Nancy Hart Operation LLC
2117 Dr George Ward Road, Elberton, GA 30635
Nancy Hart Operation LLC is a nursing home in Elberton, Georgia. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (706) 283-3335
- Last standard health inspection
- July 24, 2025 (1 year ago)
- Certified beds
- 67
- Residents per day, on average
- 62.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Nancy Hart Operation LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Georgia average (25 vs 17).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from July 21, 2023 from $15,593 to $7,796.
Fine
CMS changed the fine from February 29, 2024 from $14,716 to $4,017.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.4 to 2.6 hours per resident per day.
5 citations
Health inspection on July 24, 2025
CMS lists this as a standard inspection.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for F0880 2 times since 2024.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for F0584 2 times since 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 7, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 7, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on September 7, 2025.
6 citations
Fire safety inspection on July 24, 2025
CMS lists this as a standard inspection.
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on September 7, 2025.
Citation E0030. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for E0030 2 times since 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for K0353 2 times since 2024.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for K0291 3 times since 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for K0363 3 times since 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on September 7, 2025.
CMS has cited this home for K0923 2 times since 2024.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
1 citation
Health inspection on April 29, 2025
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 31, 2025.
CMS update of February 26, 2025
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of September 26, 2024
Fine
CMS changed the fine from February 29, 2024 from $22,640 to $14,716.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 3.2 to 2.7 hours per resident per day.
CMS update of June 26, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Name
CMS lists a new legal business name for this home.
Ownership
CMS no longer lists a chain for this home.
Fine
CMS changed the fine from July 21, 2023 from $23,989 to $15,593.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of March 28, 2024
Name
CMS lists a new name for this home. It was NANCY HART CENTER FOR NURSING AND HEALING LLC.
12 citations
Health inspection on February 29, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 14, 2024.
CMS has cited this home for F0812 2 times since 2023.
Citation F0881. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on April 14, 2024.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on April 14, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 14, 2024.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on April 14, 2024.
Citation F0567. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to manage his or her financial affairs.
CMS lists it as corrected on April 14, 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on April 14, 2024.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on April 14, 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on April 14, 2024.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 14, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 14, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 14, 2024.
11 citations
Fire safety inspection on February 29, 2024
CMS lists this as a standard inspection.
Citation K0100. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 23, 2024.
Citation K0200. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 23, 2024.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on April 14, 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on April 14, 2024.
Citation E0030. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on April 14, 2024.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on May 23, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 14, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 23, 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 14, 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on April 14, 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on April 14, 2024.
Fine
February 29, 2024 (2 years ago)
CMS fine of $4,017 on February 29, 2024.
Fine
February 29, 2024 (2 years ago)
CMS fine of $4,017 on February 29, 2024.
Fine
February 29, 2024 (2 years ago)
CMS fine of $6,682 on February 29, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 1 of 5.
7 citations
Health inspection on January 6, 2023
CMS lists this as a standard inspection.
Citation F0568. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
CMS lists it as corrected on February 20, 2023.
Citation F0570. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Assure the security of all personal funds of residents deposited with the facility.
CMS lists it as corrected on February 20, 2023.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 20, 2023.
Citation F0569. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
CMS lists it as corrected on February 20, 2023.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on February 20, 2023.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2023.
Citation F0626. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS lists it as corrected on February 20, 2023.
8 citations
Fire safety inspection on January 6, 2023
CMS lists this as a standard inspection.
Citation K0346. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on February 20, 2023.
Citation K0354. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on February 20, 2023.
Citation E0001. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on February 20, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 20, 2023.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on February 20, 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 20, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on February 20, 2023.
Citation K0753. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on February 20, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LAZAR, DEVORAH5% or greater direct ownership interest · 50% · since 01/01/2024
- LAZAR, LEVI5% or greater direct ownership interest · 50% · since 01/01/2023
Questions
When was Nancy Hart Operation LLC last inspected?
CMS lists July 24, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Nancy Hart Operation LLC have?
CMS lists 25 health citations since January 6, 2023. CMS also calls these deficiencies.
Has Nancy Hart Operation LLC been fined?
CMS lists 3 fines in the past three years, $14,716 in total.
What is the CMS star rating of Nancy Hart Operation LLC?
Its CMS overall star rating is 1 of 5.
Is Nancy Hart Operation LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.