All states › Georgia › Decatur › The Crossings at East Lake of Journey
304 Fifth Avenue Decatur, GA 30030 · De Kalb County
All 6 nursing homes in Decatur, GA (6 take Medicaid)
CMS certification number 115482 · See this home on Medicare Care Compare
Is The Crossings at East Lake of Journey a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Crossings at East Lake of Journey as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Georgia average of 2.7.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.27 hours per resident per day at The Crossings at East Lake of Journey, below the Georgia median of 3.47 (US median: 3.72). About 0.55 of those hours are from registered nurses. On weekends it falls to 3.01 hours, 8% below its all-week average. 30.4% of nursing staff left within a year (Georgia median 45.8%). That is lower than most homes in Georgia, a sign of a steadier team.
About this nursing home
Paying for care at The Crossings at East Lake of Journey: Medicare and Medicaid
The Crossings at East Lake of Journey is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Georgia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 14, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at The Crossings at East Lake of Journey across 5 inspection dates, 14 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 4, 2023. The most common areas cited were quality of life and care (8) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level J, October 4, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
January 14, 2026 · 5 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 20, 2025 · 3 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide and implement an infection prevention and control program.
March 7, 2025 · 1 citation · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
January 9, 2025 · 9 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
October 4, 2023 · 11 citations, includes immediate jeopardy
JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
JProvide safe and appropriate respiratory care for a resident when needed.
JAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
FEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide and implement an infection prevention and control program.
EHonor 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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of The Crossings at East Lake of Journey
- Inspectors cited the home at the immediate-jeopardy level on October 4, 2023 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 4, 2023. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $12,914 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 20, 2024 | Fine | $3,798 |
| Jan 30, 2024 | Fine | $9,116 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near The Crossings at East Lake of Journey
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.8 mi
Emory University Hospital AtlantaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 5h 16m for patients treated and sent home
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2.9 mi
Emory Decatur Hospital DecaturEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 42m for patients treated and sent home
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3.4 mi
Decatur (Atlanta) VA Medical Center DecaturEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 28m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Crossings at East Lake of Journey › All nursing homes in Decatur ›
Compare The Crossings at East Lake of Journey with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Terraces at Peachtree Hills Place · Atlanta · 5 stars · 6.2 mi
- Lenbrook · Atlanta · 5 stars · 7.6 mi
- The A.g. Rhodes Home · Atlanta · 4 stars · 4.3 mi
- A.g. Rhodes Home Wesley Woods · Atlanta · 4 stars · 5.0 mi
Other Journey Healthcare nursing homes in Georgia
- The Reserve at Fort Gaines of Journey · Fort Gaines · 3 stars
- Dublin Trails of Journey · Dublin · 3 stars
- Twin City Trails of Journey · Twin City · 3 stars
- Roberta Trails of Journey · Roberta · 2 stars
- The Woods at Lumber City of Journey · Lumber City · 2 stars
- Cartersville Crossing of Journey · Cartersville · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 34 Journey Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.