Below average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Eastman Trails Of Journey Llc during CMS and state inspections, most recent first.
Food in the walk-in freezer was not stored, sealed, and labeled correctly. Surveyors observed a sealed bag of pepperonis without a date, a bag of filet fish that was undated and unlabeled, and an opened bag of chicken fingers that was not sealed and undated. The DM confirmed the concerns.
Surveyors found that the facility did not follow its own bed-hold policy for two residents with moderate cognitive impairment who were transferred to the hospital. The policy required that written information explaining bed-hold rights, state reserve bed payment rules, and the facility per diem rate be given to residents and their representatives before transfer. For one resident who was his own responsible party, there was no documentation that a written bed-hold notice was provided at the time of transfer or during the subsequent hospitalization. For another resident whose sister was listed as the primary contact, records lacked any confirmation that the bed-hold notice was reviewed with or signed by either the resident or the sister on the day of transfer, and the DON and Administrator confirmed that no such documentation existed.
Failure to notify residents and/or responsible parties when personal funds were near or above the SSI limit was cited for 4 residents. Review of RFMS account records showed balances over the $2,000 limit, and the BOM confirmed there was no documented notification to the resident or responsible party about the excess funds.
Unsafe flooring, dirty equipment, and unsanitary bathroom conditions were observed in multiple resident areas. Surveyors found missing floor tiles and uneven hallway flooring on 200 and 400 Hall, a portable fan coated with dust and grime in one room, another room fan with dark buildup, and a bathroom with a sewage odor, duct tape on the toilet seat, and a black substance in the toilet. The DON, Administrator, and Maintenance staff confirmed several of the conditions and stated they were unaware of some of the issues when observed.
A resident with acute respiratory failure with hypoxia and moderate cognitive impairment was ordered continuous O2 at 2 LPM via NC for SOB, but surveyors observed the oxygen concentrator set at 1.5 LPM on multiple occasions. The DON confirmed the setting was below the physician order and stated the resident was not known to change the concentrator setting.
The facility failed to label and date food items in the walk-in cooler and freezer, and did not maintain a sanitary kitchen environment. Unlabeled and undated food items, including bread, meat, and prepared foods, were found, and the Dietary Manager confirmed the lack of proper labeling. Additionally, incorrect test strips were used to measure sanitizing solution strength, preventing accurate determination of sanitation levels. These deficiencies posed a risk of foodborne illness to residents.
Two residents with cognitive impairments had unauthorized and unsecured medicated products at their bedsides. One resident had creams and antiseptic spray, while another had a moisture barrier cream and perineal cleanser. Neither resident had a self-administration order or assessment, and staff confirmed these items should not have been left accessible.
The facility failed to ensure complete Advance Directive documentation for several residents, affecting their ability to make informed care decisions. Although forms were signed, they lacked indications of executed directives. Staff interviews confirmed these deficiencies, revealing a lack of review for accuracy by the nursing department.
The facility failed to ensure a clean and comfortable environment, with observations of stained toilets, soiled towels, and non-functional shower rooms. Shared bathrooms were unkempt, with overflowing trash cans and dirty washcloths. Staff interviews revealed a lack of awareness and responsibility for maintaining cleanliness, contrary to the facility's policy.
A facility failed to follow dietary orders for a resident requiring a non-spill cup during meals. Despite the order, the cup was not provided, as confirmed by staff observations and interviews. The Dietary Manager noted that sippy cups are not sent on trays unless returned for washing, while nursing leadership confirmed that dietary orders should be reflected on meal trays.
The facility failed to ensure dietary staff followed recipes and measured ingredients for pureed diets, affecting five residents. Observations showed that recipes were not used, and ingredients were not measured, compromising nutritional value and flavor. The Registered Dietitian acknowledged the lack of a strict protocol for recipe adherence.
A facility failed to follow its infection control policies during wound care for a resident. An RN did not don PPE as required by Enhanced Barrier Precautions and did not change gloves or sanitize hands after cleaning a wound and before applying medication. The resident had a foot infection and was receiving wound care and antibiotics. The RN confirmed the oversight, and the DON acknowledged the expectation for adherence to protocols.
