Pruitthealth - Limestone
2560 Flintridge Road, Gainesville, GA 30501 · Hall County · (770) 536-3391
104 certified beds, about 103 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115410 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 5 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 16 health citations since April 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 3.80 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
49.5% of nursing staff left within the year CMS measured (Georgia average 46.0%).
CMS links it to Pruitthealth, an affiliated group of 96 nursing homes.
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.
404/22
710/23
506/25
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
2F
Potential for minimal harm
0A
0B
0C
June 12, 2025Standard inspection, Complaint inspection · 5 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility's policy titled Occurrences, the facility failed to thoroughly investigate falls that resulted in injuries for four of 10 residents (R) (R306, R43, R73, and R204) reviewed for accidents. This had the potential to fail to identify risk factors, prevent future falls, understand the circumstances of the incident, and improve safety measures.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, resident and staff interviews, and record review, the facility failed to follow the menus and/or provided varied menus for four (R) (R8, R4, R803, and R701) of six residents reviewed for food. This deficient practice had the potential to place R8, R4, R803, and R701at risk of weight loss and a decreased quality of life.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on resident and staff interview, record review, review of the Resident Assessment Instrument (RAI) manual, and review of the facility's policy titled MDS Assessment Accuracy, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for two of 34 sampled residents (R) (R47 and R102). The failure to accurately code/assess the resident's condition had the potential to affect the care planning for the resident to receive all required services or services post-discharge.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interview and record review, the facility failed to submit a Pre-admission Screening and Resident Review (PASRR) Level I Assessment after a new mental illness diagnosis and treatment was prescribed for one of three residents (R) (R84) reviewed for PASRR. This had the potential for inadequate care planning, increased risk of behavioral issues, and/or missed opportunities for specialized services.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews, and review of the facility policy titled Infection Prevention - Hand Hygiene, the facility failed to provide resident care in accordance with infection control standards of care for two of three sampled residents (R) (R21 and R56) observed for incontinence care of sample of 49 residents. This deficient practice had the potential to lead to the transmission of infections between residents.
October 13, 2023Standard inspection, Complaint inspection · 7 citations
- F Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, staff and resident interviews, record review, and review of the facility policies titled, Scheduling: Dietary Services and Mealtimes, the facility failed to ensure there was sufficient dietary staff to serve resident meals on time as scheduled for the facility for two of 24 Residents (R) 38 and R57 reviewed for timeliness of facility meals. The deficient practice had the potential to affect 87 of 87 residents that consumed an oral diet.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and review of the facility policy titled, Cleaning Schedule, the facility failed to keep the kitchen's convection oven, stove top spill pan, and three shelf condiment cart clean. Additionally, the facility failed to date, and/or cover stored foods, and keep the North unit's microwave oven clean. This failure had the potential to affect all 87 of 87 residents receiving an oral diet.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, staff and resident interviews, and review of the facility policy titled, Colostomy Care, the facility failed to provide colostomy care to reduce odor and maintain dignity for one of one Resident (R)243 with a colostomy.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, staff and resident interviews, record review, and review of the facility policy titled, Tray Card System, the facility failed to honor food preferences for one of 24 Residents (R)57.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff and resident interviews, record review, and review of facility policy titled, Oxygen Administration, the facility failed to obtain a physician order for the use of oxygen for one of 15 Residents (R)289 that receive respiratory treatment. This failure had the potential to affect the necessary respiratory care and services that are in accordance with professional standards of practice.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, staff and resident interviews, the facility failed to ensure a physician ordered medication was available for one of 24 residents (R)243. Specifically, the facility failed to ensure that R243 received pain medication as ordered by the physician.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff and resident interviews, record review, and review of facility policies titled, Food Temperatures and Meal Delivery, the facility failed to serve food that was palatable and hot to three of 87 Residents (R) (R57, R38, and R289) reviewed for food palatability. This had the potential to affect all 87 residents who consumed food prepared from the facility's kitchen.
April 15, 2022Standard inspection · 4 citations
- 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 record reviews, interview, and review of the facility policy titled, Care Plans, the facility failed to follow the care plan for two of two residents (R) R#39 and R#69, reviewed for nutritional status regarding weekly weights.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, interview and review of the facility policy titled, Care Plans, the facility failed to revise the care plan for one of one resident (R), R#39, reviewed for falls.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record reviews, interview, and review of the facility policy titled, Occurrences, the facility failed to follow protocols for reporting, investigating, and identifying interventions to prevent falls for one of one residents (R) reviewed for falls, R#39.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, record review, interviews, and review of the facility policy titled Dialysis Care-Pre and Post Dialysis, the facility failed to ensure ongoing communication between the facility and the dialysis center for one resident (R) R#274. This deficient practice affected Resident (R)#274, one of one sampled resident reviewed for dialysis.
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) | 3.80 | 3.56 | 3.86 |
| Registered nurses | 0.45 | 0.50 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.10 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 49.5% | 46.0% | 45.8% |
| Registered nurse turnover | 58.8% | 44.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.20 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 3.91 on weekdays and 3.51 on weekends, 10% 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 3.81 in April to June 2025 to 3.80 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 | 3.80 | 0.45 | 3.91 | 3.51 | 0.0% | 0 of 90 | 103 |
| Oct to Dec 2025 | 3.72 | 0.49 | 3.90 | 3.28 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.77 | 0.62 | 4.08 | 2.95 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.81 | 0.57 | 4.11 | 3.04 | 0.0% | 0 of 91 | 97 |
| 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 | 6.8 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.9 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.0 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.8 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 11.6 | 12.0 |
Owners and operators
Legal business name: THE OAKS - LIMESTONE, LLC. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Markley, Kristin | W-2 managing employee | Individual | 08/09/2020 | |
| Pruitt, Neil | Corporate director | Individual | 09/25/2007 | |
| Pruitt, Neil | Corporate officer | Individual | 09/25/2007 |
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 5 problems in this area, most recently on June 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 12, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 12, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 13, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- New Horizons Limestone Gainesville, 0.6 mi · 4 of 5 stars · 11 citations
- Bell Minor Home, the Gainesville, 1.4 mi · 1 of 5 stars · 31 citations
- Willowbrooke Court at Lanier Village Estates Gainesville, 5 mi · 5 of 5 stars · 8 citations
- Crossroads of Flowery Branch of Journey LLC, the Flowery Branch, 11.2 mi · 1 of 5 stars · 31 citations
- Gateway Health and Rehab Cleveland, 15.1 mi · 4 of 5 stars · 2 citations
- Chelsey Park Health and Rehabilitation Dahlonega, 16.4 mi · 5 of 5 stars · 4 citations
- Gold City Health and Rehab Dahlonega, 17.2 mi · 1 of 5 stars · 23 citations
- Pruitthealth - Lanier Buford, 17.2 mi · 4 of 5 stars · 19 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 Pruitthealth - Limestone's Medicare star rating?
- CMS rates Pruitthealth - Limestone 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pruitthealth - Limestone get at its last inspection?
- 5 health deficiencies at the standard inspection on June 12, 2025. The Georgia average is 5.
- Has Pruitthealth - Limestone been fined?
- CMS lists no fines in the last three years.
- Does Pruitthealth - 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 Pruitthealth - Limestone?
- CMS lists 3 owners and managers, and links the home to Pruitthealth. Legal business name: THE OAKS - LIMESTONE, LLC.
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.