PruittHealth- Estill

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 88 beds and averages 76.3 residents a day — about 87% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.53 hrs/resident/day on weekends vs 3.43 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.48 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · D2025-04-29 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based upon observations and interviews, the facility failed to post the daily staffing report in a prominent place accessible to all residents and visitors. This failure had the potential for residents, family, friends, or other visitors to not know the ratio of nursing staff to residents, causing uncertainty of the ability and availability of the staff for residents' needs. Findings include: Observations on 04/28/25 at 9:56 AM and at 12:46 PM of the facility revealed no staffing report posted in the facility. Interview on 04/28/25 at 4:18 PM with the Administrator regarding the staffing posting, the Administrator took this surveyor to an area that was the employee entrance only. At the entrance, there was a bulletin board with announcements for staff. On that board was the staffing posting. The Administrator acknowledged that the staffing posting was not visible to the resident's family, friends, or other visitors.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-09-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, observations and interviews, the facility failed to ensure that food was properly stored and labeled in 2 of 2 unit nourishment rooms. Findings include: Review of the facility policy titled Labeling, Dating, and Storage revised 11/11/22 revealed, It is the policy of PruittHealth for all partners who assist in handling, preparing, serving, and storing food and beverage items follow the proper procedures for labeling, dating and storage to ensure proper food safety. During an observation and interview on 09/18/23 at approximately 9:35 AM, the [NAME] Wing nourishment room refrigerator revealed that it was empty and unplugged from electrical outlet with an unopened 8 ounce container of whole milk sitting on counter which was warm to touch and labeled by manufacturer Keep refrigerated 33 degrees F (Fahrenheit) - 48 degrees F. These findings were confirmed on Certified Nursing Assistant (CNA)6 who stated she did not know why the refrigerator was unplugged. Further observation of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-09-20 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on manufacturer's recommendations, observations and interviews, the facility failed to ensure an excessive amount of lint was removed from 2 of 2 clothes dryers, which has the potential to cause a fire. Findings include: Review of the manufacturer's recommendations for the clothes dryers, titled, Important Safety Instructions, states under number 12. Always clean the lint filter daily. Number 13, states, Keep area around the exhaust opening and adjacent surrounding area free from the accumulation of lint, dust, and dirt. During an observation on 09/19/23 at 3:10 PM, of the laundry room revealed 2 of 2 clothes dryers with an excessive amount of lint in the lint basket, on all 3 upper sides of the clothes dryer, and on the wiring. During an interview on 09/19/23 at 3:10 PM, Laundry Worker (LW)1 stated, when brought to her attention, we only keep the floor of the dryer clean, maintenance cleans around the wiring and the upper insides of the dryers. During an interview on 09/19/23 at 3:30 PM, the Housekeeping Supervisor stated that Maintenance cleans the wiring over the lint…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-20 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and interviews the facility failed to implement and/or develop a comprehensive plan of care for Resident (R)33, R44 and R41 for 3 of 6 residents reviewed for care plans. Findings include: The facility admitted R33 with diagnoses including, but not limited to anoxic brain damage, cognitive communication deficit, and pseudobulbar affect. Review of R33's comprehensive plan of care dated 07/21/22 revealed a problem that states, Resident is limited in ability to take showers due to past history of abuse. Resident should only take bed baths. The long term goal is, Resident will be bathed only by bed baths. The approach dated 07/21/22 states, Monitor for presence of pain/intolerance during grooming/personal hygiene and signs of discomfort. Review of a form titled Point of Care ADL Report for the months June, July, August and September revealed R33 did not receive a bath daily, however R33 did receive a shower for 18 days. On 09/19/23 at 3:15 PM when brought to the attention of staff no additional information was provided as to why R33 was receiving showers. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-20 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record reviews and reviews of facility policy and procedure the facility failed to ensure prompt and thorough incontinent care was provided for two Residents (R)6 and R62. Furthermore, the facility failed to ensure R33 received baths for 3 of 5 residents reviewed for Activities of Daily Living (ADLs). Findings Include: Review of facility procedure guide titled Elimination and Toileting: Incontinence Prevention revealed, manage incontinence according to the client's care plan not for staff convenience. Furthermore Providing Peri-Care states urine and feces are very irritating to the skin and mucous membrane and will cause irritation and breakdown if not thoroughly and promptly removed. Review of the undated facility policy titled, Documentation: Charting Activities of Daily Living (ADLs) states, It is required for Activities of Daily Living (ADL) care given by a Certified Nursing Assistants and Nurses to be documented under Care Assist in patient's/resident's