Twin View Health and Rehab: Expired Drugs, Crumbling Walls - GA
That was the repair.
Twin View Health and Rehab, a nursing facility on Mathis Avenue in this small Emanuel County city, was inspected over four days in June 2024. What inspectors documented across those days was not a facility with isolated maintenance problems or a single medication error. It was a building coming apart in dozens of places at once, with drug storage practices that left expired vaccines, eye drops, and blood collection needles sitting in medication rooms and on carts, available for use on residents.
The wall damage alone ran through nearly every room inspectors entered. In one three-bed room, the wall behind each of the three headboards had been scraped repeatedly, the damage cutting through paint, then through the outer paper layer of the drywall, then in some places down into the gypsum itself. The largest single area of exposed gypsum behind one bed measured roughly 12 inches by 18 inches. Someone had wrapped gray, open-cell foam — the kind used to insulate pipes — around the outer edge of the headboard. The foam was torn.
Two holes, each about an inch in diameter, penetrated completely through the drywall on the side wall next to one of the beds.
Between two of the beds in that same room, a wall-mounted television was plugged into an electrical outlet but couldn't receive a signal. The coaxial cable dangled from the back of the set, too short to reach the cable outlet. When an inspector flagged the broken TV to the administrator, she said that if it were her, she would want to be able to watch television in her room.
The television remained broken.
A certified nursing assistant, identified in the report as CNA EE, told inspectors they had noticed holes in the walls but weren't sure how long the holes had been there. They said they had told a nurse and the maintenance department verbally. They had not used the facility's computerized maintenance reporting system. The assistant director of nursing told inspectors that maintenance staff had been sent to work at another facility for an extended period.
The Plant Operations Director acknowledged the incomplete patch job and said the wall would need to be repaired again, this time with a board large enough to cover the entire hole. He listed what else was on his list: repairing walls, painting, patching spots and tears, fixing window seals and light fixtures, replacing blinds. He had an assistant helping him.
Inspectors walked rooms 33 through 40 on the afternoon of June 20, accompanied by a licensed practical nurse identified as LPN CC, who confirmed everything they found. The list from those eight rooms took up more than a full page of the inspection report. Wall marring through paint, paper, and gypsum in every room observed. Bathroom walls stripped of their outer drywall layer around soap and paper towel dispensers. In several bathrooms, raw oriented strand board — the rough, unfinished sheathing used in construction framing — had been nailed over tiled openings the size of shower stalls, left unsealed and unpainted. Bathroom doors with the veneer layer broken through to the hardwood beneath. Broken window blinds in multiple rooms. Broken wooden windowsills.
Rusted metal door frames. A rusted grab bar in a shared bathroom. Rusted and broken toilet paper holders. Rusted ceiling tracks for privacy curtains. A broken nightstand. A chest of drawers with the drawer pulls missing. Splatters of a beige substance on the ceiling above one bed. A broken electrical outlet behind another. Blue painter's tape still stuck to walls.
The administrator told inspectors on June 21 that she and the Plant Operations Director had walked the building on June 10 and identified which rooms needed repairs. The facility's goal, she said, was to have everything finished by October 2024. The inspection was in June.
The medication findings were documented separately and were, in some ways, more immediate.
In the Unit 1 medication room, inspectors found two 16-ounce bottles of Enulose, a laxative solution, and two 16-ounce bottles of Biotene dry mouth rinse, all past their expiration dates, all available for use. The Director of Nursing was present and confirmed the findings.
In the same room's medication refrigerator, inspectors found four vials of Pneumovax 23, a pneumococcal vaccine, all expired. A sign posted on the cabinet above the refrigerator read: "FRIDGE TEMPS ARE TO BE RECORDED TWICE A DAY EVERY DAY." The facility's own temperature logs showed that twice-daily recordings had not been completed on ten separate dates.
The vaccine temperature requirement exists because improper storage can degrade a vaccine's effectiveness. A resident who received a Pneumovax 23 dose from a vial stored in a refrigerator that wasn't being consistently monitored had no way of knowing whether the vaccine they received still worked.
On Unit 3's medication cart, inspectors found three separate prescription eye drop bottles for three different residents, all past their expiration or discard dates. One bottle of latanoprost, used to treat glaucoma, carried a label stating it should be discarded after 42 days from opening. It had not been. Also on the cart: an expired Vacutainer blood collection tube, an expired filter needle, an expired safety needle, an expired blood collection set with a Luer adapter, and an expired Eclipse blood collection needle. LPN CC confirmed each item.
The expired needles and collection supplies are used to draw blood. Sterility guarantees on such items are tied to their expiration dates.
The administrator's October repair deadline was four months away when inspectors left the building. The residents sleeping in rooms with holes through their walls, watching a television that couldn't receive a signal, gripping a grab bar filmed with rust, were there in June.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Twin City Trails of Journey LLC from 2024-06-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 6, 2026 · Our methodology
Twin City Trails of Journey LLC in TWIN CITY, GA was cited for violations during a health inspection on June 21, 2024.
Twin View Health and Rehab, a nursing facility on Mathis Avenue in this small Emanuel County city, was inspected over four days in June 2024.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.