Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Woods At Lumber City Of Journey Llc, The during CMS and state inspections, most recent first.
Ice Machine Not Clean and Sanitized: The facility failed to ensure that one of one ice machines was clean and sanitized. During observation, a black substance was seen inside the ice machine in the door area and corners/crevices, and the DKM confirmed it when wiped with a paper towel. The DKM said the Maintenance Director was responsible for cleaning the ice machine, and the work history report showed the ice machine had not been serviced since the last documented cleaning.
Failure to Provide Written Treatment Refusal Information: The facility did not provide written information to two residents or their representatives about the right to accept or refuse medical or surgical treatment. One resident had dementia and acute kidney failure, and the other had type 2 DM and sequelae of cerebral infarction. Review of the admission packets and clinical records showed no consent language for accepting or denying treatment, and the SW and Corporate Nurse confirmed the omission.
Unsafe Room Conditions and Poor Maintenance: Surveyors found that two rooms on the 100 hall did not maintain a safe, comfortable, and homelike environment. One bathroom had a toilet lid that was the wrong size and did not fit, and another room had peeling paint on the wall. The Maintenance Director confirmed both issues during the walk-through.
Failure to Timely Report Resident-to-Staff Abuse: A resident with schizoaffective disorder, bipolar disorder, dementia, and severe cognitive impairment became physically and verbally aggressive toward staff, throwing food, smearing feces, swinging a broom, and threatening to hurt and kill staff. Although the incident involved abuse, the facility did not report it to the state within the required 2-hour timeframe and instead reported it the next day.
Inappropriate transfer and discharge without prior arrangement: A resident with schizoaffective disorder, bipolar disorder, and dementia, and a BIMS score of 00, became highly agitated, threw items, smeared feces, and threatened staff. Police were called and the resident was sent to a BH unit, but the 1013 form was incomplete, no prior arrangements or guardian notification were documented, no 30-day notice was given, and the facility had not obtained approval for admission, leaving the resident in the hospital longer than expected.
A resident with schizoaffective disorder, bipolar disorder, and dementia was sent out after severe behavioral incidents, but the facility had no prior transfer arrangements, did not notify the guardian, and used an incomplete transport form. The resident was taken to a BHU without approval, was denied admission, and the facility did not provide a bed hold notice or have a discharge plan in place for a successful transfer.
Puree Diet Menu Not Followed: Dietary staff did not follow the posted puree recipes when preparing meals for five residents on a puree diet. An LPN-equivalent dietary staff member prepared Philly steak filet and dinner rolls using amounts and serving sizes that did not match the menu, and the DKM confirmed the kitchen reduced the number of servings to equal seven residents instead of following the recipe directions.
Infection control practices were not maintained during wound care and perineal care. An RN and an LPN placed wound supplies on a bedside table without sanitizing the surface and handled sterile dressings and Medihoney with soiled gloves. In a separate observation, a CNA performing perineal care did not wash hands or change to clean gloves during care or before transferring a resident with a Hoyer lift, and a staff coordinator/CNA was observed removing an outer glove layer after care was complete.
Ice Machine Not Clean and Sanitized
Penalty
Summary
The facility failed to ensure that one of one ice machines was clean and sanitized. During observation on 8/12/2025 at 10:18 am, a black substance was seen on the inside of the ice machine where the door opens, in the corners and crevices, and on both the left and right sides. The Dietary Kitchen Manager observed the ice machine with the surveyor and confirmed that the black substance was present when wiped with a white paper towel. She stated that the ice machine had been cleaned, but she did not know why the black substance was in the machine. Review of the facility policy titled, Ice Machines and Portable Ice Carts, stated that ice machines and carts are to be cleaned and maintained according to federal, state, local, or facility guidance and manufacturer instructions, and that ice machines should be cleaned at a frequency necessary to preclude accumulation of soil or mold. The Dietary Kitchen Manager stated that the Maintenance Director was responsible for cleaning the ice machine. The Maintenance Director provided a Work History Report schedule showing Ice Machines/Ice Bins were marked done on-time on 5/30/2025, 2/27/2025, 11/1/2024, and 8/6/2024, with no further indication that the ice machine had been serviced since 5/30/2025. The issue had the potential to affect 54 of 59 residents receiving an oral diet from the kitchen.