Electronic Health…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-20 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure Resident (R)54 with decisional capacity to make his own health care decisions was afforded the right to formulate an advance directive for 1 of 1 residents reviewed for Advance Directives. Findings include: The facility did not provide the policy for Advance Directives. The facility admitted R54 with diagnoses including, but not limited to, end stage renal disease, falls, hypertension and glaucoma. Review of the Minimum Data Set (MDS) assessment dated at the time of admission revealed a Brief Interview for Mental Status (BIMS) is score of 15 out of 15, indicating R54 was cognitively intact. Record review on 09/19/23 at 11:42 AM revealed a form titled, Decisional Capacity, dated 04/05/2023. The physician checked the box which states, This resident DOES have the capacity to make healthcare decisions for self. Further review of the medical record on 09/19/23 at 11:42 AM revealed a form titled, Intro to Admission. The form identified an admission to another facility, in another town, and was signed by the family member…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-20 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy, record review, and interviews, the facility failed to ensure Resident (R)54 and her representative received notice of transfer or discharge in writing and in a language they could understand, and the reason for transfer, for 1 of 5 residents reviewed for hospitalization. Findings include: Review of the facility policy titled, Involuntary Transfers and Discharges, revealed under section III, Required Notice Before Involuntary Transfer or Discharge, Number 1 states, The healthcare center must provide notice to the patient, guardian, or representative, and the patient's physician in writing and language that they understand. The facility must keep a copy of the notice in the medical record. The facility admitted R54 with diagnoses including, but not limited to, endstage renal disease, congestive heart failure, atrial fibrillation, acute myocardial infarction, depression and anxiety. Review of R54's medical record on 09/18/23 at 11:42 AM, revealed a form titled, SNF/NF to Hospital Transfer Form filled out, but no documentation to ensure R54 or R54's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-20 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure a quarterly, Minimum Data Set (MDS) assessment for Resident (R)54 was coded correctly for dialysis for 1 of 1 residents reviewed for Dialysis. Findings include: The facility admitted R54 with diagnoses including, but not limited to, diabetes mellitus type 2, gastroparesis and end stage renal disease. R54 is dependent on hemodialysis and is scheduled for it on Mondays, Wednesdays, and Fridays. Review on 09/18/2023 at 11:30 AM of the quarterly MDS dated [DATE] revealed section O for special treatments, procedures and programs was not coded for dialysis for R54. During an interview on 09/18/2023 at 11:45 AM with Licensed Practical Nurse (LPN)6 reviewed and confirmed that dialysis was not coded on the quarterly MDS.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-20 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to ensure that Resident (R)41 had an accurate level-1 Preadmission Screening and Resident Review (PASARR) assessment for 1 of 3 residents reviewed for PASARR. Findings include: In an interview on 09/20/23 at 10:00 AM, the Director of Health Services (DHS) stated that the facility did not have a policy for assuring PASSARs are completed accurately. The DHS stated that they follow state regulations and he expects PASSARs to be completed correctly and accurately. The DHS further stated that the documents should be done prior to the resident coming into the facility and that Social Services is responsible for the accuracy of the PASSARs and making sure that all diagnosis and major mental illnesses are listed on the PASSAR once the resident is in the facility. A review of R41s Face sheet indicated the facility admitted R41 with a diagnosis that included schizoaffective disorder, bipolar type upon admission. A Review of R41's admission Minimum Data Set (MDS), with an Assessment Reference Date of 07/09/21, revealed R41 had a Brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-20 · tag F0675 — failed to support quality of life — isolated
  Honor each resident's preferences, choices, values and beliefs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, interviews and review of the medical literature in Facts and Comparisons, Epocrates and Drugs.com, the facility failed to ensure Resident (R)67 did not have multiple drug therapies that could cause central nervous system depression for 1 of 6 residents reviewed for unnecessary medications. Findings include: Review of R67's Face Sheet revealed R67 was admitted to the facility on [DATE] with diagnoses including but not limited to schizophrenia and dementia. A review of R67's physician orders by the Medical Director (MD) revealed the following orders: Trazodone (an antidepressant) 50 mg (milligram) at bedtime prescribed 01/19/23 open ended (no end date) for insomnia. Melatonin 3 mg x2 at bedtime prescribed 01/24/23 open ended for insomnia. Hydrocodone - acetaminophen 5-325 mg twice daily PRN (as needed) prescribed 02/10/23 open ended for pain, do not exceed 2 per day. Memantine 10 mg twice daily prescribed 04/04/23 open ended for dementia. Seroquel (quetiapine 400 mg) twice…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

Fines & penalties

$7,745 in federal fines across 1 penalty.

• $7,745 — penalty dated 2023-09-20

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PRUITTHEALTH — 95 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

12 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in SC