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FAIRBURN HEIGHTS OF JOURNEY LLC

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FAIRBURN HEIGHTS OF JOURNEY LLC is a for profit - partnership facility in FAIRBURN, GA with 120 certified beds and a 1-star overall CMS rating. The facility has 25 deficiency records on file.

178 WEST CAMPBELLTON STREET, FAIRBURN, GA 30213

Phone: 7709641320

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
115298
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
120
Residents
105
In Hospital
No
County
Fulton
Last Inspection
Aug 5, 2024

Staffing Data

RN Hours
0.20 (nat'l avg: 0.68)
LPN Hours
0.88
CNA Hours
2.01
Total Nursing Hours
3.09 (nat'l avg: 3.89)
PT Hours
0.11

What the CMS Record Reveals About FAIRBURN HEIGHTS OF JOURNEY LLC

FAIRBURN HEIGHTS OF JOURNEY LLC operates 120 certified beds in FAIRBURN, GA with approximately 105 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.09 total nursing hours per resident day (national average 3.89), with RN coverage at 0.20 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, FAIRBURN HEIGHTS OF JOURNEY LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

F — Widespread - Minimal harm Jun 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 23, 2025

F — Widespread - Minimal harm Jun 19, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 23, 2025

E — Pattern - Minimal harm Jun 19, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Jul 23, 2025

E — Pattern - Minimal harm Aug 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 19, 2024

F — Widespread - Minimal harm Aug 5, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

E — Pattern - Minimal harm Aug 5, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

E — Pattern - Minimal harm Aug 5, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2024

F — Widespread - Minimal harm Dec 15, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2023

G — Isolated - Actual harm Dec 15, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Aug 8, 2019 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2019

D — Isolated - Minimal harm Aug 8, 2019 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 22, 2019

D — Isolated - Minimal harm Aug 8, 2019 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2019

D — Isolated - Minimal harm Aug 8, 2019 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 31.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 38.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 49.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 25.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 28.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 50.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 8.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for FAIRBURN HEIGHTS OF JOURNEY LLC?
FAIRBURN HEIGHTS OF JOURNEY LLC has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
What are the staffing levels at FAIRBURN HEIGHTS OF JOURNEY LLC?
FAIRBURN HEIGHTS OF JOURNEY LLC reports 3.09 total nursing hours per resident day (national average: 3.89). RN hours are 0.20 per resident day (national average: 0.68).
How many beds does FAIRBURN HEIGHTS OF JOURNEY LLC have?
FAIRBURN HEIGHTS OF JOURNEY LLC has 120 certified beds with approximately 105 residents. The facility is located at 178 WEST CAMPBELLTON STREET, FAIRBURN, GA 30213.
Does FAIRBURN HEIGHTS OF JOURNEY LLC have any deficiencies on record?
Yes, FAIRBURN HEIGHTS OF JOURNEY LLC has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has FAIRBURN HEIGHTS OF JOURNEY LLC received any fines or penalties?
No, FAIRBURN HEIGHTS OF JOURNEY LLC has no fines or penalties on record.
Who owns FAIRBURN HEIGHTS OF JOURNEY LLC?
FAIRBURN HEIGHTS OF JOURNEY LLC is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was FAIRBURN HEIGHTS OF JOURNEY LLC last inspected?
The most recent health inspection for FAIRBURN HEIGHTS OF JOURNEY LLC was on Aug 5, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for FAIRBURN HEIGHTS OF JOURNEY LLC?
FAIRBURN HEIGHTS OF JOURNEY LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial