Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Jasper Point Of Journey Llc during CMS and state inspections, most recent first.
The facility failed to conduct Fall Risk Assessments during admission and after falls for two residents. One resident, admitted with a femur fracture and Alzheimer's, experienced multiple falls without timely assessments. Another resident, under hospice care, fell and sustained injuries before a high-risk assessment was completed. Interviews confirmed that assessments should occur at admission, but lapses in protocol were noted.
The facility failed to provide adequate nursing staff on weekends, potentially affecting the care of 51 residents. The Facility Assessment Tool indicated staffing needs of 36-48 hours for licensed nurses and 105-120 hours for nurse aides per day. However, the PBJ Staffing Data Report for FY Quarter 2 2024 showed excessively low weekend staffing, with only 77 hours per day for nurse aides. Interviews confirmed awareness of this issue.
The facility failed to maintain the walk-in freezer, leading to ice buildup that contaminated food and posed a risk to 51 residents. Despite awareness by the CDM, Maintenance Director, and Interim Administrator, there was no documentation of repairs or service visits.
The facility did not ensure the Medical Director or their appointee attended QAPI committee meetings as required by policy. The Medical Director or designee was absent from three of six reviewed meetings, violating the policy that mandates their participation. The Regional Director confirmed the absence and lack of documentation for these meetings.
The facility failed to submit a PASARR Level II for two residents after new mental illness diagnoses were added, potentially affecting their care. One resident was diagnosed with bipolar disorder but did not receive psychological services or a PASARR Level II. Another resident, also diagnosed with bipolar disorder, was on antipsychotic medication without a PASARR Level II reevaluation. The facility lacked a Social Services Director, and the Regional Nurse Consultant could not locate the necessary documentation.
A resident receiving continuous oxygen therapy did not have a comprehensive care plan addressing this treatment, as required by facility policy. Despite having a physician's order for oxygen via nasal cannula, the care plan lacked documented goals or interventions for oxygen administration. The oversight was confirmed by the Regional Director of Clinical Operations.
The facility failed to properly store respiratory supplies for two residents, increasing the risk of infection. A resident with COPD had a nebulizer mouthpiece and tubing uncovered, while another resident's BiPAP mask was left unbagged on a nightstand. These actions did not comply with the facility's policies, potentially compromising respiratory health.
A facility failed to comply with its policy on PRN psychotropic medications, allowing a resident to have an active PRN order for Ativan without an end date. The resident, diagnosed with panic disorder and conversion disorder with seizures, received Ativan multiple times over several months. The facility's policy requires PRN orders to be limited to 14 days unless extended with documented rationale, which was not done in this case.
A medication security breach occurred when an RN left five medication cards on top of a locked cart unattended while retrieving another medication. The facility's policy requires medications to be secured and supervised, which was not followed, posing a risk of unauthorized access.
A facility failed to ensure proper hand hygiene during wound care for a resident with a stage IV pressure ulcer. The LPN did not change gloves or perform hand hygiene between cleansing the wound and applying Dakin's solution-soaked gauze, contrary to the facility's policy. The resident, who was dependent on staff for daily activities, had a care plan emphasizing proper wound care. The LPN acknowledged the mistake, and the Regional Nurse Consultant confirmed the potential risk of infection.
Failure to Conduct Timely Fall Risk Assessments
Penalty
Summary
The facility failed to complete Fall Risk Assessments during the admission process and after falls for two residents, R3 and R4, who were reviewed for falls. R3 was admitted with diagnoses including a fracture of the left femur and Alzheimer's disease. Despite experiencing falls on three occasions, there was no evidence of a Fall Risk Assessment being completed at admission or after each fall. A fall risk evaluation was eventually completed, indicating a high risk. R4, admitted under hospice care, also did not have a Fall Risk Assessment completed at admission. After a fall resulting in a skin tear and pain, a Morse Falls Risk Evaluation was conducted, showing a high risk for falls. Interviews with the Director of Nursing (DON) and an LPN confirmed that fall risk assessments should be completed during admission, even for hospice residents. The DON, who started working at the facility after the admissions of R3 and R4, was unaware of who was responsible for the assessments prior to her tenure. The facility's Administrator expressed the expectation that all nurses complete required assessments, highlighting a lapse in protocol adherence regarding fall risk assessments for new admissions.
