Savannah Crossing of Journey LLC

In the surveyor’s words

From the most serious findings on record at Savannah Crossing of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 1, 2026

  Based on observations, staff interviews and review of the facility's policy titled Food and Storage, the facility failed to ensure food items were properly stored, sealed, and labeled. In addition, the facility failed to maintain sanitary conditions for one of three ice machines. The facility had 66 residents who received oral nutrition and were therefore affected by these deficient practices.Findings include:A record review of the facility policy Food Storage stated: Sufficient storage facilities are provided to keep food safe, wholesome, and appetizing. […]

• No harm, potential for more than minimal, widespreadF812Nov 7, 2024

  Based on observations, staff interviews, a review of the facility policy titled, Personal Hygiene, and review of the Food and Drug Administration (FDA) Food Code 2022, the facility failed to ensure staff wore beard restraints when serving food and failed to ensure resident food items stored in a nourishment refrigerator were labeled and dated. These failures had the potential to affect all residents receiving meals from the dietary department. Findings included: 1. A review of the facility's undated facility policy titled, Personal Hygiene indicated, If hair is long and not covered properly with a cap, a hair net must be worn. The FDA Food Code 2022, dated 01/18/2023, revealed Chapter 2. […]

• No harm, potential for more than minimal, patternF607Nov 7, 2024

  Based on staff interviews, review of facility documents, review of the document titled Rules and Regulations for Criminal Background Checks: 111-8-12-.03(h), and review of the facility policy titled, Abuse Neglect and Exploitation, the facility failed to ensure the screening component of their abuse policy was consistently implemented. Specifically, the facility failed to provide evidence of background checks for three Licensed Practical Nurses (LPNs) (LPN 7, LPN 9, and LPN 10) of five licensed staff whose employee files were reviewed. This deficient practice had the potential to place residents residing in the facility at risk of abuse, neglect, and exploitation from staff. […]

• No harm, potential for more than minimal, isolatedF550Mar 1, 2026

  Based on observation, resident and staff interviews, and record review, the facility failed to ensure resident privacy during incontinent care and transfer for two of 29 sampled residents (R) (R22) (R59). This deficient practice had the potential to place both residents at risk of a diminished quality of life and cause emotional distress and lack of trust.Findings include:Record review of the electronic health record (EHR) for R22 revealed diagnoses including, but not limited to, dementia and fracture of an unspecified part of the neck of the right femur, subsequent encounter for closed fracture with routine healing.Record review of the Quarterly Minimum Data Set (MDS) for R22, dated 01/16/2026, revealed Section C (Cognitive Patterns) documented a Brief Interview for Mental Status (BIMS)… […]

• No harm, potential for more than minimal, isolatedF554Mar 1, 2026

  Based on observations, resident and staff interviews, record review, and review of the facility's policy titled Medication Storage in the Facility, the facility failed to ensure four of 29 sampled residents (R) (R53, R37, R38, and R59) did not have unauthorized and unsecured medications at the bedside. This failure had the potential to result in medication errors, improper use, and adverse drug events for the residents.Findings include: Review of the facility's policy titled, Medication Storage in the Facility with effective date of May 1, 2020, under the Policy section revealed, Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. […]