Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Fort Valley Crossing Of Journey Llc during CMS and state inspections, most recent first.
The facility failed to follow puree diet recipes, risking residents' nutritional intake. Observations showed unmeasured portions of beef and broccoli were blended without following the recipe, and the Dietary Manager lacked knowledge of portion sizes. Interviews revealed staff were unaware of scoop sizes and nutritional content, highlighting a training gap.
The facility failed to obtain a concurring physician's signature for POLST documents for two residents. One resident, with severe cognitive impairment, signed a DNR POLST without the required concurring physician's signature. Another resident's POLST was signed by a family member claiming to be the POA, but no documentation supported this, and the form also lacked a concurring physician's signature. Staff interviews revealed a lack of understanding of the proper procedures for completing POLST documents.
A resident diagnosed with schizophrenia did not receive a PASARR Level II assessment as required by facility policy. The Social Service Director, responsible for PASARR submissions, confirmed the oversight. Interviews with the Administrator and DON revealed that the expected procedure for handling new qualifying diagnoses was not followed.
A resident received oxygen therapy without a physician's order, and the oxygen concentrator was found to be dirty, contrary to facility policies. The resident, with a history of COPD and other conditions, continued to receive oxygen after returning from a hospital stay without updated orders. Interviews with the ADON and DON confirmed the oversight in obtaining orders and maintaining equipment cleanliness.
A facility failed to follow infection control practices during the administration of ophthalmic drops to a resident. An LPN did not sanitize the bedside table or use gloves as required by the facility's policy. After administering the drops, the LPN did not wash or sanitize her hands before continuing with the medication pass. The DON confirmed that the correct procedure involves handwashing and wearing gloves to prevent cross-contamination.
Deficiency in Puree Diet Preparation and Portion Control
Penalty
Summary
The facility failed to ensure that recipes for the puree diet were followed, compromising the nutritional value of meals served to residents. During an observation of puree food preparation, it was noted that the Dietary Manager (DM) did not measure the portions of beef and broccoli before blending them, nor did they measure the amount of beef broth added. This resulted in an unmeasured and potentially inadequate nutritional composition of the puree diet served to residents. The DM admitted to not following the recipe for pureed chicken stir fry and was unable to specify the correct portion sizes for residents on puree or regular diets. Interviews with the DM and another dietary staff member revealed a lack of knowledge regarding portion sizes and the nutritional content of meals served. The DM could not identify the appropriate scoop sizes for serving, which is crucial for ensuring residents receive the necessary nutritional intake. The facility's Administrator confirmed that dietary staff are expected to know portion sizes to meet residents' nutritional needs, indicating a gap in training and knowledge within the dietary department.
Failure to Obtain Required Signatures for POLST Documents
Penalty
Summary
The facility failed to obtain a concurring physician's signature for a Physician Order for Life Sustaining Treatment (POLST) for Do Not Resuscitate (DNR) documents for two residents, R1 and R10. For R1, the facility did not ensure that the resident was cognitively intact before signing the POLST document indicating DNR status. R1 was admitted with severe cognitive impairment, as evidenced by a Brief Interview for Mental Status (BIMS) score of two, indicating severe cognitive impairment. Despite this, R1 signed the POLST form, which only had one physician's signature, contrary to the requirement for a concurring physician's signature when the patient is a candidate for non-resuscitation. For R10, the facility failed to ensure that Power of Attorney (POA) documents were obtained during the implementation of the POLST document. R10's POLST form was signed by the resident's brother-in-law, who claimed to be the POA, but there was no documentation in the resident's medical record to support this claim. The POLST form also only had one physician's signature, lacking the required concurring physician's signature. Interviews with facility staff, including the Social Services Director (SSD) and the Director of Nursing (DON), revealed a lack of understanding and adherence to the proper procedures for completing POLST documents, particularly when two physician signatures are required. The Administrator confirmed the deficiencies, acknowledging that R1's severe cognitive impairment should have precluded them from signing the POLST document. The Administrator also noted that the POLST documents should have all necessary documentation to ensure residents' preferences are honored. The MDS Clinical Reimbursement Coordinator (CRC) confirmed R1's cognitive impairment, indicating that R1 was not capable of understanding or signing the POLST document with full comprehension.
Failure to Submit PASARR Level II for Resident with New Schizophrenia Diagnosis
Penalty
Summary
The facility failed to submit a PASARR Level II for a resident after a new qualifying mental illness diagnosis of schizophrenia was added. The facility's policy requires coordination with the PASARR program and submission of Level II assessments for residents with newly evident serious mental disorders. However, this process was not followed for the resident in question, who was admitted with diagnoses including anxiety disorder and depression, and later diagnosed with schizophrenia. Interviews with facility staff, including the Social Service Director (SSD), Administrator, and Director of Nursing (DON), confirmed the oversight. The SSD acknowledged responsibility for PASARR submissions and confirmed that the resident should have had a Level II PASARR following the new diagnosis. The Administrator and DON also recognized the need for a Level II PASARR based on the resident's condition, indicating a lapse in the expected procedure for handling new qualifying diagnoses.
Failure to Obtain Physician's Order and Clean Oxygen Equipment
Penalty
Summary
The facility failed to obtain a physician's order for the administration of oxygen for a resident, identified as R47, who was receiving oxygen therapy. Despite the facility's policy requiring verification of a physician's order for oxygen administration, R47 was observed receiving oxygen therapy without an active order. The resident had a history of Covid-19, pulmonary embolism, and chronic obstructive pulmonary disease (COPD). After returning from a hospital stay, there were no new orders for oxygen administration, yet the resident continued to receive oxygen therapy at the facility. Additionally, the facility did not adhere to its policy on cleaning and disinfection of resident-care equipment. Observations revealed that the oxygen concentrator used by R47 was covered with dust, indicating it had not been cleaned as required. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) confirmed the lack of active oxygen orders and the unclean state of the oxygen concentrator. The ADON acknowledged that the oxygen orders should have been updated upon the resident's return from the hospital, and the DON confirmed that nurses were responsible for ensuring the cleanliness of the oxygen concentrators.
Infection Control Breach During Eye Drop Administration
Penalty
Summary
The facility failed to adhere to infection control practices during the administration of ophthalmic drops to a resident, identified as R12. The facility's policy on the installation of eye drops, dated November 2017, requires handwashing, the use of gloves, and proper disposal of gloves followed by handwashing. However, during an observation of medication administration, an LPN did not sanitize the bedside table or use a barrier before placing the bottle of ophthalmic drops on it. The LPN washed her hands but did not wear gloves while administering the drops to the resident. After administering the drops, the LPN did not wash or sanitize her hands before continuing with the medication pass. The LPN justified not wearing gloves by stating that residents sometimes have reactions to them. The Director of Nursing confirmed that the correct procedure involves handwashing and wearing gloves to prevent cross-contamination.
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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 Fort Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Church Home Rehabilitation And Healthcare | 9.6 mi | — | 0 | 0 |
| Oaks Nursing Home, Inc, The | 10 mi | — | 0 | 0 |
| Summerhill Elderliving Home & Care | 10.4 mi | — | 15 | 0 |
| Roberta Trails Of Journey Llc | 14.3 mi | — | 0 | 0 |
| Pruitthealth - The Lodge, Llc | 14.7 mi | — | 7 | 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.