New Horizons Limestone
2020 Beverly Road Ne, Gainesville, GA 30501 · Hall County · (770) 219-8600
142 certified beds, about 185 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115487 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 4 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 11 health citations since September 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.07 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
22.2% of nursing staff left within the year CMS measured (Georgia average 46.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
209/22
502/25
403/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 4 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record reviews, and review of the facility policy titled Oxygen Administration, Transport and Storage - Patient Care, the facility failed to ensure that oxygen (O2) therapy was administered according to physician's orders for two residents (R) (R9 and R180) of 27 residents reviewed for oxygen use. The deficient practice had the potential to increase the residents' risk of respiratory complications and adverse clinical outcomes. Findings Include: Review of the facility's undated policy titled Oxygen Administration, Transport and Storage - Patient Care, documented in section for oxygen administration A physician or advanced practice professional (APP) order is required prior to administering oxygen. The policy specifies that the order must include: a. The oxygen delivery device b. The liter flow and/or oxygen concentration (percentage). 1. [...]
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, record review, staff interviews, and review of facility policy titled, Self-Administration of Medications, the facility failed to ensure two residents (R) (R130 and R57) could safely self-administration medications by leaving medications at the bedside unsupervised. This deficient practice had the potential to increase the risk of clinical complications.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility's policy titled Care Plan - LTC - Patient Care, the facility failed to develop and implement comprehensive, person-centered care plan for one resident (R) (R9) of 60 sampled residents. Specifically, the facility failed to develop and implement care plan interventions related to oxygen administration. This deficient practice had the potential to result in inadequate monitoring and improper oxygen administration, which could compromise the resident's health and safety.
- 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.
Inspectors wroteBased on observation, staff interview, review of manufacturer package inserts, and facility policy titled Medication Storage, the facility failed to ensure proper medication labeling, expiration dating, discard procedures, and secure storage for one of eight medication carts. This deficient practice had the potential to place residents at risk for administration of expired, improperly labeled, or unsecured medications, which could compromise resident health and safety. Findings Include: Review of the facility's policy titled Medication Storage, dated 8/22/2023, documented All medication storage areas will inspected. to ensure that all medications are being properly and safely stored in accordance with manufacturer's instructions. IN addition, documented in section Procedures III. All expired. medications are segregated until they are removed from the organization. Outdated. [...]
February 13, 2025Standard inspection, Complaint inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, record review, and review of facility's policy titled, Nutrition Food and Supply Storage Procedures, Facility A failed to properly discard expired food items, label food items with expiration dates, and properly refrigerate opened food items. This deficient practice had the potential to result in foodborne illness affecting 77 out of 82 residents who receive food orally at Facility A.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility's policy titled Resident Self-Administration of Medication, Facility A failed to adequately assess one out of 60 sampled residents (R) (R71) for self-administration of medication. This had the potential to result in serious health complications, including medication misuse or overdose, and compromise the safety and well-being of the resident.
- 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.
Inspectors wroteBased on staff interview, record review, review of the facility's document titled, [Name] Bed Hold Notice Facility B failed to provide a written bed hold notices for one out of two residents (R) (R179) reviewed for hospitalization. This failure had the potential to place R179 at risk of possible denial of re-admission and loss of their room following a transfer to the hospital. The sample size was 60 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff interviews and record review, Facility B failed to ensure that one of 14 residents (R) (R150) receiving respiratory therapy, nebulizer mask was covered or properly stored. This deficient practice had the potential to put R150 at risk for increased respiratory infections.
- 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.
Inspectors wroteBased on observations, staff interviews, and a review of the facility's policy titled Laboratory Services-12-1022-POC Glucose Testing with [Name] Glucometer, Facility A failed to discard expired Glucometer Control Solution Level 3, that was stored in one of four medication carts (Hall 300 medication cart). This deficiency created a risk of the expired solution being used, potentially compromising the accuracy and functionality of the glucometer, which could lead to unreliable blood glucose readings. Review of the undated facility policy Laboratory Services-12-1022-POC Glucose Testing with [Name] Glucometer under the section titled III. Equipment and Supplies revealed, D. [Name] glucose control solutions: Levels 1 and 3 .2. Unopened reagent bottles are good until the expiration dated printed on the container. 3. [...]
September 1, 2022Standard inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that activities of daily living (ADL) care was provided for two dependent residents (R) (R#482 and R#60) related to baths/showers. R#482 and R#60 resided in Facility B. The sample size was 70.
- 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.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to provide evidence that restorative nursing services were provided for passive range of motion (PROM) and active range of motion (AROM) as recommended by Physical Therapy (PT) and Occupational Therapy (OT) for bilateral upper extremities (BUE) and for splint or brace for one Resident (R) (R#113) of one reviewed for restorative nursing. R#113 resided in Facility B. The sample size was 70.
