CNAs (nursing assistants) | $18.12 | $17.06 to $20.66 | 43,440 |
| LPNs and LVNs | $29.82 | $25.43 to $33.99 | 21,060 |
| Registered nurses | $44.98 | $38.02 to $51.12 | 100,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.8 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.2 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.2 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.4 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 48.1 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.7 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.6 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.9 | 1.8 |
Owners and operators
Legal business name: TWIN VIEW OPERATOR LLC. CMS links this home to Journey Healthcare, a group of 33 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gbd LLC | 5% or greater direct ownership interest | Organization | 100% | 03/04/2008 |
| Barres, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2015 | |
| T and C Capital Assets, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2015 | |
| Windward Health Partners LLC | 5% or greater indirect ownership interest | Organization | 01/01/2015 | |
| Crino, Bryan | 5% or greater indirect ownership interest | Individual | 01/01/2015 | |
| Feuer, Scott | 5% or greater indirect ownership interest | Individual | 01/01/2015 | |
| Lindeman, Stuart | 5% or greater indirect ownership interest | Individual | 01/01/2015 | |
| Passero, Joseph | 5% or greater indirect ownership interest | Individual | 01/01/2015 | |
| Barnes, Michelle | W-2 managing employee | Individual | 12/01/2018 | |
| Lindeman, Stuart | Corporate officer | Individual | 01/01/2015 | |
| Yoakum, Jamie | Corporate officer | Individual | 07/24/2024 | |
| Gbd LLC | Operational/managerial control | Organization | 02/22/2015 | |
| Mission Health of Georgia, LLC | Operational/managerial control | Organization | 01/01/2015 | |
| Yoakum, Jamie | Operational/managerial control | Individual | 07/24/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 21, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 16, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on June 21, 2024: "Make sure there is a pest control program to prevent/deal with mice, insects, or other pests."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 21, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.17 hours per resident per day, below the Georgia average of 3.10.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Pruitthealth - Swainsboro Swainsboro, 10.5 mi · 1 of 5 stars · 6 citations
- Emanuel County Nursing Home Swainsboro, 10.8 mi · 2 of 5 stars · 12 citations
- Azalea Health and Rehabilitation Metter, 13.7 mi · 3 of 5 stars · 9 citations
- Pleasant View Nursing Center Metter, 14.1 mi · 1 of 5 stars · 26 citations
- Orchard Health and Rehabilitation Pulaski, 17.7 mi · 1 of 5 stars · 7 citations
- Pruitthealth - Bethany Millen, 19.4 mi · 3 of 5 stars · 15 citations
- Westwood Healthcare and Rehabilitation Statesboro, 22.8 mi · 2 of 5 stars · 15 citations
- Brown's Health and Rehabilitation Statesboro, 23.9 mi · 3 of 5 stars · 13 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is Twin City Trails of Journey LLC's Medicare star rating?
- CMS rates Twin City Trails of Journey LLC 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Twin City Trails of Journey LLC get at its last inspection?
- 0 health deficiencies at the standard inspection on December 10, 2025. The Georgia average is 5.
- Has Twin City Trails of Journey LLC been fined?
- CMS lists no fines in the last three years.
- Does Twin City Trails of Journey LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Twin City Trails of Journey LLC?
- CMS lists 14 owners and managers, and links the home to Journey Healthcare. Legal business name: TWIN VIEW OPERATOR LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.