Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Twin City Trails Of Journey Llc during CMS and state inspections, most recent first.
The facility failed to store food safely and maintain temperature logs, as moldy bread was found with ready-to-eat items, and refrigerator and freezer temperatures were not consistently recorded. Additionally, drinks were transported uncovered, contrary to safety protocols, potentially risking residents' health.
The facility failed to maintain the main kitchen doors, leading to a pest infestation risk. Observations revealed live flies in the kitchen and dining areas, with a broken back door contributing to the issue. The Dietary Manager confirmed the door needed repair, and the Maintenance Director was unaware of the problem. Uncovered drinks in the dining area further attracted insects.
The facility failed to maintain a safe and homelike environment, with 11 resident rooms found in disrepair. Observations included holes in walls, exposed sheetrock, and damaged furniture. Staff interviews revealed maintenance issues were reported verbally, leading to delays in repairs. The Plant Operations Director acknowledged ongoing repair needs, and the Administrator confirmed a walk-through had identified necessary repairs, which were not yet completed.
The facility failed to properly store vaccines and manage expired medications and supplies, as observed in a medication room and cart. Vaccines were not monitored for temperature control twice daily, and expired items like Enulose, Biotene, and various ophthalmic solutions were found available for use. These deficiencies were confirmed by the DON and an LPN.
The facility staff failed to ensure that call lights were within reach for three residents, placing them at risk of unmet needs and potential harm. Observations revealed that call lights were not accessible for residents with cognitive impairments and those dependent on staff for ADLs, contrary to the facility's policy. A CNA acknowledged the requirement to keep call lights within reach but was unaware of the specific incidents.
A resident with a G-Tube was at risk of infection due to improper medication administration practices by an LPN. The LPN failed to sanitize the medication cart, stacked medication cups improperly, and did not perform hand hygiene after touching environmental surfaces. Additionally, the LPN stored a wet piston syringe in an unclean wrapper. The facility's infection prevention team confirmed these practices were against policy.
Deficiencies in Food Storage and Safety Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several observations and staff interviews. During an initial tour of the kitchen, a pack of moldy sub sandwich rolls was found stored with ready-to-eat breads, which was confirmed and removed by the Dietary Manager (DM). Additionally, the facility did not maintain proper documentation of refrigerator and freezer temperatures, with missing entries for several dates on both the am and pm shifts. This lack of documentation was acknowledged by the DM during the inspection. Further observations revealed that multiple eight-ounce glasses of juice, tea, and water were left uncovered while being prepared for transport to residents in the dining area and those eating in their rooms. The DM confirmed that these drinks should have been covered after preparation and should not have been transported without a lid or cover. These deficiencies had the potential to place 75 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness.
Pest Control Deficiency Due to Poor Kitchen Door Maintenance
Penalty
Summary
The facility failed to maintain the main kitchen doors in good repair, leading to a potential pest infestation. Observations on multiple occasions revealed a substantial number of live flies in the kitchen area, which were confirmed by the Dietary Manager (DM). The back door of the main kitchen was found slightly open with an opening at the top, and the DM acknowledged that the door had been broken and needed repair for some time. This situation was exacerbated by the fact that the air curtain, intended to prevent insects from entering, was sometimes turned off by staff. Additionally, the main dining hall between Unit 1 and Unit 2 was observed to have multiple live flies while residents were eating lunch, with several residents swatting flies away. On another occasion, uncovered glasses of juice, tea, and water were observed with insects flying over them, which the DM acknowledged should have been covered. The Maintenance Director (MD) revealed that pest control treated the kitchen and dining area monthly but was unaware of the need to replace the back kitchen door, which contributed to the fly issue.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by the disrepair observed in 11 out of 38 resident rooms. Observations revealed various issues, including holes in walls, exposed sheetrock, peeled paint, missing molding, and unfinished wall repairs. These deficiencies were noted during a facility tour and were confirmed by staff interviews. The facility's policy on maintaining a homelike environment was not effectively implemented, as the maintenance services necessary to uphold a sanitary and orderly environment were lacking. Specific observations included a large hole in the wall next to a bed, plaster missing from walls, and scrapes that exposed the gypsum layer of the drywall. In some rooms, the damage extended to the furniture, such as broken window blinds, damaged bathroom doors, and broken nightstands. Additionally, there were issues with the facility's infrastructure, such as rusted metal door frames, broken electrical outlets, and dangling coaxial cables from wall-mounted televisions, which were not functional due to their inability to connect to cable outlets. Interviews with staff, including a CNA and the Plant Operations Director, revealed that maintenance issues were reported verbally but not through a computerized system, leading to delays in repairs. The Plant Operations Director acknowledged the need for further repairs and mentioned that maintenance staff were assisting another facility, which contributed to the delay. The Administrator confirmed that a walk-through had been conducted to identify necessary repairs, but the facility had not yet completed them, leaving residents in an environment that did not meet the required standards.
