Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 2027
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 Murray Woods Of Journey Llc during CMS and state inspections, most recent first.
The facility failed to prevent sexual abuse when a cognitively impaired resident with dementia and behavioral disturbances repeatedly wandered into other residents’ rooms and got into their beds, often lying on top of them, despite ongoing documentation and staff awareness of these behaviors. Nursing notes and staff interviews described this pattern as common, with redirection attempts by CNAs and LPNs noted as unsuccessful. Another cognitively impaired resident was later found in bed with this resident on top of her, his pants down and attempting to kiss her while she screamed, and prior concerns had been raised by her family about unexplained blood on her lip and changes in her condition. These events occurred even after environmental changes to a previously locked dementia unit, while staff continued to regard the behavior as typical for the resident.
The facility failed to ensure adequate nursing staff to meet the needs of its 116 residents, resulting in excessively low weekend staffing and a one-star staffing rating for Quarter 1 of 2024. Despite efforts to use agency staff, the facility's staffing levels were insufficient.
The facility failed to serve the meal listed on the cycled menu, affecting 115 residents. Instead of the listed ham and California vegetable blend, residents received a sloppy joe. Interviews and a photo confirmed the deviation, and the Administrator acknowledged the issue, noting sufficient ingredients were available.
The facility failed to provide a safe, clean, and homelike environment in nine resident rooms and the lobby media common area. Observations revealed pests, damaged fixtures, dirty walls, and crowded furniture. Interviews confirmed these issues, and the Administrator acknowledged the unacceptable conditions, requesting immediate action.
The facility failed to enforce its smoking policy, allowing a resident with serious health conditions to vape unsupervised in his room. Despite the policy requiring supervision and designated smoking areas, the resident was observed vaping multiple times without staff intervention.
The facility failed to ensure residents were free of medication administration errors exceeding 5 percent. One nurse did not have a resident rinse their mouth after using an inhaler, and another nurse did not properly disinfect a PICC line lumen, both actions contrary to facility policies.
A facility failed to follow proper infection control practices when flushing a PICC line for a resident. An LPN was observed wiping the needleless connector only once instead of the required five seconds. The resident had multiple diagnoses, including osteomyelitis and cellulitis, and there was no physician's order for the PICC line flushes. The DON confirmed the expectation to disinfect the connector for at least five seconds.
Failure to Prevent Ongoing Sexual Abuse Between Cognitively Impaired Residents
Penalty
Summary
The deficiency involves the facility’s failure to prevent sexual abuse between residents and to protect residents from non-consensual sexual contact as required by its Abuse, Neglect, and Exploitation policy. The policy states the facility will prohibit and prevent abuse, neglect, and exploitation, including non-consensual sexual contact of any type with a resident. Despite this, one resident (R1), who had significant cognitive impairment with a BIMS score of 08 and diagnoses including vascular dementia, bipolar disorder, anxiety disorder, and dementia with behavioral disturbances, repeatedly entered other residents’ rooms and beds. Nursing notes over several months documented R1 attempting to go into other residents’ rooms, climbing into their beds, wandering hallways, and being found lying on top of other residents, both male and female, with staff redirection attempts noted as unsuccessful. Multiple nursing notes described specific incidents where R1 was found in bed with other residents. On one occasion, a nurse documented that R1 was found in another patient’s room lying asleep on top of another patient and was assisted off. Another note the same date documented that another patient was in R2’s room and laid down on top of her and went to sleep, and that the other patient was removed and returned to their room. Subsequent notes indicated that R1 continued to try to get into bed with residents and that he was wandering up and down hallways and going in and out of other residents’ rooms, with continued attempts to enter a specific female resident’s room despite redirection. Staff interviews confirmed that it was common and “normal” for R1 to get in and out of bed with other residents and to lie on top of them, and that CNAs routinely reported these behaviors to nursing staff. R2 was a resident who could not complete the BIMS, indicating significant cognitive impairment. A nurse note documented that R2’s daughter was concerned after finding blood on R2’s bottom lip and that R2 was not herself. Later, a nurse note recorded that R2’s responsible party was notified that another resident had been found in bed with R2, with his pants down and his lips on hers. The facility’s investigation included a CNA’s written statement that R1 was found in R2’s bed with his pants and underwear off, on top of R2, holding her by both arms and attempting to kiss her while R2 screamed. Another CNA interview described finding R1 on top of R2 with her arms pinned down, his face very close to hers, and his pants pulled down. Staff, including the Social Services Assistant and LPNs, acknowledged that R1’s behaviors of getting into bed with other residents were ongoing, that redirection was ineffective, and that these behaviors occurred both when R1 was on a locked dementia unit and after the unit doors were removed, yet R1 continued to have access to other residents and their rooms.