Improper Food Storage and Labeling in Walk-In Freezer
Penalty
Summary
Food was not stored, sealed, and labeled correctly in the walk-in freezer, contrary to the facility’s Food Safety Requirements Policy and its date-marking system for ready-to-eat, time/temperature control for safety food. During a walk-through with an AA, surveyors observed a sealed bag of pepperonis that was not dated, a bag of filet fish that was undated and unlabeled, and a bag of chicken fingers that was opened, not sealed, and undated. The Dietary Manager later confirmed the concerns and stated that he and kitchen staff would routinely monitor dates and labels of all foods stored in the walk-in freezer.
Failure to Provide Required Written Bed-Hold Notices Upon Hospital Transfer
Penalty
Summary
The facility failed to provide required written bed-hold notices to residents or their representatives upon transfer to the hospital, as required by its "Bed Hold and Returns Policy." That policy stated that prior to a transfer, written information must be given to residents and their representatives explaining the rights and limitations regarding bed holds, the state plan reserve bed payment policy, and the facility per diem rate to hold a bed or extend a bed hold. For one resident with a BIMS score of 07 indicating moderate cognitive impairment, records showed he was his own responsible party and was transferred to the hospital, where he remained until his death. Review of his clinical record, including progress notes, revealed no evidence that a bed-hold notice was provided on or around the dates of transfer and hospitalization. The DON acknowledged that the facility did not provide a written bed-hold notice before or on the date of transfer, and the Administrator confirmed there was no record of such a notice being given. For a second resident with a BIMS score of 10, also indicating moderate cognitive impairment, the face sheet identified the resident’s sister as the primary emergency contact and next of kin. Progress notes documented that this resident was transferred to the hospital, but the documentation lacked confirmation that the bed-hold notice was reviewed with or signed by either the resident or the sister on the day of transfer. In a joint interview, the DON and Administrator confirmed there was no documentation that the bed-hold policy was reviewed with or provided to the resident or the resident’s representative at the time of transfer. These findings showed that, for both residents reviewed for hospitalizations, the facility did not follow its own policy requiring written bed-hold information prior to transfer.
Failure to Notify Residents and Responsible Parties of Excess Personal Funds
Penalty
Summary
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death was deficient because the facility failed to notify residents and/or their responsible parties when personal funds were within $200 of the SSI limit and when accounts exceeded the limit for 4 of 63 residents reviewed. Review of the Resident Fund Management Service statements and trial balance report dated 01/30/2026 showed resident trust fund accounts for R27, R31, R38, and R3 exceeded the $2,000 SSI limit, with balances of $3,639.77, $2,050.38, $2,297.15, and $2,714.10, respectively. There was no documented evidence that the resident or responsible party was notified of the excess balances. The BOM/Financial Coordinator confirmed on 02/16/2026 that the SSI limit in Georgia was $2,000 and that the facility had not notified the resident and/or responsible party of the excess amounts in the cited accounts.
Unsafe flooring, dirty equipment, and unsanitary bathroom conditions
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment in two hallways and four occupied rooms. Survey observations identified damaged and uneven flooring on 200 Hall and 400 Hall, including missing floor tiles, exposed cement, and dark thick brown substances in the flooring grooves. The report also noted missing floor tiles at a doorway, creating an uneven walking surface. Facility leadership and maintenance staff acknowledged the flooring damage and stated it was caused by water infiltration and poor installation. In one resident room, surveyors observed dust and grime accumulated on a portable fan on multiple occasions over several days, and the condition remained unchanged. In another resident room, surveyors observed a smell of sewage in the bathroom, duct tape on the toilet seat, and a black substance in the bottom of the toilet. The resident in that room, R47, had a BIMS score of 15 and diagnoses including hypertension, paranoid schizophrenia, myocardial infarction, and morbid obesity with alveolar hypoventilation. Her care plan noted that staff often asked her to shower or bathe due to a pungent odor around her and in her room. The Maintenance Director stated he was not aware of the duct tape, sewage smell, or dark substance in the toilet and said he did not conduct room observations unless a maintenance request was entered or he was notified. The Administrator also confirmed she was not aware of the bathroom condition or the dirty fan. Surveyors further observed another resident room with a fan whose blades were coated in a dark grayish thick substance and black speckled particles, and the Administrator and Maintenance Supervisor confirmed the dirty fan and the uneven flooring were present during the survey.