Fire safety inspections
13 fire safety citations on file: 5 on March 12, 2026, 8 on February 13, 2025.
Every fire safety citation13 citations
- F Install a fire alarm system that can be heard throughout the facility.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet other general requirements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.07 | 3.56 | 3.86 |
| Registered nurses | 0.55 | 0.50 | 0.69 |
| All nursing staff on weekends | 3.58 | 3.10 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 22.2% | 46.0% | 45.8% |
| Registered nurse turnover | 29.6% | 44.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.26 on weekdays and 3.58 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.09 in April to June 2025 to 4.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.07 | 0.55 | 4.26 | 3.58 | 0.0% | 0 of 90 | 185 |
| Oct to Dec 2025 | 4.01 | 0.57 | 4.17 | 3.59 | 0.0% | 0 of 92 | 184 |
| Jul to Sep 2025 | 3.92 | 0.62 | 4.11 | 3.46 | 0.0% | 0 of 92 | 184 |
| Apr to Jun 2025 | 4.09 | 0.61 | 4.28 | 3.60 | 0.0% | 0 of 91 | 184 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.7 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.1 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.9 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.6 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.9 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: NORTHEAST GEORGIA MEDICAL CENTER, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Burrell, Carol | W-2 managing employee | Individual | 02/04/2008 | |
| Herdener, Anthony | W-2 managing employee | Individual | 02/04/2008 | |
| Nicholson, Linda | W-2 managing employee | Individual | 02/04/2008 | |
| Steines, Brian | W-2 managing employee | Individual | 07/05/2017 | |
| Blair, Steven | Corporate director | Individual | 02/01/2014 | |
| Blankenship, Lua | Corporate director | Individual | 02/01/2014 | |
| Bowen, Robert | Corporate director | Individual | 02/01/2014 | |
| Burrell, Carol | Corporate director | Individual | 02/04/2008 | |
| Dent, Larry | Corporate director | Individual | 02/01/2014 | |
| Hearth, Kaye | Corporate director | Individual | 02/01/2014 | |
| Herdener, Anthony | Corporate director | Individual | 02/04/2008 | |
| Hortenstine, Jay | Corporate director | Individual | 02/01/2014 | |
| Keener, Jack | Corporate director | Individual | 02/01/2014 | |
| Lewis, Ronald | Corporate director | Individual | 02/01/2014 | |
| Mack, Deborah | Corporate director | Individual | 02/01/2014 | |
| Scully, Timothy | Corporate director | Individual | 02/01/2014 | |
| Smith, Rodney | Corporate director | Individual | 02/04/2008 | |
| Smoot, Jane | Corporate director | Individual | 02/01/2014 | |
| Terry, Jeffrey | Corporate director | Individual | 02/01/2014 | |
| Wallace, Jacquelyn | Corporate director | Individual | 02/01/2014 | |
| Wayne, Alexander | Corporate director | Individual | 02/01/2014 | |
| Steines, Brian | Corporate officer | Individual | 07/05/2017 | |
| Northeast Georgia Medical Center, Inc. | Operational/managerial control | Organization | 02/04/2008 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 12, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 12, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 12, 2026: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 12, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
Other nursing homes nearby
- Pruitthealth - Limestone Gainesville, 0.6 mi · 4 of 5 stars · 16 citations
- Bell Minor Home, the Gainesville, 0.9 mi · 1 of 5 stars · 31 citations
- Willowbrooke Court at Lanier Village Estates Gainesville, 5.6 mi · 5 of 5 stars · 8 citations
- Crossroads of Flowery Branch of Journey LLC, the Flowery Branch, 11 mi · 1 of 5 stars · 31 citations
- Gateway Health and Rehab Cleveland, 15.6 mi · 4 of 5 stars · 2 citations
- Chelsey Park Health and Rehabilitation Dahlonega, 17.1 mi · 5 of 5 stars · 4 citations
- Pruitthealth - Lanier Buford, 17.1 mi · 4 of 5 stars · 19 citations
- Gold City Health and Rehab Dahlonega, 17.8 mi · 1 of 5 stars · 23 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is New Horizons Limestone's Medicare star rating?
- CMS rates New Horizons Limestone 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did New Horizons Limestone get at its last inspection?
- 4 health deficiencies at the standard inspection on March 12, 2026. The Georgia average is 5.
- Has New Horizons Limestone been fined?
- CMS lists no fines in the last three years.
- Does New Horizons Limestone accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns New Horizons Limestone?
- CMS lists 23 owners and managers. Legal business name: NORTHEAST GEORGIA MEDICAL CENTER, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.