Failure to Provide Written Treatment Refusal Information
Penalty
Summary
The facility failed to provide written information to residents and/or their representatives regarding the right to accept or refuse medical or surgical treatment for two residents, R9 and R33. Review of the facility’s Advance Directive policy showed that the facility was required to provide the resident or resident representative information, in a manner easy to understand, about the right to refuse medical or surgical treatment and formulate an advance directive. R33 was admitted with diagnoses including dementia and acute kidney failure, and R9 was admitted with diagnoses including type 2 diabetes and sequelae of cerebral infarction. Review of both residents’ clinical records found no documentation that the facility provided written information regarding the right to accept or refuse medical or surgical treatment. The Social Worker stated she was not aware of any language in the admission packet where a resident accepts or denies medical or surgical treatment, and after reviewing the admission packets for R33 and R9, she confirmed the paperwork did not include a consent for the resident and/or representative to accept or deny medical or surgical treatment. The Corporate Nurse also confirmed that there was no advanced directive with verbiage of a consent for the resident and/or representative to accept or deny medical or surgical treatment in either resident’s clinical record.
Unsafe Room Conditions and Poor Maintenance
Penalty
Summary
The facility failed to maintain a safe, comfortable, and homelike environment in two of 15 rooms on the 100 hall. During observation, room [ROOM NUMBER]-1 was found to have a toilet lid in the bathroom that was the wrong size and did not fit. The facility’s policy titled Safe and Home-like Environment stated that residents should be provided a safe, clean, comfortable, home-like environment and that housekeeping and maintenance services would be provided as necessary to maintain a sanitary, orderly, and comfortable environment. In room [ROOM NUMBER]-2, surveyors observed paint peeling from the wall. During a walk-through with the Maintenance Director, he confirmed that the toilet lid in room [ROOM NUMBER]-1 was the wrong size and did not fit, and he acknowledged that this could lead to possible harm. He also confirmed that the peeling paint in room [ROOM NUMBER]-2 needed to be repainted.
Failure to Timely Report Resident-to-Staff Abuse
Penalty
Summary
The facility failed to report an allegation of resident-to-staff abuse immediately, but no later than 2 hours after the allegation was made, to the State Agency for one of 32 sampled residents. The facility’s Abuse, Neglect and Exploitation policy required alleged violations involving abuse to be reported immediately, but not later than 2 hours after the allegation, to the Administrator, state agency, adult protective services, and other required agencies. Review of the incident documentation showed that on 9/24/2024, the resident became increasingly aggressive and threw breakfast at a CNA, removed her colostomy bag and smeared feces on the floor, grabbed a wheelchair and hit the door with it, and took a broom from the housekeeper while threatening staff. The resident also threatened to hit staff and threatened to kill someone, and the Administrator later instructed staff to call police. The resident was sent to the hospital after a 1013 was issued. The resident involved, R68, had diagnoses including schizoaffective disorder, bipolar disorder, and dementia, and the quarterly MDS dated 9/24/2024 documented a BIMS score of 00, indicating cognitive impairment. The facility’s incident summary documented the aggressive episode and staff response, and the Facility Reported Incident Report Form dated 9/25/2024 showed that the verbal and physical abuse toward staff occurred on 9/24/2024 but was not reported to the state until the following day, resulting in failure to meet the required 2-hour reporting timeframe for abuse.
Inappropriate Transfer and Discharge Without Prior Arrangement
Penalty
Summary
The facility failed to ensure that one resident, R68, was not inappropriately transferred and discharged against the resident and/or representative wishes. R68 had diagnoses including schizoaffective disorder, bipolar disorder, and dementia, and her quarterly MDS showed a BIMS score of 00, indicating cognitive impairment. The facility policy titled Discharge Planning Process stated that the facility would assist residents and their representatives in choosing an appropriate post-acute care provider and would discuss the final discharge plan with the resident or representative. On 9/24/2024, R68 became severely agitated in the facility. The incident summary stated that she threw breakfast at a CNA, removed her colostomy bag and smeared feces on the floor, grabbed a wheelchair and hit the door with it, took a broom from housekeeping and swung it at staff, and threatened to hurt and kill someone. The social worker and Administrator attempted to calm her, police were called, and a 1013 was issued. The 1013 form was incomplete and missing the location, referring staff, receiving staff, and telephone number. The record showed that R68 was discharged to a Behavioral Health Unit, but there was no documentation of prior arrangements, no notification that her guardian was aware of the transfer, and no 30-day notice to R68 or a representative. The facility never received approval for admission to the Behavioral Health Unit. The Social Worker stated that no approval or prior arrangements had been made and that she was not sure who gave the verbal instruction to take R68 there. The Administrator stated that police transported the resident to the Behavioral Health Facility, but she was not accepted there because she did not have approval to be admitted, and the resident remained in the hospital longer than expected until placement could be found at another facility.
