The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: L
Nursing home report
Rosewood at Tybee Island of Journey LLC, The
TYBEE ISLAND, GA · Medicare-certified · 85 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
Rosewood at Tybee Island of Journey LLC has a 1 out of 5 overall rating, with 1-star health inspection, staffing, and quality ratings. It is a Special Focus Facility candidate/attention flag, with reported nurse staffing at 1.94 hours per resident per day versus the federal benchmark of 4.1, and no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
1.9367 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.9367.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 0.74
- Nurse aides
- 0.97
- Weekend nursing
- 1.72
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 78%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.9%Improving
Residents with a fall causing major injury
1.3%Worsening
Residents with pressure ulcers (bedsores)
4.6%Worsening
Residents with a urinary tract infection
1.1%Worsening
Residents who lost too much weight
0.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.1%Improving
Residents whose ability to walk got worse
25.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.7%Worsening
Short-stay residents newly given an antipsychotic
5.2%Steady
Residents with a long-term catheter
1%Steady
Residents with new or worsening incontinence
5.2%Improving
Residents with depressive symptoms
72.8%Worsening
Long-stay residents given the seasonal flu vaccine
68.3%Steady
Long-stay residents given the pneumonia vaccine
11.8%Improving
Short-stay residents given the seasonal flu vaccine
2%Steady
Short-stay residents given the pneumonia vaccine
1.3%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: L
The home failed to run its operations effectively and efficiently using its available resources. Cited July 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: L
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited July 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: L
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 1 days
Medicare/Medicaid payment denial
Mar 19, 2026
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PEACH HEALTH GROUP · 5 homes · 1.8 stars avg
- Occupancy
- 80.8 residents on an average day (95% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.