Federal inspection record · CMS data as of October 1, 2026
New Horizons Limestone
2020 Beverly Road Ne, Gainesville, GA · (770) 219-8600
- Certified beds
- 142
- Residents per day
- 190
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1989
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
New Horizons Limestone carries 23 inspection points. That is fewer than 68% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care4E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide 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.
Resident Rights3D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
Pharmacy Service2D
- D
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.
- D
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.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-12
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-02-13
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-09-01
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 59 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.6 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.0 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 99.0% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 97.2% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.2 pts better | 2.5% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 5.4% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better | 11.1% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17 pts better | 2.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.6 pts worse | 19.3% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts better | 11.9% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse | 2.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse | 19.8% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 6.9% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.8 pts better | 88.4% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 10.7% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 1.5% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts better | 87.2% | 78.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.2 pts better | 15.2% | 24.4% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blair, Steven | Corporate Director · Individual | 0% | 1 facilities |
| Blankenship, Lua | Corporate Director · Individual | 0% | 1 facilities |
| Bowen, Robert | Corporate Director · Individual | 0% | 5 facilities |
| Burrell, Carol | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Burrell, Carol | Corporate Director · Individual | 0% | 2 facilities |
| Dent, Larry | Corporate Director · Individual | 0% | 1 facilities |
| Hearth, Kaye | Corporate Director · Individual | 0% | 1 facilities |
| Herdener, Anthony | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Herdener, Anthony | Corporate Director · Individual | 0% | 1 facilities |
| Hortenstine, Jay | Corporate Director · Individual | 0% | 1 facilities |
| Keener, Jack | Corporate Director · Individual | 0% | 2 facilities |
| Lewis, Ronald | Corporate Director · Individual | 0% | 1 facilities |
| Mack, Deborah | Corporate Director · Individual | 0% | 1 facilities |
| Nicholson, Linda | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Northeast Georgia Medical Center, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Scully, Timothy | Corporate Director · Individual | 0% | 1 facilities |
| Smith, Rodney | Corporate Director · Individual | 0% | 1 facilities |
| Smoot, Jane | Corporate Director · Individual | 0% | 1 facilities |
| Steines, Brian | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Steines, Brian | Corporate Officer · Individual | 0% | 2 facilities |
| Terry, Jeffrey | Corporate Director · Individual | 0% | 1 facilities |
| Wallace, Jacquelyn | Corporate Director · Individual | 0% | 2 facilities |
| Wayne, Alexander | Corporate Director · Individual | 0% | 2 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Install a fire alarm system that can be heard throughout the facility.
- D
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Egress2E
- E
Meet other general requirements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
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PruittHealth - Limestone
Gainesville, GA · Pruitthealth
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0
-
Bell Minor Home, The
Gainesville, GA · Wellington Health Care Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $74,979
-
Willowbrooke Court At Lanier Village Estates
Gainesville, GA · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0