Rosewood at Tybee Island of Journey LLC, The
Tybee Island, Georgia · CCN 115730
11 surveys since 2017. The first finding at harm level was recorded in 2025.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 52
- Surveys
- 11
- Harm or worse
- 7
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 85
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Chatham
- Medicare-certified since
- 2017
CMS ratings
- Overall
- —
- Health inspection
- —
- Staffing
- —
- Quality measures
- —
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 49 for-profit facilities of 66–99 beds in Georgia.
Last survey on record
Jun 7, 2026
155 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.76 | 3.30 |
| Registered-nurse hours per resident day | 0.11 | — |
| Annual nurse turnover | 78.4% | 46.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $200,733 across 1 penalty
- Payment denials
- 2
- Special focus
- SFF
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.4% | K— | L513.5% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2054.1% | E25.4% | F718.9% |
| No harm, potential for minimal | A— | B— | C12.7% |
Most frequently cited here
In CMS’s current monthly file.
- F8803×
Provide and implement an infection prevention and control program.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
In the surveyor’s words
From the most serious findings on record at Rosewood at Tybee Island of Journey LLC, The, in the surveyor’s own words.
- Immediate jeopardy, widespreadF925Jun 7, 2026
Based on resident and staff interviews and record review, the facility failed to ensure a vermin-free environment related to an active raccoon infestation within the facility's attic ceilings, main dining room, and walls. This failure placed 82 of 82 residents at substantial and immediate risk for physical injury (scratches/bites) and exposure to infectious vectors and diseases, including rabies.On 6/6/2026, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Executive Director (ED) and Director of Nursing Services (DNS) were informed of the Immediate Jeopardy (IJ) on 6/6/2026 at 6:17 pm. […]
- Immediate jeopardy, widespreadF600Jul 31, 2025
On July 15, 2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Regional Director of Clinical Operations, and Director of Operations were informed of the Immediate Jeopardy (IJ) on July 15, 2025, at 3:48 pm. The noncompliance related to the IJ was identified to have existed on June 13, 2025.An acceptable Immediate Jeopardy Plan of Removal was provided on July 18, 2025, and included interviews and skin assessments, education on abuse policy, threatening or violent behavior in the workplace, policy review, no weapons signage, night receptionist and weekend managers' new addition. […]
- Immediate jeopardy, widespreadF725Jul 31, 2025
Based on staff interviews and record review, the facility failed to provide sufficient qualified licensed nursing staff to achieve the highest practicable level of well-being for all residents. Specifically, the facility did not have a licensed nurse (Registered Nurse RN or Licensed Practical Nurse LPN) on duty for at least 30 minutes on [DATE] between 7:00 pm through 7:30 pm. The census was 83 residents. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. […]
- Immediate jeopardy, widespreadF835Jul 31, 2025
Based on staff interviews, record review, and a review of the Administrator and Director of Nursing (DON) Job Description, the Administration failed to provide oversight related to workplace violence, failed to provide sufficient qualified licensed nursing staff to achieve the highest practicable level of well-being for all residents, and failed to protect residents from alleged emotional and potential physical abuse during an active shooter incident. The census was 83.On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]
- Immediate jeopardy, widespreadF867Jul 31, 2025
On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Regional Director of Clinical Operations, and Director of Operations were informed of the Immediate Jeopardy (IJ) on [DATE], at 3:48 pm. The noncompliance related to the IJ was identified to have existed on [DATE]. […]
Read 20 findings in full →The most serious and the most recent: 20 of 52 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 7, 2026Standard and complaint12 findings · 2 harm
- Mar 19, 2026Complaint2 findings · 1 harm
- Jul 31, 2025Complaint8 findings · 4 harm
- Mar 14, 2025Standard and complaint4 findings
- Sep 9, 2024Complaint6 findings
- Dec 7, 2023Standard and complaint5 findings
- Apr 27, 2022Complaint2 findings
- Jul 24, 2020Complaint2 findings
Show the 3 earlier surveys
- Jan 10, 2019Standard8 findings
- Jan 18, 2018Standard1 finding
- Sep 20, 2017Complaint2 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