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Twin City Trails of Journey LLCCMS ratings, inspections and fines

Address
211 Mathis Avenue, Twin City, GA 30471
CCN
115540
Ownership type
For-profit, limited liability company
Certified beds
110
Residents per day
85
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating4 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Twin City Trails of Journey LLC an overall rating of 3 of 5 stars. The last standard survey was on 10 Dec 2025. The latest survey cycle has 3 health citations. The median for nursing homes in Georgia is 4. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Twin City Trails of Journey LLC, with medians
Rating (1 to 5 stars)This homeEmanuel County medianGeorgia medianUS average (CMS)
Overall rating32.03.03.0
Health inspection rating43.03.02.8
Staffing rating11.02.02.9
Quality measure rating43.03.03.6

A median is the middle value of the homes in the group: 3 homes in the county, 356 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Twin City Trails of Journey LLC in the last three survey cycles
Survey cycleStandard surveyCitationsGeorgia median
Cycle 1 (latest)10 Dec 202534
Cycle 221 Jun 202465
Cycle 3No date44

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 13 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 3 citations

Standard survey of this cycle: .

Health citations of Twin City Trails of Journey LLC in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation8 Jul 2026
16 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Jul 2026
16 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation8 Jul 2026

Survey cycle 2: 6 citations

Standard survey of this cycle: .

Health citations of Twin City Trails of Journey LLC in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
21 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 Aug 2024
21 Jun 2024F0584Honor 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.EStandard survey5 Aug 2024
21 Jun 2024F0761Ensure 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.EStandard survey5 Aug 2024
21 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Aug 2024
21 Jun 2024F0880Provide and implement an infection prevention and control program.DStandard survey5 Aug 2024
21 Jun 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey5 Aug 2024

Survey cycle 3: 4 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Twin City Trails of Journey LLC in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
13 Oct 2022F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey25 Nov 2022
13 Oct 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey25 Nov 2022
13 Oct 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Nov 2022
13 Oct 2022F0908Keep all essential equipment working safely.FStandard survey25 Nov 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Twin City Trails of Journey LLC
StaffThis homeGeorgia medianGeorgia average (CMS)
All nurse staff2.633.403.56
Registered nurses (RN)0.370.500.50
Licensed practical nurses (LPN)0.550.93
Nurse aides1.712.14
All nurse staff, weekends2.172.903.10
Nurse staff turnover in a year
60.6%
Nurse staff turnover, Georgia median
45.9%
RN turnover in a year
71.4%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Twin City Trails of Journey LLC, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeGeorgia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.8%14.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.8%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%2.8%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.1%13.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.4%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay48.1%18.4%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Twin View Operator LLC
Chain
Journey Healthcare (32 homes in the CMS chain file)
Organisations in the CMS ownership record of Twin City Trails of Journey LLC
OrganisationRole in the CMS recordInterestSince
GBD LLC5% or greater direct ownership interest100%4 Mar 2008
Barres, LLC5% or greater indirect ownership interest1 Jan 2015
T and C Capital Assets, LLC5% or greater indirect ownership interest1 Jan 2015
Windward Health Partners LLC5% or greater indirect ownership interest1 Jan 2015
GBD LLCOperational/managerial control22 Feb 2015
Mission Health of Georgia, LLCOperational/managerial control1 Jan 2015

The site shows organisations only. It does not show the names of persons.

Other homes in Emanuel County

The 2 nearest other nursing homes in Emanuel County, Georgia
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Pruitthealth - SwainsboroSwainsboro1 of 53$023 Apr 2026
Emanuel County Nursing HomeSwainsboro2 of 54$03 Apr 2025

All 3 nursing homes in Emanuel County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Twin City Trails of Journey LLC (CCN 115540). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-city-trails-of-journey-llc-twin-city-ga-115540/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Twin City Trails of Journey LLC last inspected?
The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 21 Jun 2024.
Who operates Twin City Trails of Journey LLC?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Journey Healthcare. The CMS ownership file names GBD LLC and Mission Health of Georgia, LLC for operational or managerial control. This site does not show the names of persons.
Is Twin City Trails of Journey LLC a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Georgia as a Special Focus Facility and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.