Deficiencies in Medication Storage and Expiration Management
Penalty
Summary
The facility failed to adhere to its policy on the storage and expiration dating of medications and biologicals, leading to deficiencies in the management of vaccines and other medical supplies. Observations revealed that vaccines were not stored under proper temperature controls, as evidenced by incomplete temperature logs for several dates. This failure to monitor temperatures twice daily, as required by the facility's policy and CDC guidelines, created the potential for residents to receive vaccinations with altered effectiveness. Additionally, expired medications and supplies were found in the medication storage room and on medication carts, indicating a lapse in the removal of expired items from use. Specific instances included expired Enulose and Biotene Dry Mouth Oral Rinse in the medication room, as well as expired pneumococcal vaccines in the refrigerator. On a medication cart, expired Systane Lubricant Eye Drops, Travatan Travoprost Ophthalmic Solution, and latanoprost ophthalmic solution were found, along with expired medical supplies such as Vacutainer tubes and various needles. These observations were confirmed by the Director of Nursing and an LPN, highlighting a systemic issue in the facility's medication management practices.
Failure to Ensure Call Lights Within Reach for Residents
Penalty
Summary
The facility staff failed to ensure that resident call lights were within reach for three of the 18 sampled residents, which placed them at risk of accident, injury, and/or unmet needs due to their inability to call for staff assistance. The facility's policy titled 'Answering the Call Light' requires that call lights be within easy reach when a resident is in bed or confined to a chair. However, during observations, it was noted that the call lights for three residents were not accessible. Resident 5, who has moderate cognitive impairment and requires supervision with ADLs, was observed with her call light draped over the headboard and out of reach. Resident 46, who is dependent on staff for ADLs, was found with the call light on the floor, out of sight and reach, during two separate observations. Similarly, Resident 70, also dependent on staff for ADLs, was observed with the call light hanging under the bed and not within reach. During an interview, a CNA stated that call lights should be answered immediately but was unaware of why the call light was not within reach for Resident 70. These observations indicate a failure to adhere to the facility's policy, potentially compromising the safety and well-being of the residents involved.
Infection Control Deficiency in Medication Administration
Penalty
Summary
The facility failed to ensure proper infection prevention and control during the administration of medications via a gastrostomy tube (G-Tube) for a resident with diagnoses including dysphagia, gastrostomy status, and overactive bladder. The Licensed Practical Nurse (LPN) involved did not follow the facility's hand hygiene policy, which requires hand hygiene before and after direct contact with residents and before handling medications. The LPN used alcohol-based hand rub (ABHR) initially but did not sanitize the medication cart before placing medication cups on it, which was observed to be unclean. During the medication preparation, the LPN crushed tablets and opened capsules into separate cups, stacking them in a manner that allowed potential contamination. The LPN donned gloves without performing hand hygiene and handled various environmental surfaces, such as the overbed table and bathroom fixtures, without changing gloves or performing hand hygiene afterward. This practice increased the risk of contamination during the medication administration process. The LPN also improperly handled the piston syringe used for the G-Tube, storing it wet in an unclean wrapper after use. The Director of Nursing, Infection Preventionist, and Advanced Practice Registered Nurse confirmed that the medication cups should not have been stacked, the syringe should not have been stored wet, and glove changes with hand hygiene should have occurred after contact with environmental surfaces. These actions and inactions led to a deficiency in infection prevention and control, placing the resident at risk of avoidable infections.
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What surveyors actually found near you
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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.
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Nursing homes near Twin City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Swainsboro | 10.5 mi | ★★★★★ | 6 | 0 |
| Emanuel County Nursing Home | 10.8 mi | ★★★★★ | 0 | 0 |
| Azalea Health And Rehabilitation | 13.7 mi | ★★★★★ | 8 | 0 |
| Pleasant View Nursing Center | 14.1 mi | ★★★★★ | 6 | 0 |
| Orchard Health And Rehabilitation | 17.7 mi | ★★★★★ | 0 | 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 July 2026) and official state health department websites.