Carrollton Crossing Of Journey Llc
Carrollton Crossing of Journey LLC in CARROLLTON, GA — inspection on September 9, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R3's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/8/2025 and found in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of four out of 15, which indicated R3 was severely cognitively impaired.
Review of R3's Progress Notes, dated 6/24/2025 at 3:34 am, and found in the EMR under the Notes tab, indicated CNA [Certified Nurse Aide] reported to nurse resident from room [ROOM NUMBER]B [R5] got up and went into female resident and was being touched by male resident on her leg and trying to pull her cover down.
CNA redirected resident [R5] back to his room.2.
Review of R5's admission Record, dated 9/9/2025 and found in the EMR under the Profile tab, revealed the resident was admitted to the facility on [DATE].
The resident's diagnoses included vascular dementia, chronic kidney disease, and type two diabetes.
Review of R5's quarterly MDS with an ARD of 6/19/2025 and found in the EMR under the MDS tab, revealed a BIMS score of four out of 15, which indicated R5 was severely cognitively impaired.Review of R5's Progress Notes, dated 6/24/2025 at 3:10 am and found in the EMR under the Notes tab, revealed CNA reported to nurse resident got up and went into room [ROOM NUMBER]A and was touching the female [R3] in bed A on her leg and trying to pull her cover down. CNA redirected resident [R5] back to his room.
Review of the facility's investigation records, provided by the facility, related to the 6/24/2025 incident during which R5 touched R3 inappropriately on her leg and was trying to remove her covers, and revealed that the facility substantiated that R5 was in R3's room and inappropriately touching R3's upper thigh while trying to remove her bed covers.
During an interview on 9/8/2025 at 1:20 pm, the Director of Nursing (DON) confirmed that it had been substantiated that R5 went into R3's room and inappropriately touched her on her thigh while trying to remove her covers during the incident on 6/24/2025.
During an interview with the Administrator and DON on 9/9/2025, at 1:15 pm, both confirmed their expectation was that residents in the facility would remain free from abuse.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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