During the first quarter of 2026, Heardmont Health and Rehabilitation was tied for the second largest nursing home in Elbert County, sharing its rank with Pruitthealth – Spring Valley, according to the Centers for Medicare and Medicaid Services (CMS).
Records indicate the facility had 60 available beds, which was two below the Elbert County average for the period. During this timeframe, the facility helped care for an average of 48.7 residents each day.
The CMS assigned Heardmont Health and Rehabilitation an overall rating of 1 out of 5, falling below Georgia’s nursing home average rating of 2.7.
Nancy Hart Operation, LLC was the largest nursing home in Elbert County during the same quarter, providing 67 beds.
By the end of the first quarter of 2026, Heardmont Health and Rehabilitation had incurred $170,259 in one fine and faced one penalty.
Elbert County, Georgia, contained three for-profit nursing home facilities in total during this period.
According to U.S. Census Bureau estimates, America’s population of older adults is rising as numbers in younger groups drop. From 2020 to 2024, the country saw a 13% growth in those age 65 and older, while residents under age 18 declined by 1.7%. Over the last 100 years, the U.S. older adult population increased sharply, rising from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 report estimates that nearly half of those 65 and older—about 28 million people—will need long-term services and support, with projections indicating more than a third could require nursing home care at some point.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Nancy Hart Operation, LLC | 1 |
| 2 | Heardmont Health and Rehabilitation | 1 |
| 2 | Pruitthealth – Spring Valley | 5 |
Information for this article came from the Centers for Medicare and Medicaid Services. The original source data is available here.


