New Horizons Limestone
Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.
based on 20 Google reviews
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What this means for your family
The facility's physical therapy department is consistently praised for helping patients regain mobility, making it a potential option for short-term rehab. However, families should be extremely cautious regarding long-term care, as multiple reviewers have reported serious concerns about hygiene, medication management, and staff responsiveness. We strongly recommend conducting an unannounced visit and asking specifically about their protocols for resident safety and property security.
Google Reviews
Google Reviews
20 reviews on Google“New Horizons Limestone presents a stark contrast in experiences, with many rehab patients praising the physical therapy team for helping them regain mobility, while long-term residents and their families report significant concerns regarding basic care and staff accountability. Recurring complaints highlight issues with hygiene, medication management, and a lack of responsiveness from nursing staff. Families should weigh the facility's success in short-term rehabilitation against the serious allegations of neglect and poor communication regarding long-term care.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Successful post-surgery/injury recovery
- Dedicated individual staff members
Concerns
- Neglect of basic hygiene and resident care (mentioned by 3 reviewers)
- Poor communication and unresponsiveness (mentioned by 3 reviewers)
- Inconsistent or poor medication management (mentioned by 2 reviewers)
- Staff perceived as lazy or uncaring (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the recent focus on post-surgery recovery, what specific protocols do you have in place to ensure consistent medication management and timely administration for residents?
- 2I noticed that communication is a priority for families; what is the standard process for updating us on changes in care or daily health status?
- 3How does your leadership team monitor and maintain high standards of daily hygiene and personal care for all 142 residents?
- 4Could you walk me through how you address staffing concerns to ensure that every resident receives attentive and compassionate care throughout the day and night?
- 5What steps are being taken to improve the facility's overall cleanliness and environment to ensure it meets the comfort levels we are looking for?
- 6What does a typical daily activity schedule look like to keep residents engaged and socially connected within the community?
Personalized based on this facility's data
Key Review Excerpts
“I felt these people saved my life and I am thankful to the therapist who never gave up on me, they were awesome. I stayed there 50 days and because of them today I am walking.”
“My mother was here for more than 8 years and was wonderfully cared for. She never complained to us and we never had a reason to either.”
“Thank God I am only here for Rehab the nurses and staff here are awful they do not care if you got water they do not care if you are wet I will give a good shout out to the rehab they did get me walking again”
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
11
measures
3
measures
3
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints that triggered recent inspections in February 2025, citing concerns about resident rights, medication management, dietary services, and respiratory care. The facility has recurring issues with fire safety systems, daily care assistance, and medication labeling that have persisted across multiple surveys from 2019 to 2025. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests ongoing operational challenges families should carefully consider.
Mar 12, 2026Routine9
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Feb 13, 2025Complaint5
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.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Feb 13, 2025Routine8
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Egress Deficiencies
Meet other general requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Sep 1, 2022Routine2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ownership & Operations
Who Operates This Facility
New Horizons Limestone
nonprofit
Ownership & Management
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
20 reviews from families & visitors
Official Website
Visit nghs.com
Medicare data downloads
Original nursing home datasets
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