Oxygen Therapy Not Delivered as Ordered
Penalty
Summary
The facility failed to ensure that one resident receiving oxygen therapy was administered oxygen in accordance with the physician order. The resident had diagnoses including acute respiratory failure with hypoxia, and the admission MDS indicated continuous oxygen therapy and a BIMS score of 08, showing moderate cognitive impairment. The physician order dated 12/17/2025 directed oxygen at 2 LPM via nasal cannula continuously for shortness of breath, but observations on 02/15/2026 at 1:30 PM and 5:24 PM and again on 02/16/2026 at 9:01 AM showed the resident receiving oxygen from a concentrator via nasal cannula at 1.5 LPM instead of the ordered 2 LPM. During interview and observation on 02/16/2026 at 2:05 PM, the DON confirmed the concentrator was set at 1.5 LPM rather than 2.0 LPM as ordered and stated the resident was not known to have a history of changing the oxygen setting.
Deficiencies in Food Labeling and Sanitation Practices
Penalty
Summary
The facility failed to adhere to its policies regarding food labeling and sanitation, as observed during a kitchen tour. In the walk-in cooler and freezer, several food items, including bread, frozen meat, sandwiches, cheese, cucumber, and wrapped meat, were found unlabeled and undated, lacking use-by dates. Additionally, prepared foods such as peas, green beans, succotash, and slaw were missing use-by dates, despite having preparation dates. The Dietary Manager confirmed these items were not labeled or dated as required by the facility's policies. Furthermore, the kitchen environment was unsanitary, with black build-up on a white door, dust on a brown door, and black dust in the air conditioner vents near the dry food storage area. The facility also failed to ensure proper sanitation practices in the kitchen. The Dietary Manager used incorrect test strips to measure the sanitizing solution's strength in the three-compartment sink and sanitizing bucket, leading to an inability to determine if the sanitizing water was at the correct strength. The test strips used were not compatible with the required range for the sanitizing solution, as indicated by a poster in the kitchen. The Dietary Manager acknowledged the issue and stated the need to order the correct test strips. These deficiencies in food labeling, storage, and sanitation practices had the potential to place residents at risk of foodborne illness.
Unauthorized and Unsecured Medications at Residents' Bedsides
Penalty
Summary
The facility failed to ensure that two residents, R48 and R11, did not have unauthorized and unsecured medicated treatment products at their bedside. For R48, the facility's records showed a moderate cognitive impairment and dependency on personal hygiene, toileting, and bathing. Despite this, two medicine cups of cream and a bottle of antiseptic spray were observed on R48's bedside table without a self-administration order or completed assessment form. The LPN Wound Nurse confirmed the presence of these items and acknowledged they should not be left at the bedside. Further observations revealed the continued presence of antiseptic spray within R48's reach. Similarly, R11, who had severe cognitive impairment and was dependent on personal hygiene, toileting, and bathing, had a jar of moisture barrier cream and a bottle of perineal cleanser on their bedside table. The LPN Wound Nurse and the DON confirmed these items' presence and noted that R11 was not capable of self-administering medications. The DON stated that a medication self-assessment had not been completed for either resident, and staff were expected to remove medicated creams from residents' rooms after use.
Incomplete Advance Directive Documentation
Penalty
Summary
The facility failed to ensure that an Advance Directive Acknowledgement form was completed or all components of the document were thoroughly completed for five of eight residents reviewed for Advance Directives. This deficiency was identified through staff interviews, record reviews, and a review of the facility's policy on Resident's Rights Regarding Treatment and Advanced Directives. The policy states that the facility supports and facilitates a resident's right to request, refuse, and/or discontinue medical or surgical treatment and to formulate an advance directive. However, the review revealed that for residents R22, R46, R25, R31, and R51, the necessary documentation was either incomplete or missing, potentially affecting their ability to make informed decisions about their care. Specifically, R22's medical record lacked a completed Advance Directives Acknowledgement form. For residents R46, R25, R31, and R51, although the forms were signed, there was no indication of whether an Advanced Directive had been executed. Interviews with the Business Office Manager and the Social Services Director confirmed these findings, acknowledging that the forms should indicate if an advance directive had been executed. Additionally, the Director of Nursing revealed that the forms were completed upon admission by the Admissions Director, but the nursing department did not review them for accuracy once completed.