Inadequate Weekend Staffing
Penalty
Summary
The facility failed to ensure adequate nursing staff on weekends, which had the potential to affect the care provided to the 51 residents residing in the facility. The Facility Assessment Tool dated 4/17/2024 indicated that the average daily census was 57 residents, with staffing needs of 36-48 hours for licensed nurses and 105-120 hours for nurse aides per day. However, the PBJ Staffing Data Report for FY Quarter 2 2024 revealed excessively low weekend staffing, with an average of only 77 hours per day for nurse aides on weekends. Interviews with the Regional Director of Clinical Operations and the Regional Nurse Consultant confirmed their awareness of the excessively low weekend staffing issue for the second quarter of 2024. This deficiency was identified through record reviews, staff interviews, and facility document reviews, highlighting the facility's failure to meet the required staffing levels on weekends.
Failure to Maintain Walk-In Freezer
Penalty
Summary
The facility failed to maintain the walk-in freezer properly, resulting in significant ice buildup on the freezer unit, shelving, and floor. This issue was observed during a survey, with ice formations ranging from 6 inches in diameter at the top to less than 1 inch at the floor. The Certified Dietary Manager (CDM) confirmed the ice buildup and noted that it had led to the discarding of numerous cases of food due to contamination concerns. The Maintenance Director was aware of the issue and manually removed ice periodically, but there was no documentation of a service visit or repair by an outside company, despite the freezer having been inspected previously. Interviews with facility staff, including the CDM, Maintenance Director, Regional Director of Environmental Services, and Interim Administrator, revealed a lack of communication and documentation regarding the freezer's condition and necessary repairs. The Interim Administrator and Maintenance Director were aware of the problem, but neither could provide documentation of any service visits or recommendations from the outside service provider. The Regional Director of Environmental Services was unaware of the issue until the survey. The ongoing ice formation posed a risk of food contamination for the 51 residents receiving meals from the kitchen.
Medical Director's Absence in QAPI Meetings
Penalty
Summary
The facility failed to ensure the Medical Director or an appointee of the Medical Director attended and participated in the Quality Assurance and Performance Improvement (QAPI) committee meetings at least quarterly, as required by their policy. The facility's policy, implemented on 8/1/2023, mandates that the QAPI committee be interdisciplinary and include the Director of Nursing, the Medical Director or their designee, and at least three other staff members, including the Administrator or another leader, and the Infection Preventionist. However, a review of the QAPI committee meeting sign-in sheets for six meetings revealed that neither the Medical Director nor their appointee attended three of these meetings, specifically on 11/2/2023, 1/26/2024, and 4/25/2024. During an interview, the Regional Director of Clinical Operations confirmed the absence of the Medical Director or their designee at these meetings and acknowledged the lack of documentation to indicate their participation. This absence indicates a failure to comply with the facility's policy regarding the composition and attendance requirements of the QAPI committee.
Failure to Submit PASARR Level II for Residents with New Mental Illness Diagnoses
Penalty
Summary
The facility failed to submit a PASARR Level II for two residents after new mental illness diagnoses were added, which could affect the level of care and services provided. Resident 5 was admitted with diagnoses including generalized anxiety disorder, migraine, and major depressive disorder, and later diagnosed with bipolar disorder. Despite this new diagnosis, there was no documentation of psychological services in the past 12 months, and no PASARR Level II was submitted. The facility lacked a Social Services Director, and the Director of Nursing was unavailable for an interview. The Interim Administrator confirmed the absence of a PASARR Level II for Resident 5 and acknowledged the responsibility of the Social Services Director in submitting the necessary documentation. Resident 19 was admitted without a significant mental health diagnosis but later diagnosed with panic disorder and bipolar disorder. The PASARR Level I did not reflect these new diagnoses, and there was no evidence of reevaluation for a PASARR Level II. The resident was receiving olanzapine for bipolar disorder, but no psychological therapies or treatments were documented. The Regional Nurse Consultant was unable to locate a PASARR Level II for Resident 19 and could not contact the former Social Worker for clarification.
Failure to Include Oxygen Therapy in Resident's Care Plan
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan for a resident, identified as R15, who was receiving oxygen therapy. The facility's policy on Comprehensive Care Plans requires that the care plan describe the services necessary to maintain the resident's highest practicable well-being. Additionally, the policy on Oxygen Administration mandates that the care plan identify interventions for oxygen therapy based on the resident's assessment and orders. However, a review of R15's care plan revealed no documented care area, goals, or interventions for the administration of oxygen, despite the resident having a physician's order for continuous oxygen via a nasal cannula at 2 liters per minute. Observations and interviews confirmed that R15 was receiving oxygen as ordered, and the resident reported wearing the oxygen most of the time, except during meals and showers. The Regional Director of Clinical Operations verified the absence of a care plan area for oxygen administration and acknowledged that it should have been included. The omission was attributed to an oversight by the MDS Coordinator, who is responsible for ensuring the care plan reflects the current services and care provided to the resident.
