Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cartersville Crossing Of Journey Llc during CMS and state inspections, most recent first.
The facility failed to maintain cleanliness in the kitchen and adhere to food safety protocols. Unclean kitchen equipment, undated and moldy bread products, and improperly stored food items were observed. Expired and undated food items were also found in a resident refrigerator, with the responsibility for monitoring assigned to night shift nursing staff.
The facility failed to provide transfer notifications to two residents or their representatives during hospital transfers, as required by policy. One resident, moderately impaired, was transferred for chest pain without a bed hold form, while another, severely impaired, was sent for evaluation without a written notice. The Social Services Director was unaware of the requirement to provide transfer forms.
The facility failed to provide bed hold notices to two residents during hospital transfers, as required by policy. One resident, moderately cognitively impaired, and another, severely impaired, were transferred without receiving the necessary documentation. The Social Services Director confirmed the oversight, indicating a lack of awareness of the requirement.
A resident with severe protein-calorie malnutrition experienced significant unplanned weight loss due to the facility's failure to obtain an admission weight and perform re-weights as required. The facility's CRD was not informed of the weight changes, leading to a lack of timely evaluation and intervention. This oversight placed the resident at risk for further health complications.
A resident with moderate cognitive impairment and edentulous condition was not provided food in a form that met her needs, despite her requests for yogurt and inability to chew hard fruits like cantaloupe. The facility's policy required food to be provided in the appropriate form, but this was not consistently followed, leading to the resident's dietary needs not being met.
Deficiencies in Kitchen Cleanliness and Food Safety Protocols
Penalty
Summary
The facility failed to maintain cleanliness and proper food safety standards in its kitchen and resident food storage areas. During an inspection, it was observed that the kitchen's convection oven, two conventional ovens, stove top spill pan, and a large manual can opener were unclean with accumulated food spills and residues. The Dietary Aide confirmed these areas had not been cleaned as per the weekly schedule, which had been neglected for about three weeks. Additionally, the facility did not adhere to proper food labeling and storage protocols. In the kitchen's dry storage, several packages of bread products were found without use-by or expiration dates, and some were moldy. In the walk-in refrigerator, nutritional shakes were stored without thaw dates, and in the walk-in freezer, food items were left open and unprotected. The Regional Registered Dietitian confirmed that the nutritional shakes should have been dated and discarded if not used within 14 days. In the resident refrigerator on the 300 hallway, several food items were found to be expired or improperly stored. Freezer-burnt grapes and watermelon with an expired date were found in the freezer compartment, while expired yogurts and undated nutritional shakes were found in the refrigerator section. The Regional Director of Environmental Service confirmed these findings and discarded the items. The Director of Nursing stated that it was the night shift nursing staff's responsibility to monitor the food stored in the resident refrigerator.
Failure to Provide Transfer Notifications
Penalty
Summary
The facility failed to provide timely notification to two residents or their responsible parties regarding hospital transfers, as well as failing to notify the long-term care ombudsman. This deficiency was identified through staff interviews, record reviews, and a review of the facility's policy on transfer and discharge. The policy requires that a notice of transfer and the facility's bed hold policy be provided to the resident or representative during emergency transfers initiated for medical reasons. However, this procedure was not followed for two residents, R9 and R24, out of a sample of 19. Resident R9, who was moderately impaired in cognition, was transferred to a hospital for tingling in her left arm and chest pain, but there was no documentation of a bed hold form being provided. Similarly, Resident R24, who was severely cognitively impaired, was transferred to a hospital for evaluation after new orders were received, but no written transfer notice was provided to the resident or their representative. The Social Services Director confirmed that no transfer forms were provided during such transfers and was unaware of this requirement in the facility's policy.
Failure to Provide Bed Hold Notices During Resident Transfers
Penalty
Summary
The facility failed to issue a bed hold notice to two residents or their responsible parties during transfers to the hospital, as required by their policy. The policy, implemented on 02/01/22, mandates that at the time of transfer for hospitalization or therapeutic leave, the facility must provide written notice to the resident or their representative, specifying the duration of the bed-hold policy and information about the resident's return to the next available bed. However, this procedure was not followed for two residents, R9 and R24, during their respective transfers. Resident R9, who was moderately impaired in cognition, was transferred on 07/17/24 for medical reasons, but no bed hold notice was documented in her electronic medical record. Similarly, Resident R24, who was severely cognitively impaired, was transferred to the hospital on 08/30/24, and there was no documentation of a bed hold notice being provided. The Social Services Director confirmed that no bed hold notices were issued to these residents upon their transfers, indicating a lack of awareness of this requirement.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to adequately monitor and address the nutritional needs of a resident, identified as R17, who experienced significant unplanned weight loss. Upon admission, the facility did not obtain an initial weight for R17 within the required 24-hour period, as per their Weight Monitoring Program policy. The first documented weight was not recorded until several days later, and subsequent significant weight losses were not re-weighed or addressed in a timely manner. This oversight led to a lack of evaluation and intervention by the facility's Consultant Registered Dietitian (CRD) and the Interdisciplinary Team. R17 was admitted with severe protein-calorie malnutrition, a fractured femur, and anxiety disorder, placing her at high risk for nutritional issues. Despite these conditions, the facility did not follow its policy to monitor weight changes effectively. The CRD was unaware of the significant weight loss due to a lack of communication and documentation from the staff. The resident's weight dropped from 159 pounds to 122 pounds over a short period, indicating a 23.27 percent weight loss, which was not addressed until much later. Interviews with staff, including the CRD, Registered Nurse Supervisor, MDS Coordinator, and Director of Nursing, revealed a breakdown in communication and procedure adherence. The CRD was not informed of the weight changes, and the MDS Coordinator could not verify the source of the initial weight documented. The Director of Nursing acknowledged the failure to obtain an admission weight and the lack of re-weighing after significant weight loss. These failures in protocol placed R17 at risk for further health complications due to inadequate nutritional management.
Failure to Provide Appropriate Food Form for Edentulous Resident
Penalty
Summary
The facility failed to provide food in a form that met the needs of a resident, identified as R14, who was edentulous and had requested specific dietary accommodations. R14, who had moderate cognitive impairment and was at risk for nutritional issues due to her lack of teeth, had requested to receive yogurt at meals because it was easy for her to eat. Despite this request, the facility did not consistently provide yogurt on her meal trays, and she was served hard fruits like cantaloupe, which she could not chew. R14's care plan indicated she was selective about her food and required food preferences to be provided as available. However, observations revealed that R14 was not served yogurt with her meals on multiple occasions, and she was served cantaloupe, which she could not eat due to her edentulous condition. The facility's policy on Therapeutic Diet Orders required that residents receive food in the appropriate form as prescribed by the physician or assessed by the interdisciplinary team, but this was not adhered to in R14's case. Interviews with the Certified Nurse Aide (CNA) and the Consultant Registered Dietitian (CRD) confirmed that R14 should not have been served hard fruits and should have received yogurt as requested. The CRD acknowledged the oversight and noted that R14 had been referred to Speech Therapy for evaluation due to her difficulty chewing certain foods. Despite these acknowledgments, the facility's failure to provide the appropriate food form persisted, as observed over several days.
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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 Cartersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cartersville Center For Nursing And Healing | 1.2 mi | — | 5 | 0 |
| Townsend Park Health And Rehabilitation | 1.4 mi | — | 0 | 0 |
| Chulio Hills Health And Rehab | 15.4 mi | — | 9 | 0 |
| Ross Memorial Health Care Ctr | 15.5 mi | — | 0 | 0 |
| Woodstock Center For Nursing And Healing Llc | 16.8 mi | — | 2 | 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.