PruittHealth - Limestone

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.

70.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 385 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 165 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 104 beds and averages 102.5 residents a day — about 99% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.53 is at or above 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 3.51 hrs/resident/day on weekends vs 3.91 on weekdays — 10% thinner on weekends. RN hours go from 0.50 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Ecited before2025-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 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. Findings included: Review of a facility policy titled Occurrences, revision date 1/11/2024, revealed, The healthcare center recognizes that due to the frailty of the patients/residents served, there is an increased risk of occurrences that may result in injury to the patient/resident and/or others. To prevent occurrences, each patient/resident will be observed and assessed for risks. Appropriate, realistic interventions will be implemented in accordance with their plan of care .If occurrence is noted without direct staff observation, the incident entry must be completed in 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 · E2025-06-12 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: A facility policy for menus was requested, and the Administrator stated there was no menu policy. 1. Review of R8's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) dated 4/24/2025, located in the Resident Assessment Instrument (RAI) tab of the Electronic Medical Report (EMR), revealed an admission date of 10/28/2017, had a Brief Interview for Mental Status (BIMS) score of three out of 15, indicating severe cognition impairment, and had diagnosis of Alzheimer's disease, type 2 diabetes mellitus without complications, and dysphagia, oropharyngeal phase. Review of R8's diet order, dated 5/28/2025, located in the EMR under the Order tab, revealed CCHO [carbohydrate controlled] NAS [no added salt], Puree.…

  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 · D2025-06-12 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of the October 2024 Resident Assessment Instrument (RAI) Manual, page N-3 revealed: Steps for Assessment 1. Review the resident's medication administration records for the 7-day look-back period (or since admission/entry or reentry if less than 7 days). 2. Determine if the resident received insulin injections during the look-back period. 3. Determine if the physician (or nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws) changed the resident's insulin orders during the look-back period. 4. Count the number…

  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 · D2025-06-12 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: A facility policy for PASSR was requested, and the Administrator stated they do not have a PASRR policy. Review of R84's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) dated 5/5/2025, located in the Resident Assessment Instrument (RAI) tab of the Electronic Medical Record (EMR), revealed an admission date of 3/1/2024, had a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating moderate cognition impairment, and had diagnosis of unspecified dementia, severe, with agitation, depression, and unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and…

  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 · D2025-06-12 · tag F0880 — failed to prevent and control infections — isolated
  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 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. Findings include: Review of the facility's policy titled, Infection Prevention - Hand Hygiene dated 10/15/24 provided by the facility indicated: .D. Indications Requiring Hand Wash or Hand Rub included 6. When hands move from a contaminated body site to a clean body site during resident care. and 7. Immediately after removal of personal protective equipment (e.g., gloves, gown, facemasks). During an observation on 6/11/2025 at 10:45 am, of R21's incontinent care, Certified Nurse Aide (CNA)5 failed to wash her hands after she discarded the dirty brief and dirty gloves prior to donning clean gloves to apply the clean brief. During an observation on 6/11/2025 at…

  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 · F2023-10-13 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of the facility's policy titled, Scheduling: Dietary Services, dated 8/3/2017, indicated, It is the policy of [Company name] to provide a work schedule in a timely manner which is fair, consistent and ensures the accomplishment of all functions within the department. Review of the facility's policy titled, Mealtimes, dated 9/1/2023, indicated, the resident scheduled mealtimes were as follows: South/Concierge Unit Mall Area and Rooms Breakfast 7:15 am-7:30 am Lunch 12:15 pm -12:30 pm Supper 5:15 pm -5:30 pm North Unit Mall Area and Rooms Breakfast 7:30 am -7:45 am Lunch 12:30 pm -12:45 pm Supper 5:30 pm…

  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 · F2023-10-13 · 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 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. Findings include: Review of the facility's policy titled, Cleaning Schedule, dated 9/29/2023, indicated Policy Statement: It is the policy of [Company name] that the Dietary Manager prepares a list of all cleaning tasks and posts them in the Dietary Department. It is the Dietary Manager's responsibility to develop and enforce the cleaning scheduled and to monitor the completion of assigned cleaning tasks to promote a sanitary environment. 1. Observation during the initial kitchen inspection on 10/10/2023 from 9:30 am to 10:15 am, with Dietary Manager (DM)1 present, revealed the following unclean food preparation and service equipment: a. The kitchen's convection…

  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 · D2023-10-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of the facility policy titled Colostomy Care, with revision date of 2019, revealed .Some people are self-conscious related to odor. Some caregivers place deodorizing drops or labels into the appliance; others place a plain aspirin tablet in the bag. Do all you can do to maintain the resident's dignity and keep the resident odor free. Review of R243's undated Face Sheet in the Electronic Medical Record (EMR) revealed R243 had diagnoses which included colon cancer and chronic obstructive pulmonary disease. Review of the admission Assessment, dated 10/6/2023, revealed that R243 was .alert and oriented x [times] four (4) [oriented to person, place, time and event or situation] . The admission Minimum Data Set (MDS) had not been completed at the time of this medical record review on 10/12/2023. Interview on…

  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 · D2023-10-13 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of the facility's policy titled, Tray Card System, dated 1/20/2021, indicated, Tray cards must be updated when any changes occur (i.e. (that is), diet order changes, preference changes, special needs changes, room changes, etc.). Review of R57's undated Face Sheet, located under the Resident tab in the Electronic Medical Record (EMR), revealed R57 had diagnoses which included diabetes mellitus and anemia. Review of R57's quarterly Minimum Data Set (MDS) located in the EMR under the MDS 3.0 tab with an Assessment Reference Date (ARD) of 7/29/2023, revealed Section C- Cognitive Patterns: a Brief Interview Mental Status (BIMS) score of nine out of 15, which indicated R57 had moderately impaired cognition. Interview on 10/10/2023 at 1:50 pm with R57 stated, his food preferences were not honored at meals by the kitchen staff. R57 specified that he did not like…

  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 · D2023-10-13 · 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

  Based 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. Findings include: Review of the facility's policy titled, Oxygen Administration, dated 8/2/2023, indicated Oxygen will be administered by licensed personnel only when ordered by the physician, PA (Physician's Assistant) or NP (Nurse Practitioner). Review of R289's undated Face Sheet located under the Resident tab in the Electronic, Medical Record (EMR), revealed R289 had diagnoses which included asthma, congestive heart failure, and diabetes mellitus. Review of R289's nursing notes, located under the Progress Note tab of the EMR, revealed a note dated 10/5/2023 at 5:15 pm which specified, R289 was placed on oxygen (O2) at two liters via nasal cannula as needed to maintain her…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRUITTHEALTH — 95 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

This home reported $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 26% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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