Tybee Island Trails of Journey LLC
26 Van Horne Street · Tybee Island, GA · 31328 · 9127864511
50 certified beds For profit - Limited Liability company Chain: Journey Healthcare
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
1.13 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Weekends run noticeably short-staffed
Weekend staffing is 62% of the overall level. Visit on a Saturday or Sunday before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 1.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 0.70 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Actual harm · G January 30, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 11, 2026 · Pharmacy Service
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Potential for harm · F January 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2026 · Nutrition and Dietary
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Potential for harm · D January 30, 2026
Provide and implement an infection prevention and control program.
Corrected March 11, 2026 · Infection Control
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Potential for harm · D October 28, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D October 28, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · E October 28, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · E October 28, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D October 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D October 28, 2024 · found via complaint
Provide or obtain dental services for each resident.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · F October 28, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · F October 28, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · F October 28, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 10, 2024 · Infection Control
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Potential for harm · D October 28, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 10, 2024 · Environmental
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Potential for harm · D June 8, 2023 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected July 23, 2023 · Resident Rights
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Potential for harm · D June 8, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 23, 2023 · Resident Rights
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Potential for harm · D June 8, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 8, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 8, 2023 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected July 23, 2023 · Resident Rights
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Potential for harm · F June 8, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 23, 2023 · Nutrition and Dietary
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Potential for harm · F June 8, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 23, 2023 · Environmental
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115633 · certified since March 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.