Deficiency Index

Heardmont Health and Rehabilitation

Elberton, Georgia · CCN 115685

16 surveys since 2010. The first finding at harm level was recorded in 2020.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
76
Surveys
16
Harm or worse
8
Immediate jeopardy
8
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
Independent
County
Elbert · rural
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 32 for-profit facilities with fewer than 66 beds in Georgia.

Last survey on record

Nov 18, 2025

356 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.713.34
Registered-nurse hours per resident day0.29—
Annual nurse turnover48.9%45.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$170,259 across 1 penalty
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K517.9%L27.1%
Actual harmG—H—I—
No harm, potential for more than minimalD1864.3%E27.1%F13.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

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

  • F6952×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    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.

In the surveyor’s words

From the most serious findings on record at Heardmont Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF835Dec 15, 2023

    Based on record review, interviews, and review of the Administrator's Job Description, Administration failed to provide protective oversight of the facility environment including adequate supervision for wandering residents and ensuring proper functioning of the electronic alert system, failed to protect residents from abuse, failed to report allegations of abuse, and failed to thoroughly investigate allegations of abuse. Two Immediate Jeopardy situations were identified when two residents (R) (R6 and R10) eloped four times in a three-month period; abuse and allegations of abuse for four residents (R8, R14, R17, and R18) were not reported to the State Agency (SA); and 10 allegations of abuse were not thoroughly investigated. The sample size was 19. […]

  • Immediate jeopardy, widespreadF867Dec 15, 2023

    Based on record review, interviews, and review of the policy titled Quality Assurance and Performance Improvement (QAPI), the facility failed to ensure the QAPI program effectively identified, developed and implemented appropriate action plans to meet the needs of six of 19 sampled residents (R) (R6, R10, R8, R14, R17, and R18). Specifically, the Quality Assurance Performance Improvement failed to protect R8, R14, R17, and R18 from abuse and failed to provide safety and oversight of the elopement prevention program for R6 and R10. […]

  • Immediate jeopardy, patternF600Dec 15, 2023

    Based on record review, interviews, and review of the policy titled Abuse Prohibition Policy and Procedures, the facility failed to ensure that four of 19 sampled residents (R) (R8, R14, R17, and R18) were free from physical, verbal, and sexual abuse. The allegations of abuse are identified to have been committed by R3, R5, and a Contracted Facility Staff. On 12/5/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. The facility's Administrator, Regional Administrator, Director of Nursing (DON) and Regional Nurse Consultant were informed of two Immediate Jeopardy's (IJ) on 12/5/2023 at 3:45 pm. […]

  • Immediate jeopardy, patternF609Dec 15, 2023

    49479 49687 Based on record review, interviews, and review of policy titled Abuse Prohibition Policy and Procedures, the facility failed to ensure allegations of sexual, physical and verbal abuse, were reported to the State Agency (SA) in a timely manner for four of 19 sampled residents (R) (R8, R14, R17 and R18). The allegations of abuse are identified to have been committed by R3, R5, and a Contracted Facility Staff. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. […]

  • Immediate jeopardy, patternF610Dec 15, 2023

    49479 49687 Based on record review, interviews, and review of policy titled Abuse Prohibition Policy and Procedures, the facility failed to investigate, correct, and prevent allegations of abuse for four of 19 sampled residents (R) (R8, R14, R17, and R18) with multiple documented incidences of physical, sexual, and verbal abuse by R3, R5, and a Contracted Physical Therapist. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. The facility's Administrator, Regional Administrator, Director of Nursing (DON) and Regional Nurse Consultant were informed of two Immediate Jeopardy's (IJ) on [DATE] at 3:45 pm. […]

Read 26 findings in full →The most serious and the most recent: 26 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 18, 2025Standard1 finding
  • Apr 7, 2025Standard and complaint7 findings
  • Mar 17, 2024Standard10 findings
  • Dec 15, 2023Complaint12 findings · 7 harm
  • Apr 10, 2022Standard and complaint6 findings
  • Nov 5, 2021Infection control3 findings
  • Sep 3, 2020Infection control1 finding · 1 harm
  • Jan 9, 2020Standard11 findings
Show the 8 earlier surveys
  • Jul 29, 2018Standard4 findings
  • Sep 24, 2017Standard1 finding
  • Mar 26, 2017Complaint2 findings
  • Jun 2, 2016Standard3 findings
  • Mar 19, 2015Standard2 findings
  • Jan 9, 2014—2 findings
  • May 3, 2012—2 findings
  • Dec 16, 2010—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction