New Horizons Limestone

Name: New Horizons Limestone
Address: 2020 BEVERLY ROAD NE, Gainesville, GA, 30501, US
Telephone: 7702198600

2020 Beverly Road NE, Gainesville, GA 30501 · Hall County · 142 certified beds · avg 185 residents/day · certified since Sep 1, 1989

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.23

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 12, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 13, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Feb 13, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Feb 13, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 13, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Sep 1, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 1, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Year	Citations	Worst severity that year
2022	2	D
2025	5	F
2026	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Georgia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.23	3.54	3.95	top 12% in Georgia; top 31% in the U.S.
Registered Nurse hours	0.57	0.50	0.69	top 32% in Georgia; bottom 48% in the U.S.
Weekend total nurse staffing	3.73	3.09	3.50	top 11% in Georgia; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.35	0.48	top 36% in Georgia; bottom 41% in the U.S.
Total nursing staff turnover (%)	22.2	46.0	45.8	top 2% in Georgia; top 4% in the U.S.
RN turnover (%)	29.6	44.5	42.9	top 27% in Georgia; top 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.07, RN 0.55, weekend 3.58. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blair, Steven	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Blankenship, Lua	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Bowen, Robert	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Burrell, Carol	Individual	W-2 Managing Employee	NOT APPLICABLE	02/04/2008
Burrell, Carol	Individual	Corporate Director	NOT APPLICABLE	02/04/2008
Dent, Larry	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Hearth, Kaye	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Herdener, Anthony	Individual	W-2 Managing Employee	NOT APPLICABLE	02/04/2008
Herdener, Anthony	Individual	Corporate Director	NOT APPLICABLE	02/04/2008
Hortenstine, Jay	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Keener, Jack	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Lewis, Ronald	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Mack, Deborah	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Nicholson, Linda	Individual	W-2 Managing Employee	NOT APPLICABLE	02/04/2008
Northeast Georgia Medical Center, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/04/2008
Scully, Timothy	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Smith, Rodney	Individual	Corporate Director	NOT APPLICABLE	02/04/2008
Smoot, Jane	Individual	Corporate Director	NOT APPLICABLE	02/01/2014
Steines, Brian	Individual	W-2 Managing Employee	NOT APPLICABLE	07/05/2017
Steines, Brian	Individual	Corporate Officer	NOT APPLICABLE	07/05/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pruitthealth - Limestone	0.6 mi	Gainesville, GA	★★★★☆	3/5
Bell Minor Home, the	0.9 mi	Gainesville, GA	★☆☆☆☆	1/5
Willowbrooke Court at Lanier Village Estates	5.6 mi	Gainesville, GA	★★★★★	5/5
Crossroads of Flowery Branch of Journey LLC, the	11.0 mi	Flowery Branch, GA	★☆☆☆☆	2/5
Gateway Health and Rehab	15.6 mi	Cleveland, GA	★★★★☆	5/5
Chelsey Park Health and Rehabilitation	17.1 mi	Dahlonega, GA	★★★★★	5/5
Pruitthealth - Lanier	17.1 mi	Buford, GA	★★★★☆	4/5
Gold City Health and Rehab	17.8 mi	Dahlonega, GA	★☆☆☆☆	2/5	abuse
Pruitthealth - Scenic View	19.4 mi	Baldwin, GA	★★★★★	5/5
Hill Haven Nursing Home	19.9 mi	Commerce, GA	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Gainesville →

Facility data as of CMS processing date 2026-08-01. CCN 115487.

The Care File

Visit checklist — New Horizons Limestone

2020 Beverly Road NE, Gainesville, GA 30501 · 7702198600

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 115487 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)