Inadequate Nursing Staff
Penalty
Summary
The facility failed to ensure adequate nursing staff to meet the needs of its 116 residents. The Facility Assessment Tool (FAT) for 2024 indicated that the average daily census was 112 residents, requiring 84 hours of licensed nurses and 233 hours for nurses' aides per day. However, the Payroll-Based Journal (PBJ) Staffing Data Report for Quarter 1 of 2024 revealed that the facility had excessively low weekend staffing and received a one-star staffing rating. This rating was due to several factors, including failure to submit PBJ data by the deadline, more than four days in the quarter without RN staffing hours, and failure to respond to or pass a CMS audit for PBJ data discrepancies. Interviews with the Director of Nursing (DON) and the Human Resources Director/Nursing Scheduler (NS) revealed that they were unaware of the one-star staffing rating and excessively low weekend staffing. The DON mentioned that extra staff were scheduled for weekends to cover call-offs, and the NS stated that agency staff were used to meet staffing numbers. However, the Administrator acknowledged awareness of the staffing issues and mentioned efforts to subsidize with agency staff. Despite these efforts, the facility's staffing levels were insufficient to meet the residents' needs, leading to the identified deficiency.
Failure to Serve Menu-Listed Meal
Penalty
Summary
The facility failed to serve the meal listed on the cycled menu for residents who received an oral diet from the kitchen. Specifically, the cycled menu stated ham and California vegetable blend was to be served for dinner, but instead, a sloppy joe was served. This deficiency affected 115 of 116 residents who received an oral diet from the kitchen. The facility policy titled 'Menus' updated in February 2017, mandates that all residents receive the meal stated on the weekly menu, which was not followed in this instance. The weekly menu cycle for the week of Sunday, 5/26/2024, indicated that residents were to receive glazed baked ham, pinto beans, broccoli, and cornbread, but this was not adhered to. Interviews with residents and staff revealed dissatisfaction with the meal served. Residents reported receiving a bag of potato chips and a spoon of watered-down sloppy joe chili on a slice of white bread instead of the listed menu items. A photo taken by a resident confirmed this. During a Resident Council meeting, several alert and oriented residents confirmed they received sloppy joe on a slice of bread instead of glazed ham. The Corporate Registered Nutritionist and the Administrator acknowledged receiving complaints and confirmed that there was sufficient ham and hamburger buns available in the kitchen. The Cook responsible for serving the meal did not provide an explanation for the deviation from the menu. The Administrator expressed shock and disappointment in the Cook's behavior, noting that she is a seasoned kitchen cook.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment in nine of 53 resident rooms on two of four halls, and in the lobby media common area. Observations revealed multiple deficiencies including the presence of pests (flies), damaged floor fall strips, dirty wall sheetrock, dirty privacy curtains with missing hanging hooks, stained and damaged floor tiles, damaged bathroom toilet commodes, damaged baseboards, dirty and broken PTAC unit vent covers, damaged soap dispensers, and crowded furniture in the lobby media common area. Specific rooms were noted to have flies on residents' pillows and floors, dirty walls, damaged floor fall strips, unattached soap dispensers, dirty PTAC units, missing paint on bedroom sinks, big holes in walls, and damaged bathroom fixtures. Additionally, the lobby media common area was observed to have crank beds pushed against the wall, creating a crowded environment for residents watching television. Interviews with the Administrator, Assistant Maintenance Director (AMD), and Housekeeping/Laundry Director (HLD) confirmed the presence of pests, damaged and dirty fixtures, and crowded furniture. The HLD mentioned that a cleaning audit of privacy curtains was in progress, and the AMD stated that pest control services had been conducted but was unsure of the specific measures taken for flies. The Administrator acknowledged the unacceptable conditions and requested immediate action to address the issues. The AMD also confirmed and fixed the missing back of the commode top in one of the rooms during the walk-through.
