Crossings at East Lake of Journey LLC, the
304 Fifth Avenue, Decatur, GA 30030 · De Kalb County · 103 certified beds · avg 94 residents/day · certified since Sep 1, 1989
Part of chain: JOURNEY HEALTHCARE (32 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 4, 2023 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 4, 2023 · F-0695
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 4, 2023 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 14, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 7, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 4, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 4, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 4, 2023 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Oct 4, 2023 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Oct 4, 2023 | F · Potential for harm, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 4, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 4, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 3 | J ▲ |
| 2025 | 13 | 0 | E |
| 2026 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $53,565.
| Date | Type | Amount / length |
|---|---|---|
| Feb 20, 2024 | Fine | $3,798 |
| Jan 30, 2024 | Fine | $9,116 |
| Oct 4, 2023 | Fine | $40,651 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Georgia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.16 | 3.54 | 3.95 | bottom 1% in Georgia; bottom 1% in the U.S. |
| Registered Nurse hours | 0.24 | 0.50 | 0.69 | bottom 10% in Georgia; bottom 4% in the U.S. |
| Weekend total nurse staffing | 1.97 | 3.09 | 3.50 | bottom 2% in Georgia; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.35 | 0.48 | top 45% in Georgia; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 18.0 | 46.0 | 45.8 | top 1% in Georgia; top 2% in the U.S. |
| RN turnover (%) | 20.0 | 44.5 | 42.9 | top 11% in Georgia; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.07, RN 0.34, weekend 2.80. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3 Bees Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Ajoj Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Bees Family Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Blue Ocean Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Journey Ox Ga Healthcare Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Journey Ox of Ga LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| McGuinness, Bernard | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Shasam Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Shasam Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Baker, D'nae | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Baker, D'nae | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Bilbo, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2024 |
| Bilbo, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2024 |
| Conrad, Cameron | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Conrad, Cameron | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Forbes, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Forbes, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Frinks, Terence | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Frinks, Terence | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Gafford, Dexter | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pruitthealth - Virginia Park | 3.0 mi | Atlanta, GA | ★★★☆☆ | 3/5 | |
| Decatur Center for Nursing and Healing LLC | 3.0 mi | Decatur, GA | ★★★☆☆ | 2/5 | |
| Harborview Decatur | 3.1 mi | Decatur, GA | ★★★☆☆ | 3/5 | |
| Glenwood Health Center by Harborview | 3.3 mi | Decatur, GA | ★☆☆☆☆ | 1/5 | |
| Parkside at Budd Terrace Operating Company LLC | 3.7 mi | Atlanta, GA | ★★☆☆☆ | 1/5 | |
| Westminster Commons | 4.0 mi | Atlanta, GA | ★★☆☆☆ | 2/5 | abuse |
| A.g. Rhodes Home, INC, the | 4.3 mi | Atlanta, GA | ★★★☆☆ | 3/5 | |
| Legacy Transitional Care & Rehabilitation | 4.3 mi | Atlanta, GA | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Decatur | 4.5 mi | Decatur, GA | ★★☆☆☆ | 2/5 | |
| A.g. Rhodes Home Wesley Woods | 5.0 mi | Atlanta, GA | ★★★★☆ | 3/5 | |
| Georgia Regional Atlanta LTC | 5.5 mi | Decatur, GA | ★★★☆☆ | 2/5 | |
| Terraces at Peachtree Hills Place, the | 6.2 mi | Atlanta, GA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 115482.