Failed discharge planning and incomplete transfer documentation
Penalty
Summary
The facility failed to develop and implement an effective discharge plan for one resident, R68, who had diagnoses including schizoaffective disorder, bipolar disorder, and dementia, and whose MDS showed a BIMS score of 00 indicating cognitive impairment. The facility policy titled Discharge Planning Process required an effective discharge planning process and discussion of the final discharge plan with the resident or resident representative, but the record did not show prior arrangements for transfer or notification to the resident's guardian before the resident was moved from the facility. On 9/24/2024, R68 was discharged to a Behavioral Health Unit after exhibiting aggressive and disruptive behaviors, including chasing staff and residents with a broom, throwing a tray at staff, refusing to return the broom, smearing feces on the floor, yelling, and cursing. Staff called 911, and the police transported the resident after the Behavioral Health Facility denied admission. The Social Worker stated she did not have approval for the transfer, prior arrangements had not been made, and she was not sure who gave the verbal instruction to take the resident there. The Administrator stated the police took the resident to the Behavioral Health Facility, but the resident was not accepted because there was no approval for admission. The FORM 1013 Certificate Authorizing Transport to Emergency Receiving Facility & Report of Transportation was incomplete, missing the location, referring staff, receiving staff, and telephone number. The record also showed no bed hold notice was given to the resident or representative, and the facility never received approval for admission to the Behavioral Health Unit. The Social Worker further stated the resident was a ward of the State of Georgia and that the representative wanted the resident to return to the facility until a behavioral health unit could be found that would approve the resident. The Corporate Nurse stated the facility could have provided a bed hold and allowed the resident to return after hospital services, and the Director of Behavioral Health of Georgia stated the resident was not allowed to come back to the facility and remained in the hospital longer than expected due to the facility's decision not to accept her back.
Puree Diet Menu Not Followed
Penalty
Summary
The facility failed to ensure that the menu was followed to assure appropriate nutrition was received for residents on a puree diet. During observation on 8/13/2025 at 10:30 am, Dietary [NAME] (DC) II was preparing a meal for five residents who received a pureed diet, while the Dietary Kitchen Manager (DKM) provided the menu and recipe for Philly steak filet, dinner roll, mashed potatoes, and vegetable juice. The pureed Philly steak filet was prepared using seven scoops of Philly steak and four scoops of gravy in the food processor, then checked for consistency, emptied, cleaned, and placed in a 6-serving pan for warmth. DC II stated that although there were five pureed residents, the kitchen prepares for seven so a resident could get an extra serving if desired. DC II then washed her hands, changed gloves, and pureed seven rolls with one cup of water, adding another 1/3 cup of water before the consistency was reached; the rolls were then placed in a 5-serving pan and refrigerated. Review of the facility’s Steak Filet 2-ounce conv (PHILLY) PU recipe menu and Dinner Roll (DOUGH) PU recipe menu showed ingredient preparations for serving sizes of 10, 50, 75, 100, and 150, and for a serving size of 10 each recipe included thickener and specified amounts of stock or water. The recipes did not provide preparation instructions for seven residents, and the DKM confirmed that kitchen staff did not follow the menus during the puree process and reduced the number of servings to equal seven residents.
Infection Control Practices Not Maintained During Wound and Perineal Care
Penalty
Summary
The facility failed to maintain infection control practices during wound care for a resident when an RN and an LPN entered the room carrying a plastic container of wound care supplies, placed the container on the resident’s bedside table without sanitizing the surface, and handled wound care items with soiled gloved hands. During the procedure, the LPN removed the soiled dressing and used the same gloves to open a sterile ABD pad pack, squeeze Medihoney onto the dressing, and pass prepared dressings to the RN for application to the wound bed. The LPN also opened a silicone foam dressing with the same soiled gloves and handed it to the RN to apply over the wound site. The facility also failed to maintain infection control during perineal care for another resident when multiple staff entered the room, sanitized hands, and donned gowns and gloves, but the CNA performing care did not stop to wash hands or use hand sanitizer and apply clean gloves during the perineal care or during transfer of the resident to a mobile chair using a Hoyer lift. The staff coordinator/CNA was observed removing an outer layer of gloves after the perineal care was complete and before the transfer. During interview, the CNA confirmed she did not stop to wash hands or use hand sanitizer and apply clean gloves during the care or transfer, and the DON stated that after perineal care staff are expected to remove soiled gloves, sanitize hands, and don clean gloves before assisting with transfer.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 47 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lumber City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hazelhurst Court Care And Rehabilitation Center | 10.6 mi | ★★★★★ | 14 | 3 |
| Mcrae Manor Nursing Home | 12.7 mi | ★★★★★ | 11 | 0 |
| Glenwood Health And Rehabilitation | 19.6 mi | ★★★★★ | 22 | 0 |
| Appling Nursing And Rehabilitation Pavilion | 26.6 mi | ★★★★★ | 0 | 0 |
| Vista Park Health And Rehabilitation | 27.9 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Woods At Lumber City Of Journey Llc, The.
100% money-back within 48 hours.
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.