Deficiency Index

Crossings at East Lake of Journey LLC, The

Decatur, Georgia · CCN 115482

17 surveys since 2010. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
99
Surveys
17
Harm or worse
22
Immediate jeopardy
20
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy20

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
103
Ownership
For profit - Limited Liability company
Chain
JOURNEY HEALTHCARE
County
De Kalb
Medicare-certified since
1989

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 96 for-profit facilities of 100–127 beds in Georgia.

Last survey on record

Jan 14, 2026

299 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.073.35
Registered-nurse hours per resident day0.34—
Annual nurse turnover18.0%46.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$53,565 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ310.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2069.0%E26.9%F413.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 29 of the 99 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

In the surveyor’s words

From the most serious findings on record at Crossings at East Lake of Journey LLC, The, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF725Apr 30, 2021

    Based on observation, record review, and staff interview, the facility failed to provide sufficient nursing staff to assure the needs of 19 of 22 residents, (R) (R#1, R#2, R#3, R#4, R#5, R#6, R#7, R#8, R#9, R#10, R#11, R#15, R#16, R#17, R#18, R#19, R#20, R#21, and R#22) were met for residents to achieve the highest practicable level of well-being. Specifically, residents were not tested and/or monitored for COVID-19 and 14 of 40 nursing staff working [DATE] through [DATE] were not tested in a manner consistent with current standards of practice for conducting COVID-19 testing, due to insufficient staff. […]

  • Immediate jeopardy, widespreadF835Apr 30, 2021

    Based on observation, interviews, record review, review of the job descriptions for the Administrator and Director of Nursing (DON), the facility administration failed to provide oversight and monitoring of the Infection Control Program by not implementing the Center for Medicare and Medicaid Services (CMS) and Centers for Disease Control (CDC) recommended practices for COVID-19; and failed to ensure facility had adequate staff to provide for the needs of the residents. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, widespreadF837Apr 30, 2021

    Based on review of Facility Assessment, interviews and review of the facility policy titled, Quality Assurance and Performance Improvement (QAPI) Program the facility's Governing Body failed to ensure the QAPI program was effective in identifying, developing and implementing corrective actions to address concerns with the facilities Infection Control policies and procedures regarding COVID-19 testing; and failed to oversee facility staffing to ensure adequate staff to provide care and services to residents. The census was 85. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, widespreadF867Apr 30, 2021

    Based on staff interview, record review, and review of facility policy titled Quality Assurance and Performance Improvement (QAPI) Program, the facility failed to have an effective Quality Assurance process that identified concerns related to the Infection Control Prevention Program. The QAPI committee failed to identify deficient practice related to the policies and procedures for COVID-19 screening/testing and staffing. The census was 85. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy (IJ) on [DATE] at 10:30 a.m. […]

  • Immediate jeopardy, widespreadF880Apr 30, 2021

    Based on observations, record review, interviews, and review of facility policy titled Visitation and Infection Control Policy the facility failed to implement an effective Infection Control Program to prevent the spread of infections, including COVID-19. Specifically, the facility failed to have a dedicated COVID-19 positive unit with dedicated staff, failed to routinely monitor 19 of 22 residents (R) (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #15, #16, #17, #18, #19, #20, #21, and #22) for signs/symptoms of COVID-19, and failed to don/doff appropriate Personal Protective Equipment (PPE). […]

Read 40 findings in full →The most serious and the most recent: 40 of 99 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 14, 2026Standard and complaint5 findings
  • Aug 20, 2025Complaint3 findings
  • Mar 7, 2025Complaint1 finding
  • Jan 9, 2025Standard and complaint9 findings
  • Oct 4, 2023Standard11 findings · 3 harm
  • Dec 8, 2021Standard and complaint9 findings
  • Apr 30, 2021Infection control11 findings · 6 harm
  • Sep 13, 2019Complaint3 findings
Show the 9 earlier surveys
  • Sep 23, 2018Standard5 findings · 5 harm
  • Oct 30, 2017Standard3 findings
  • Sep 19, 2016Standard14 findings · 6 harm
  • Mar 29, 2016Complaint2 findings · 2 harm
  • May 21, 2015Standard4 findings
  • Mar 20, 2014Standard4 findings
  • Jun 21, 2012—10 findings
  • Dec 29, 2011—1 finding
  • Nov 4, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction