During the initial quarter of 2026, Pruitthealth – Spring Valley tied with another facility as the second largest nursing home in Elbert County, reported the Centers for Medicare and Medicaid Services (CMS). The home’s ranking was shared with Heardmont Health and Rehabilitation.
According to records, the center provided 60 licensed beds — two beds below Elbert County’s average at the start of 2026. The facility supported an average of 51.8 residents over the period.
Pruitthealth – Spring Valley received a 5 out of 5 overall CMS rating, higher than Georgia’s average nursing home rating of 2.7.
Nancy Hart Operation, LLC, held the top spot as the largest Elbert County nursing home, offering 67 available beds during the quarter.
Data indicates that Pruitthealth – Spring Valley had no fines or penalties during the first quarter of 2026.
Elbert County, Georgia, was home to three for-profit nursing facilities overall.
Estimates from the U.S. Census Bureau show that as America’s older population grows, the number of younger residents is decreasing. From 2020 to 2024, Americans age 65 and older rose by 13%, while those under 18 declined 1.7%. Between 1920 and 2024, the older adult population in the U.S. expanded significantly, from 4.9 million to more than 61 million.
A 2021 report estimates around half of these adults — about 28 million people — may need long-term services and support. The analysis also notes that more than a third could require nursing home care in the future.
“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 |
Data for this report was sourced from the Centers for Medicare and Medicaid Services. Complete data is available here.



