Limestone Nursing and Rehabilitation Center, LLC
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 21 Google reviews
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What this means for your family
This facility has received multiple, serious reports of medical neglect and poor sanitation in recent years. We strongly advise families to look elsewhere, or if you must consider this facility, conduct an unannounced visit and speak directly with current residents about their daily care.
Google Reviews
Google Reviews
21 reviews on Google“Limestone Nursing and Rehabilitation Center faces severe criticism regarding patient neglect, inadequate staffing, and poor hygiene. While some older reviews praise the therapy team, recent feedback highlights critical failures in medical oversight, including issues with diabetic care and basic sanitation.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated therapy staff
- Bright, clean environment (historical)
Concerns
- Severe understaffing and slow response times (mentioned by 3 reviewers)
- Poor hygiene and sanitation issues (mentioned by 3 reviewers)
- Inadequate medical care and neglect (mentioned by 3 reviewers)
- Poor food quality (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 21 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that some families have expressed concerns about response times, could you walk me through the current process for how a resident alerts staff when they need assistance and how that request is tracked?
- 2I noticed the facility has a 3-star staffing rating; how are you currently managing staff-to-resident ratios to ensure consistent care throughout the day and night?
- 3Could you describe the current protocols in place for maintaining room cleanliness and sanitation, and how often are deep-cleaning schedules reviewed?
- 4What steps is the facility taking to improve the variety and nutritional quality of the dining options to better meet the preferences of the residents?
- 5How does your nursing team coordinate with outside physicians to ensure that medication management and medical care plans are strictly followed and updated?
- 6What specific activities or social programs are currently being prioritized to keep residents engaged and active throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“The staff have no idea what they are doing. My uncle is diabetic and they allow him to have sugar. They tried to get his son to sign a DNR which isn't what he wanted.”
“There are bugs, the place reeks of pee and poop, the residents are poorly taken care of, and don’t even get me started on the state of the residents’ rooms :(. The food is decent, similar to prison food decent.”
“My daddy had a continuous feeding thru a G tube(feeding tube)and ended up in the emergency room for severe dehydrated and died. Due to care while in this rehab center.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring issues, particularly with food safety and infection control appearing across multiple surveys from 2018-2020. The most frequent problems involved food handling and storage, infection prevention, and emergency preparedness. While all deficiencies were corrected after being identified, the repeated food safety violations across three consecutive years suggest ongoing challenges in maintaining consistent dietary standards that families should discuss during visits.
Feb 13, 2020Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 20, 2019Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 15, 2018Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Ownership & Operations
Who Operates This Facility
Limestone Nursing and Rehabilitation Center, LLC
for profit
Chain Affiliation
Preston Health Services
5 facilities nationwide
Chain avg rating: 3.0/5 · Rank 4 of 5 (Worst) (Best)
Ownership & Management
Owners
Walker, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Official Website
Visit limestonehf.com
Medicare data downloads
Original nursing home datasets
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