With a score of 7/100, Nancy Hart Operation Llc ranks in the bottom tier of Georgia nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 2.54 total nurse hours per resident per day, Nancy Hart Operation Llc falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 28 deficiencies at Nancy Hart Operation Llc, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.54 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.57 | 2.4 | Below Average |
| Weekend Total Nursing | 2.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jul 23, 2025 · Infection Control Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJul 23, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 23, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jul 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jul 23, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.6% | 4.5% | Worse |
| Falls with major injury | 5.9% | 3.0% | Worse |
| On antipsychotic medication | 17.9% | 14.5% | Worse |
| Urinary tract infections | 2.8% | 2.5% | Worse |
| ADL decline (daily activities) | 30.0% | 14.0% | Worse |
| Excessive weight loss | 10.1% | 7.5% | Worse |
| New/worsened incontinence | 17.3% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $30,309
How This Grade Was Calculated
This facility's grade of F is based on a score of 7 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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