Improper Storage of Respiratory Supplies
Penalty
Summary
The facility failed to properly store respiratory supplies for two residents, R14 and R27, increasing the risk of spreading microorganisms and potentially leading to respiratory infections. For R14, who has a history of acute chronic diastolic congestive heart failure, pleural effusion, acute respiratory failure with hypoxia, viral pneumonia, and COPD, observations revealed that her nebulizer mouthpiece and tubing were not stored in protective bags as required by the facility's policy. The nebulizer mouthpiece was found lying on top of the oxygen concentrator and the tubing was in a drawer, both uncovered. The Regional Nurse Consultant confirmed these observations and acknowledged that the charge nurse was responsible for ensuring the equipment was clean and stored properly. Similarly, for R27, who has chronic respiratory failure with hypoxia and hypercapnia, morbid obesity with alveolar hypoventilation, and COPD, the BiPAP machine's mask was observed lying directly on the nightstand without a protective covering. R27 confirmed that the staff assisted her with the BiPAP machine at night but did not place the mask in a bag or protective covering, and she was unsure if it was cleaned. These observations indicate a failure to adhere to the facility's policies on respiratory equipment cleaning and storage, potentially compromising the residents' respiratory health.
Failure to Adhere to PRN Psychotropic Medication Policy
Penalty
Summary
The facility failed to ensure compliance with its policy on the use of psychotropic medications, specifically regarding the administration of PRN orders for antianxiety medication. The policy mandates that PRN orders for psychotropic drugs should be used only when necessary to treat a diagnosed condition and for a limited duration of 14 days unless extended by a physician with documented rationale. However, a resident with diagnoses of panic disorder and conversion disorder with seizures had an active PRN order for Ativan injection without an end date, which was not reviewed or updated by the Director of Nursing as required. The resident received Ativan on multiple occasions over several months, indicating a lack of adherence to the policy's stipulation for limited duration. The medication was administered for seizures and panic attacks, with one instance noted in the nurse's notes where the resident was agitated and unable to be redirected, leading to the administration of Ativan with good results. Despite the facility's policy and the presence of a duplicate order identified by the pharmacist, the PRN order continued without proper documentation or an end date, as confirmed by the Regional Nurse Consultant.
Medication Security Breach on 300 Hall Cart
Penalty
Summary
The facility failed to maintain medications in a locked and secure environment when not under direct supervision of the nurse, specifically involving the 300 Hall medication cart. During an observation, it was noted that a Registered Nurse (RN) left the medication cart locked but with five medication cards containing medications on top of the cart unattended while she went to the medication room to retrieve another medication. This incident occurred over a span of four minutes, during which the medications were not secured as per the facility's policy. The facility's policy on Medication Storage, implemented on 2/12/2022, mandates that all medications must be stored securely and under direct supervision during medication pass. The RN acknowledged the lapse in protocol, admitting that she should have locked the medications in the cart before leaving it unattended. The Regional Nurse Consultant confirmed that the expectation is for medications to be locked in the cart unless attended by a nurse, highlighting the risk of unauthorized access to medications by residents, staff, or visitors.
Failure in Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to ensure proper hand hygiene during wound care for a resident with a stage IV pressure ulcer in the sacral region. The facility's policy on clean dressing change, implemented on 2/12/2022, requires hand washing and the use of clean gloves to prevent infection and cross-contamination. However, during an observation, an LPN did not change gloves or perform hand hygiene between cleansing the wound and applying Dakin's solution-soaked gauze, which is a deviation from the facility's policy. The resident involved had a history of pressure ulcers and was dependent on staff for daily activities, including dressing, bathing, and toileting. The resident's care plan emphasized the need for frequent checks for wetness and soiling, and proper wound care as per physician's orders. Despite these guidelines, the LPN admitted to not following the correct procedure during wound care, which was confirmed by the Regional Nurse Consultant, who stated that this practice could potentially lead to a wound infection.
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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 Jasper
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Jasper | 7.1 mi | — | 0 | 0 |
| Wildwood Health And Rehab | 9.9 mi | — | 2 | 0 |
| Parkside Center For Nursing And Rehab At Ellijay | 13.5 mi | — | 8 | 0 |
| Canton Center For Nursing And Healing Llc | 16.7 mi | — | 2 | 0 |
| Cherokee Center For Nursing And Healing Llc | 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 August 2026) and official state health department websites.