Nancy Hart Operation LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 67 beds and averages 57.7 residents a day — about 86% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.02 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.78 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.66 hrs/resident/day on weekends vs 3.17 on weekdays — 16% thinner on weekends. RN hours go from 0.27 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Fcited before2025-07-24 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff and resident interviews, record review, and review of the facility's policies titled, Handwashing/Hand Hygiene and Infection Prevention and Control Program, the facility failed to ensure proper hand hygiene practices were followed, failed to implement Enhanced Barrier Precautions (EBP), and failed to establish a water management program to address the risk of waterborne pathogens, including Legionella. These failures had the potential to contribute to the transmission of infectious diseases among residents and staff. The census was 65.Findings include:Review of the facility's undated policy titled Handwashing/Hand Hygiene, revealed section (7.l) revealed, Use of alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap (antimicrobial or non-antimicrobial) and water for the following situations: After contact with objects.in the immediate vicinity of the resident.Review of the facility's policy titled, Infection Prevention and Control Program, review date May 2022, included, Water Management: A water management program has been…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-24 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to ensure a safe, clean, and comfortable homelike environment in seven of 26 resident rooms. This deficient practice had the potential to impact the quality of life and safety of all residents occupying the areas. Findings include:Observation on 7/22/2025 at 11:30 am of room [ROOM NUMBER] revealed a two-inch hole in the wall behind the resident's door, and a two-inch hole in the door leading to the bathroom.Observations on 7/22/2025 beginning at 11:23 am revealed Rooms 108, 200, 201, 202, 203, 204, and 205 had chipped and peeling paint on the walls near the residents' beds and window areas. Further observations revealed the ceiling ventilation units in Rooms 108, 200, 201, 202, 203, 204, and 205 had a buildup of fuzzy material covering the ventilation slats. Continued observations of Rooms 108, 200, 201, 202, 203, 204, and 205 revealed jagged closet edges, soiled baseboards, and scuffed walls. During a walk-through observation on 7/24/2025 at 1:12…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to implement care plan interventions for one of 36 sampled residents (R) (R33). This deficient practice had the potential to place R33 at increased risk of medical complications and unmet care needs. Findings include:Review of the electronic medical records (EMR) revealed that R33 was admitted to the facility on [DATE] with diagnoses including, but not limited to, type 2 diabetes mellitus (DM) and stage 3 chronic kidney disease.Review of R33's admission Minimum Data Set (MDS), dated [DATE], revealed Section I (Active Diagnoses) documented diabetes mellitus as an active diagnosis. Section N (Medications) documented that R33 received insulin. Review of the care plan for R33 revealed a Focus date initiated 7/7/2025, of the resident has diabetes mellitus. The Goal included that the resident will be free from any signs or symptoms of hyperglycemia or hypoglycemia through the next review date. Interventions included administering diabetes medication as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interviews, record review, and review of the facility policy titled, Policy and Procedure Manual: Clinical P&P Respiratory Care, the facility failed to ensure that oxygen therapy was provided as ordered for two of six residents (R) (R69 and R46) with oxygen orders. In addition, the facility failed to ensure respiratory circuits were cleaned as ordered for two of six residents (R46 and R48) with respiratory circuits. This deficient practice had the potential to place R69, R46, and R48 at increased risk of respiratory complications.Findings include: Review of the policy titled, Policy and Procedure Manual: Clinical P&P Respiratory Care, dated 4/1/2022, revealed the “Procedure” section included, 1. Verify that there is a physician’s order for respiratory procedures or oxygen use. Review the physician’s orders for oxygen administration. … 10. Oxygen, trach, and nebulizer tubing is changed weekly and dated as verification that the tubing was changed. … 1. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policy titled, Administration of Insulin, the facility failed to ensure that one of 15 residents (R) (R33) with physician orders for insulin received the insulin as prescribed by the physician. This deficient practice had the potential to place R33 at risk of medical complications and unmet needs. Findings include:Review of the facility's policy titled, Administration of Insulin, reviewed date 4/29/2025, reveals the Policy section included, It is the purpose of this facility to provide timely administration of insulin in order to meet the needs of each resident and to prevent adverse effects on a resident's condition. The Policy Explanation and Compliance Guidelines section included, 1. All insulin will be administered in accordance with physician's orders. 