Nursing homeActiveSpecial Focus Facility candidate · what this means

Heardmont Health And Rehabilitation

1043 Longstreet Road, Elberton, GA 30635706283542960 certified beds · 47 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
28
0217
Penalties · 3 yrs
$170,259
1 fine
Last survey
2025-11-18
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Georgia Department of Community Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-11-18Standard010CMS-2567 (Care Compare)
2025-04-07Standard070CMS-2567 (Care Compare)
2024-03-17Standard0100CMS-2567 (Care Compare)
2023-12-15Infection control037CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Georgia Department of Community Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-11-18Standard survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-02Record 115685-20251118-F880
2025-04-07Standard survey · 7 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F656
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F660
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F695
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 115685-20250407-F791
2024-03-17Standard survey · 10 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F645
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F695
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F804
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F849
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 115685-20240317-F883
2023-12-15Infection control survey · 10 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F609
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity KHarm
Care planningRecords
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F689
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F835
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-01-27Record 115685-20231215-F867
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-27Record 115685-20231215-F622
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-27Record 115685-20231215-F626
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-27Record 115685-20231215-F761

Penalties & enforcement

DateActionAmountSource
2023-12-15Civil money penalty$170,259CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.29
Facility
Georgia
National
Georgia 0.50 · National 0.69
Total nurse hours per resident day3.71
Facility
Georgia
National
Georgia 3.56 · National 3.86
Weekend total nurse hours2.95
Facility
Georgia
National
Georgia 3.10 · National 3.42
Total nursing staff turnover49%
Facility
Georgia
National
Georgia 46% · National 46%
Registered nurse turnover71%
Facility
Georgia
National
Georgia 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityGeorgiaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.6%5.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.0%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
26.4%19.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
8.7%2.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
16.7%15.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.0%5.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
31.3%20.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Duck, Melissa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcavoy, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Winget, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
1043 Elberton Properties LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
1043 Elberton Properties LLC
Organization
ADP OF THE SNFNOT APPLICABLE
C. Ross Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Duck, Melissa
Individual
ADP OF THE SNFNOT APPLICABLE
Mcavoy, James
Individual
ADP OF THE SNFNOT APPLICABLE
Winget, Michael
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Winget, Michael
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Georgia.

No county cost figures on file for Elbert.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Nancy Hart Operation LLC
Elberton
4.3 mi2025-07-240180
Pruitthealth - Spring Valley
Elberton
9.8 mi2025-08-21060
Iva Post-Acute
Iva
17.5 mi2025-09-16090
Pruitthealth - Washington
Washington
23.0 mi2026-03-01050
Hart Care Center
Hartwell
22.8 mi2025-03-21010
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01