Facility Fails to Maintain Clean and Functional Environment
Penalty
Summary
The facility failed to maintain a clean and comfortable environment for residents, as evidenced by observations of unsanitary conditions in multiple shared bathrooms and shower rooms. Specifically, stained toilet bowls were noted in shared bathrooms, along with soiled and wet towels on the floor, continuously running water in toilets, and an unpleasant odor of urine. Additionally, the 500 Hall shower room was out of order and inaccessible to residents, while the 300 Hall shower room was being used for storage of various items, including medical equipment and personal care products. These conditions were confirmed by staff interviews, where it was revealed that the 500 Hall shower room had been non-functional for at least two months, and the 300 Hall shower room was used for storing extra items. Further observations revealed that the shared bathrooms were unkempt, with overflowing trash cans containing soiled briefs, dirty washcloths in sinks, and dirty gowns under sinks. The facility's policy on maintaining a safe and homelike environment was not adhered to, as housekeeping and maintenance services were not effectively provided to ensure a sanitary and orderly environment. Interviews with the Administrator and Maintenance Director indicated a lack of awareness regarding the stained toilets and the non-functional shower room, while the Director of Nursing stated that CNAs were responsible for cleaning residents' rooms. The Administrator acknowledged the unacceptable condition of the bathrooms and emphasized the responsibility of CNAs and housekeeping staff in maintaining cleanliness.
Failure to Provide Non-Spill Cup as Per Dietary Orders
Penalty
Summary
The facility failed to ensure that dietary orders were followed for a resident, specifically regarding the provision of a non-spill cup (sippy cup) during meals. The resident, who required set-up assistance with meals, had a dietary order for a regular large portions diet with mechanical soft texture and regular consistency, along with a divided plate and a non-spill cup. Observations during meal times revealed that the sippy cup was not provided on the resident's meal trays, despite being listed as a preference on the meal ticket. Interviews with staff, including a Certified Medication Aide, a Certified Nursing Aide, the Dietary Manager, and nursing leadership, confirmed the absence of the sippy cup on the meal trays. The Dietary Manager indicated that sippy cups are not sent on meal trays unless returned to the kitchen for washing. The Director of Nursing and Assistant Director of Nursing confirmed that dietary orders should be reflected on meal trays, and the Licensed Practical Nurse mentioned the use of a Dietary Communication Form to inform dietary of changes. This oversight had the potential to impact the resident's nutritional and hydration status.
Failure to Follow Recipes for Pureed Diets
Penalty
Summary
The facility failed to ensure that dietary staff followed recipes and measured ingredients when preparing pureed food, which compromised the nutritional value and flavor for five residents on a pureed consistency diet. Observations revealed that during the preparation of pureed meals, recipes were not used, and ingredients were not measured. For instance, during the preparation of pureed mixed vegetables, an alternate vegetable was used when the original could not be pureed smoothly. Additionally, an unmeasured amount of chicken broth was used for the pureed turkey sandwich. Further observations showed that during the preparation of pureed green beans and chicken tenders, a 4-ounce spoon was used to measure the green beans, and three chicken tenders were used without precise measurement. Butter was added to the green beans without measuring, and one cup of chicken broth was added to the chicken tenders. The dietary staff member reported that the food would thicken in the oven, so no thickener was used, and recipes had not been historically followed. The Registered Dietitian confirmed that ideally, recipes should be followed, but there was no strict protocol in place.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to adhere to its infection prevention and control policies during wound care for a resident, identified as R65. The facility's policies on Enhanced Barrier Precautions (EBP) and Clean Dressing Change were not followed by a registered nurse (RN) during a wound treatment procedure. The RN did not don the required Personal Protective Equipment (PPE) as indicated by a sign on the resident's door, which was part of the EBP protocol. Additionally, the RN did not change gloves or wash/sanitize hands after cleaning the wound and before applying medication, contrary to the facility's policy. The resident, R65, had a physician's order for wound care on the right dorsal foot, which included cleansing with wound cleanser, applying Medihoney, and wrapping with kerlix. The resident was also on an antibiotic regimen for a foot infection. During an observation, the RN was seen performing the wound care without following the proper infection control procedures. The RN later confirmed the oversight and lack of adherence to the PPE and glove-changing protocols. The Director of Nursing acknowledged the expectation for staff to follow these procedures as per the facility's policy.
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Illustrative
What surveyors actually found near you
We read the 40 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Eastman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heart Of Georgia Nursing Home | 2.1 mi | ★★★★★ | 7 | 0 |
| Bryant Health And Rehabilitation Center | 16.1 mi | ★★★★★ | 0 | 0 |
| Abbeville Crossing Of Journey Llc | 17.2 mi | ★★★★★ | 0 | 0 |
| Pinewood Healthcare Center | 18.5 mi | ★★★★★ | 15 | 0 |
| Mcrae Manor Nursing Home | 19.4 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.