Failure to Enforce Smoking Policy
Penalty
Summary
The facility failed to enforce its smoking policy adequately for one resident, allowing him to vape unsupervised in his room. The facility's policy required that electronic cigarettes be used only in designated smoking areas under supervision. Despite this, the resident was observed multiple times vaping in his room without supervision. The resident's medical record indicated several serious health conditions, including cerebral infarction and psychotic disorder, and his care plan included specific interventions to ensure safety during smoking times. However, these interventions were not followed, as evidenced by the repeated observations of the resident vaping in his room. During the survey, the resident was seen vaping in his room on several occasions, and staff members did not notice or address the vaping device on the bedside table. The Director of Nursing and the Administrator confirmed that vaping in rooms was against the facility's policy and that staff were required to confiscate vaping devices and ensure residents only vaped under supervision. Despite this, the resident continued to vape unsupervised, indicating a failure in policy enforcement and staff supervision.
Medication Administration Errors Exceeding 5 Percent
Penalty
Summary
The facility failed to ensure that residents were free of medication administration errors of more than 5 percent. Specifically, one nurse did not have a resident rinse their mouth after administering a Breo inhaler, which is required per manufacturer recommendations. The resident, who had moderate cognitive impairment and was diagnosed with Parkinson's disease and chronic obstructive pulmonary disease (COPD), did not rinse their mouth after the inhaler was administered. The nurse acknowledged forgetting this step when questioned immediately after the administration. Another nurse failed to properly disinfect the lumen of a peripherally inserted central catheter (PICC) line for a resident with osteomyelitis of the vertebra, obstructive and reflux uropathy, and cellulitis of both lower legs. The nurse only wiped the needleless connector once with an alcohol wipe instead of performing a vigorous mechanical scrub for five seconds as required by the facility's policy. When asked about the proper procedure, the nurse admitted to not knowing the correct duration for disinfecting the PICC line port.
Improper Infection Control Practices for PICC Line Flushing
Penalty
Summary
The facility failed to use proper infection control practices when flushing a needleless connector of a peripherally inserted central catheter (PICC) for a resident (R111). The facility's policy required disinfecting the needleless connector with an antiseptic solution using a vigorous mechanical scrub for five seconds and allowing it to dry completely. However, during an observation of medication administration, an LPN was seen wiping the alcohol wipe across the needleless connector just once before flushing the catheter and again wiping it once before applying the cap. This practice did not comply with the facility's policy and had the potential to cause infection for the resident. The resident, R111, was admitted with diagnoses including osteomyelitis of the vertebra, obstructive and reflux uropathy, and cellulitis of the right and left lower legs. The resident's care plan included administering IV antibiotic medications as per the medical doctor's order. However, there was no physician's order for the PICC line flushes in the electronic medical record. When interviewed, the LPN could not specify the required time for disinfecting the PICC line port, and the Director of Nursing confirmed that nurses should disinfect the needleless connector for at least five seconds, as per the facility's policy.
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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 Chatsworth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Park Health And Rehabilitation | 11.5 mi | — | 0 | 0 |
| Quinton Mem Hc & Rehab Center | 11.5 mi | — | 0 | 0 |
| Ridgewood Manor Health And Rehabilitation | 11.6 mi | — | 0 | 0 |
| Parkside Center For Nursing And Rehab At Ellijay | 18 mi | — | 8 | 0 |
| Calhoun Crossing Of Journey Llc | 18.7 mi | — | 5 | 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.