Tybee Island Care Center LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 9 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (11 vs median 5.0)
- High staff turnover (61%)
- High RN turnover (80%)
Bottom 25% in GA · Below recommended RN staffing · Significantly below average staffing · Worst in PEACH HEALTH GROUP chain · No penalties on record
What this means for your family
Given the severe reports of neglect and hygiene issues, families are strongly advised to conduct an unannounced visit and observe the facility's cleanliness and staffing levels firsthand. The facility's location is a potential draw, but the critical safety concerns raised by multiple families regarding medical care and basic hygiene should be treated as high-risk red flags.
Google Reviews
Google Reviews
9 reviews on Google“Tybee Island Care Center receives severe criticism regarding its cleanliness, staffing levels, and quality of care, with multiple reports of neglect and unhygienic conditions. While a few reviewers mention a caring staff and a pleasant beachside location, the majority of feedback highlights dangerous lapses in medical care and facility maintenance.”
Quality Themes
Tap a score for detailsStrengths
- Beachfront location
- Some staff members described as caring
Concerns
- Severe lack of cleanliness and facility maintenance (mentioned by 4 reviewers)
- Inadequate staffing and neglect of basic resident needs (mentioned by 3 reviewers)
- Poor communication and management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 9 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's beachfront location, what opportunities do residents have to enjoy the outdoors and the view?
- 2I noticed the facility has had some recent challenges with maintenance and housekeeping; what specific steps are you taking to ensure the environment remains clean and well-kept for residents?
- 3With the current staffing levels, how do you ensure that each resident receives timely assistance with their daily personal care needs?
- 4How does your management team handle communication with families when there is a change in a resident's health status or a concern regarding their care?
- 5Can you walk me through your current process for medication management to ensure that doses are administered correctly and on time?
- 6What is your protocol for handling medical emergencies, and how do you coordinate with local hospitals if a higher level of care is needed?
Personalized based on this facility's data
Key Review Excerpts
“My family member wore a dirty diaper all night because no one showed up for their shift new years night and this happens all the time.”
“The facility had a smell and looked COMPLETELY RUN DOWN AND DIRTY. You barely saw workers, they were never in high spirits, and the food looked like MUSH.”
“Management and staff are caring and thoughtful. Although this center is not perfect, the competency of the staff is great. The physical plant is older but clean.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
8
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with 42 deficiencies across three surveys, including 18 triggered by family complaints. Recurring issues span resident rights violations, infection control problems, and fire safety deficiencies. Multiple complaints involved abuse reporting failures, care planning shortfalls, and unsafe living conditions. While all deficiencies show correction dates, the persistent nature of problems across surveys and high volume of family-initiated complaints suggest ongoing care quality concerns that warrant careful evaluation during any visit.
Jan 30, 2026Routine12
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service Deficiencies
Ensure 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Oct 28, 2024Complaint11
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Oct 28, 2024Routine6
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Install proper backup exit lighting.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Jun 8, 2023Complaint7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Jun 8, 2023Routine6
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Have properly sized and located compartments to protect residents from smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Ownership & Operations
Who Operates This Facility
Tybee Island Care Center LLC
for profit
Chain Affiliation
Journey Healthcare
34 facilities nationwide
Chain avg rating: 2.0/5 · Rank 7 of 10 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
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Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
9 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.