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Complaint Investigation

New Horizons Limestone

February 13, 2025 · Gainesville, GA · 2020 Beverly Road Ne
Citations 1
CMS Rating 4/5
Beds 142
Provider ID 115487
Healthcare Facility
New Horizons Limestone
Gainesville, GA  ·  View full profile →
Inspection Summary

NEW HORIZONS LIMESTONE in GAINESVILLE, GA — inspection on February 13, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF657
Minimal harm or During an interview and observation on 2/11/2025 at 11:34 am with the R71, two [name] inhalers (used to Few with her upon admission. R71 further stated that the staff was aware of the inhalers and did not tell her she affected

Review of R150's Quarterly Minimum Data Set (MDS) dated [DATE] revealed, Section C (Cognitive Patterns) a Brief Interview of Mental Status (BIMS) score of 14 which indicated his cognition was intact; Section O (Special Treatments and Programs) revealed, R64 received oxygen therapy.

Review of R150's physicians orders revealed, orders for albuterol (Proventil) 2.5 milligrams (mg)/ 3 milliliters (mL) (0.083 percent) nebulizer solution 2.5 mg; albuterol (HFA) (ProAir/Proventil/Ventolin HFA) 90 microgram (mcg)/arcuation inhaler one puff and fluticasone-vilanterol 100-25 mcg/dose Diskus inhaler one puff.

During an observation on 2/11/2025 at 11:45 am revealed R150's nebulizer mask was not covered or properly stored.

During an observation on 2/11/2024 at 8:25 am revealed R150's nebulizer mask was in his dresser not covered or properly stored.

During an interview and observation on 2/12/2025 at 5:07 pm with the Unit Manager (UM) AA revealed that the Saturday supervisor and Certified Nurse Assistants (CNAs) were responsible for doing spot check on items to ensure that they were properly covered, labeled and dated. UM AA confirmed R150's nebulizer mask was not covered or properly stored.

115487

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 115487 B.

Wing 02/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

New Horizons Limestone 2020 Beverly Road NE Gainesville, GA 30501

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GAINESVILLE, GA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NEW HORIZONS LIMESTONE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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