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Rosewood at Tybee Island of Journey LLC, the

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7 Rosewood Avenue, Tybee Island, GA 31328 (opens Google Maps) · Chatham County · (912) 786-4511· 85 certified beds · avg 82 residents/day · certified since Feb 7, 2017 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)SFF Candidate

What the abuse flag means → · What Special Focus status means →

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
inspected Mar 14, 2025
6
Serious findings on record
most recent Jun 7, 2026
$200,733
Fines, last 3 years
2.06
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, widespread · Jun 7, 2026 · F-0925 · triggered by a complaint

The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.

Why it matters: Pests spread germs, contaminate food, and signal broader problems with cleanliness.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

▲ Immediate jeopardy, isolated · Mar 19, 2026 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 23, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, widespread · Jul 31, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 2, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, widespread · Jul 31, 2025 · F-0725 · triggered by a complaint

The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.

Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 2, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, widespread · Jul 31, 2025 · F-0835 · triggered by a complaint

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 (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 2, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, widespread · Jul 31, 2025 · F-0867 · triggered by a complaint

The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.

Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 2, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 27 inspection findings. Open the full record below to read every finding.

  1. L · Immediate jeopardy, widespread

    The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint F-0925

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584

  3. J · Immediate jeopardy, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

View all 27 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 7, 2026▲ L · Immediate jeopardy, widespreadThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Jun 7, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Mar 19, 2026▲ J · Immediate jeopardy, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 19, 2026E · Potential for more than minimal harm, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jul 31, 2025▲ L · Immediate jeopardy, widespreadThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jul 31, 2025▲ L · Immediate jeopardy, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jul 31, 2025▲ L · Immediate jeopardy, widespreadThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Jul 31, 2025▲ L · Immediate jeopardy, widespreadThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Jul 31, 2025F · Potential for more than minimal harm, widespreadThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Jul 31, 2025F · Potential for more than minimal harm, widespreadThe 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 · F-0880
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 14, 2025F · Potential for more than minimal harm, widespreadThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 14, 2025D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655
Mar 14, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Mar 14, 2025C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0558
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Sep 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Dec 7, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Dec 7, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Dec 7, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Dec 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Dec 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 4
2026
All citations: 4
Serious citations (G–L): 2

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202350F
202460D
2025124L ▲
202642L ▲

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)

How to file a complaint about care →

1 fine totaling $200,733, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Mar 19, 2026Payment Denial1 day from Apr 16, 2026
Jul 31, 2025Fine$200,733

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityGeorgia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.06
Georgia average: 3.54
U.S. average: 3.95
Registered Nurse hours
This facility: 0.09
Georgia average: 0.50
U.S. average: 0.69
Weekend total nurse staffing
This facility: 1.80
Georgia average: 3.09
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityGeorgia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.063.543.95bottom 1% in Georgia; bottom 1% in the U.S.
Registered Nurse hours0.090.500.69bottom 1% in Georgia; bottom 1% in the U.S.
Weekend total nurse staffing1.803.093.50bottom 1% in Georgia; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)0.120.350.48bottom 5% in Georgia; bottom 3% in the U.S.
Total nursing staff turnover (%)78.446.045.8bottom 1% in Georgia; bottom 2% in the U.S.
RN turnover (%)87.544.542.9bottom 3% in Georgia; bottom 3% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.76, RN 0.11, weekend 2.42.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.76 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rosewood at Tybee Island of Journey LLC, the. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Ownership Data Not Available

All 1 owning or managing party CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How is pest control handled here, and when was the last treatment or inspection?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "What were the findings behind this administration citation, and what has leadership changed since?"
  • "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Georgia midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 78% total nursing staff turnover here — who on the care team has been with you longest?"
  • "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 13 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Tybee Island Trails of Journey LLC0.1 miTybee Island, GA★☆☆☆☆2/5
Fraser Health Center10.3 miHilton Head Island, SC★★★★☆3/5
Broad Creek Care Center11.4 miHilton Head Island, SC★★★★★4/5
Riverview Health & Rehab Ctr12.9 miSavannah, GA★☆☆☆☆1/5
Oaks Health Ctr at the Marshes of Skidaway Island13.4 miSavannah, GA★★★★☆4/5
Savannah Crossing of Journey LLC13.8 miSavannah, GA★★★☆☆3/5
Candler Skilled Nursing Unit15.1 miSavannah, GA★★★★★4/5
Life Care Center of Hilton Head16.1 miHilton Head Island, SC★☆☆☆☆1/5abuse
The Preston Health Center16.1 miHilton Head Island, SC★★★★★5/5
Savannah Post Acute LLC17.0 miSavannah, GA★☆☆☆☆2/5
Pruitthealth - Savannah17.3 miSavannah, GA★★☆☆☆2/5
Abercorn Rehabilitation Center18.3 miSavannah, GA★☆☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Chatham, GA — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Tybee Island →

Facility data as of CMS processing date 2026-08-01. CCN 115730.

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