3. For new or emergency orders for insulin, the facility may use medications from the emergency kit.Review of the electronic medical records for R33 revealed an admission…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record review, and review of the facility's policy titled Elopement Protocols, the facility failed to provide adequate supervision, frequent monitoring, and to ensure one of four exit doors was functioning properly to prevent the elopement for one out of three sampled Residents (R) (R1). Findings include: Review of the undated facility's policy titled Elopement Protocols under the Policy section revealed, It is the responsibility of all personnel to report any residents attempting to leave the premises, or suspected of being missing, to the Charge Nurse as soon as practical. Elopement and wandering are two separate events and shall not be used interchangeably . Elopement is an event which requires immediate attention of the administrative staff up to and including reporting the event to the stated and obtaining a sheriff report. A resident is considered to have eloped if the boundaries of elopement have been crossed. For this facility, elopement boundaries are…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-02-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff Interviews, record review and review of the facility's policy titled Food Receiving and Storage, the facility failed label and date food items stored in the refrigerator. In addition, the facility failed to maintain the appropriate concentration of sanitizing solution in the three-compartment sink. The facility census was 58 residents. Findings include: Review of the undated facility's policy titled Food Receiving and Storage under the Policy Statement revealed, Food shall be received and stored in a manner that complied with food and safety handling practices. Under the section titled Policy Interpretation and Implementation revealed, 7. All foods store in the refrigerator or freezer will be covered, labeled, and dated (used by date). Observation of the kitchen on 2/27/2024 at 9:15 am revealed the following: All food items in the refrigerator were not labeled or dated which included sausage, fish, turkey, and hot dogs; The sanitize strip test conducted for the three-compartment sink was negative and revealed the sanitizing solution was not at the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-29 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, record review and review of the facility's policy titled Antibiotic Stewardship Program, the facility failed to establish an Antibiotic Stewardship Program that included antibiotic use protocols and a monitoring system to track and trend antibiotic use. The facility census was 59. Findings include: Review of the facility's policy titled Antibiotic Stewardship Program dated May 2022 under the section titled Policy revealed, It is the policy of the facility to implement an Antibiotic Stewardship Program as part of the facility's overall infection prevention and control program. The purpose of the program is to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. Under the section titled Policy and Explanation and Compliance Guidelines revealed, 4(b). Monitoring antibiotic use: (iv). Antibiotic use shall be measured by (monthly prevalence, antibiotic starts, and/or antibiotic days of therapy). Review of the Infection Control Monthly/Yearly Report from 1/2023 to 12/2023 revealed there was a lack of documentation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-29 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff and resident interviews, record review, and review of the facility's policy titled P&P Resident Council Meeting, the facility failed to provide documented responses to residents' grievances and concerns regarding resident care and life expressed during Resident Council meetings in six of eight meetings. The facility census was 58. Findings include: Review of the facility's policy titled P&P Resident Council Meeting dated 4/1/2022 under the section titled Procedure revealed, The purpose of the Resident Council is to provide a forum for residents: a. To discuss and offer suggestions about facility policies and procedures affecting residents' care, treatment, and quality of life; 4. The facility will provide a designated staff person who is approved by the resident group who is approved by the resident group and the facility and who is responsible for providing assistance and responding to written requests that result from group meetings. 5. The facility will consider the views of a resident group and act promptly upon the grievances and recommendations of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for nine of 23 rooms (Rooms 100, 101, 107, 201, 202, 203, 204, 205, 206) and two of three hallways (Hallways 200 and 300). Specifically, the bathrooms in rooms 100, 201, 203, 204, and 206 contained unstable floors, cracked and broken tile, soiled toilets and sinks, and broken lights. Additionally, the residents' rooms and hallways contained loose tiles, holes in the walls, chipped and peeling paint, missing cabinet faces, and sticky hallway floors. The facility census was 58 residents. Findings include: Observations on 2/27/2024 from 9:15 am to 9:35 am revealed the following: The 200 and 300 hallway floors were noted to be sticky while walking the entirety of both floors. There were brown substances found stuck to the floor and paint chipping throughout both hallways; room [ROOM NUMBER]- bathroom light not working; room [ROOM NUMBER]-cracked tile and floor dug out in front of the bathroom…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$14,716 in federal fines across 3 penalties.

• $4,017 — penalty dated 2024-02-29
• $4,017 — penalty dated 2024-02-29
• $6,682 — penalty dated 2024-02-29

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA