NEW HORIZONS LIMESTONE in Gainesville, GA has an overall rating of 4 out of 5 stars, with 4-star health inspection, staffing, and quality ratings. It reported 4.01 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included food safety, respiratory care, and self-administration of drugs.
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0099.
Staffing detail
Registered nurses
0.57
Licensed practical nurses
1.07
Nurse aides
2.37
Weekend nursing
3.59
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.4%1.8%Improving
Residents with a fall causing major injury
2.4%4.1%Worsening
Residents with pressure ulcers (bedsores)
5.2%5.4%No change
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
2.1%2.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.8%13.3%Improving
Residents whose ability to walk got worse
40.7%12.5%Improving
Long-stay residents on antianxiety or sleep medication
16.2%12.5%Improving
Short-stay residents newly given an antipsychotic
1.3%0%Improving
Residents with a long-term catheter
3.6%2.6%Improving
Residents with new or worsening incontinence
20.4%18.8%Improving
Residents with depressive symptoms
4.2%2.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.6%98.8%Improving
Short-stay residents given the seasonal flu vaccine
—90%—
Short-stay residents given the pneumonia vaccine
83.9%84%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
183.8 residents on an average day (129% of 142 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.