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Public Record

Nancy Hart Operation Llc

Nursing HomeElberton, GACMS 115686
60 citations on record

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
67

*CMS

Avg. residents per day
62.1

*CMS

Inspection record

On record from CMS

Citations on record
60

*CMS

Inspections on file
9

*CMS

Last inspection
2025-07-24

*CMS

Citations

60 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0584Generalpotential for harm

    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.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0030Generalpotential for harm

    List the names and contact information of those in the facility.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0567Generalpotential for harm

    Honor the resident's right to manage his or her financial affairs.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0584Generalpotential for harm

    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.

  • 0604Generalpotential for harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0758Generalpotential for harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0554Generalpotential for harm

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0565Generalpotential for harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • 0030Generalpotential for harm

    List the names and contact information of those in the facility.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0100Generalpotential for harm

    Meet other general requirements.

  • 0200Generalpotential for harm

    Meet other general requirements.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355Generalpotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0001Generalpotential for harm

    Establish an Emergency Preparedness Program (EP).

  • 0222Generalpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0227Generalpotential for harm

    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0689Seriousimmediate jeopardy

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0835Seriousimmediate jeopardy

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • 0656Seriousimmediate jeopardy

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0569Generalpotential for harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  • 0622Generalpotential for harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • 0921Generalpotential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0626Generalpotential for harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  • 0570Generalpotential for harm

    Assure the security of all personal funds of residents deposited with the facility.

  • 0568Generalpotential for harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  • 0001Generalpotential for harm

    Establish an Emergency Preparedness Program (EP).

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0346Generalpotential for harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  • 0354Generalpotential for harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0753Generalpotential for harm

    Have restrictions on the use of highly flammable decorations.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Nancy Hart Operation Llc?
Nancy Hart Operation Llc is a Medicare- and Medicaid-certified nursing home in Elberton, GA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 115686.
What is the CMS rating for Nancy Hart Operation Llc?
Nancy Hart Operation Llc has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Nancy Hart Operation Llc have?
Nancy Hart Operation Llc is certified for 67 beds. It serves an average of 62.1 residents per day.
How many citations does Nancy Hart Operation Llc have?
Nancy Hart Operation Llc has 60 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Nancy Hart Operation Llc last inspected?
Nancy Hart Operation Llc was last inspected on July 24, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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