Johns Island Post Acute

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.

51.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 68 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 132 beds and averages 126.7 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 2.85 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.58 hrs/resident/day on weekends vs 2.95 on weekdays — 12% thinner on weekends. RN hours go from 0.47 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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.

24 citations, most serious first. The 15 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 facility policy, record review, interviews, and review of video footage, the facility failed to protect Resident (R)5 from physical abuse by R4. Specifically, on [DATE] at approximately 4:43 AM, R4, while in a wheelchair, rolled behind R5 placed his arm around R5's neck and began to choke R5. Certified Nursing Assistant (CNA)1, who witnessed the incident, separated both residents. Furthermore, the facility neglected to provide care and services to R5, following the physical altercation. Specifically, the altercation occurred on [DATE] at approximately 4:43 AM, R5 was placed in his room at approximately 5:03 AM. R5 was found in his room unresponsive and with no pulse at approximately 7:35 AM. During this time frame, the facility failed to assess R5, failed to conduct a body audit of R5, and failed to follow up with R5, after the physical altercation.On [DATE] at 3:58 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2026-05-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 facility policy, record review, interviews, and review of video footage, the facility failed to provide appropriate care for Resident (R)5, who had a respiratory care plan and physician orders, after the resident was choked by another resident on [DATE]. Additionally, the facility failed to provide wound care according to professional standards of practice for R8.On [DATE] at 5:30 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of [DATE]. The IJ was related to 42 CFR 483.25 - Quality of Care.On [DATE], the facility provided an acceptable IJ Removal Plan. On [DATE], the survey team, validated the facility's corrective actions and removed the IJ. The facility remained out of compliance at F684 at a lower scope and severity of D.An extended survey was conducted in conjunction with the Complaint Survey for non-compliance at F684, constituting substandard quality of care.Findings include: Review of 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-02-25 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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, record review, and interviews, the facility failed to ensure Resident (R)137 was discharged from the facility to a safe environment.Per a phone interview with R137 and the Local Ombudsman, R137 revealed he was discharged from the facility on 01/22/26 to a home without utilities (water/electricity).R137 indicated this failure has caused his health to decline due to lack of adequate Durable Medical Equipment (DME-devices and supplies that are intended for repeated use and are essential for managing health conditions at home) and appropriate community services (Home Health), for 1 of 2 residents, reviewed for discharge. The Administrator and Director of Nursing (DON) were notified on 02/24/26 at 12:41 PM of an Immediate Jeopardy (IJ) at F627 at a Scope and Severity (S/S) of J in the area of Transfer and Discharge, specifically, appropriate discharge procedures. The IJ was determined to exist on 01/22/26 when the facility discharged Resident (R)137 to a home without adequate…

  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
• Immediate jeopardy · Jcited before2024-10-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 facility policy, record reviews and interviews, the facility failed to ensure Resident (R)1 was free from neglect. Specifically, R1 did not receive care and services, to address the residents therapeutic diet, resulting in R1 expiring. For 1 of 1 resident reviewed for neglect. On 10/23/24 at 3:36 PM, the Administrator and Director of Nursing were notified that the failure to provide care and services to a resident, who was on a therapeutic diet, resulting in death, constituted Immediate Jeopardy (IJ) at F600. On 10/23/24 at 3:36 PM, the Survey Team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 10/20/24. The IJ was related to 42 CFR 483.12 Freedom from Abuse, Neglect, and Exploitation. On 10/23/24 at 6:20 PM, the facility presented an acceptable IJ Removal Plan. On 10/23/24 the survey team, validated the facility's corrective actions and removed the IJ. The facility remained out of compliance at F600 at a lower…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-10-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 facility policy, record reviews and interviews, the facility failed to ensure Resident (R)1 was adequately supervised and free from accident and hazards, for 1 of 1 residents reviewed for accidents. Specifically, R1, who was on a therapeutic diet, consumed food from another resident's meal tray that was left on a dining room table, resulting in R1 expiring. On 10/23/24 at 3:36 PM, the Administrator and Director of Nursing were notified that the failure to provide adequate supervision of a resident, who was on a therapeutic diet, resulting in death, constituted Immediate Jeopardy (IJ) at F689. On 10/23/24 at 3:36 PM, the Survey Team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 10/20/24. The IJ was related to 42 CFR 483.25 Quality of Life. On 10/23/24 at 6:20 PM, the facility presented an acceptable IJ Removal Plan. On 10/23/24 the survey team, validated the facility's corrective actions and removed the IJ. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 facility policy review, record review, and interview, the facility failed to check vital signs (VS) for Resident (R)1 and R2, according to the physician's order, for 2 of 3 residents reviewed. Findings include:Review of the facility policy, Medication and Treatment Orders with a revision date of 06/2016, revealed, Order for medications and treatments will be consistent with principles of safe and effective order writing. 1. Review of Resident (R)1's Face Sheet revealed he was admitted to the facility on [DATE], with diagnoses including, but not limited to, metabolic encephalopathy (brain dysfunction due to chemical imbalances in the body), urinary tract infection, diabetes, hemiplegia and hemiparesis (paralysis and weakness on one side of the body), dementia, and acute kidney failure. Review of R1's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/17/26, revealed he had a Brief Interview for Mental Status (BIMS) score of 09 out of 15, which indicated he had moderate…

  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 plan of correction
• Potential for harm · Dcited before2026-07-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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 observation, facility policy review, record review, and interview, the facility failed to ensure proper infection control measures were followed for Resident (R)4, for 1 of 1 resident reviewed on Contact Precautions.Findings include:Review of the facility policy, Isolation - Categories of Transmission-Based Precautions with a revision date of 09/2022, revealed, Contract Precautions . 7. Staff and visitors wear gloves (clean, non-sterile) when entering the room. b. Gloves are removed and hand hygiene performed before leaving the room. 8. Staff and visitors wear a disposable gown upon entering the room and remove before leaving the room.Review of Resident (R)4's Face Sheet revealed she was admitted to the facility on [DATE], with diagnoses including but not limited to, osteomyelitis of vertebra (infection in the bones of the spine), osteomyelitis of the left ankle and foot, extended spectrum beta-lactamase (ESBL) resistance (multi-drug resistant organism), and senile degeneration of the brain. Review 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.

  Infection Control Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · F2026-05-01 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the facility's policies, document review, and interviews, the facility failed to ensure all staff, to include agency staff, received orientation, training, and in-services on facility policies and procedures, prior to working with residents. Specifically, the facility had agency staff working as a charge nurse, floor nurse, and aide without the proper training. This deficient practice had the potential to effect all residents in the facility.Findings include:Review of the facility's policy titled, In- Service Training, All Staff, revised in August 2022, revealed Policy Statement: All staff must participate in initial orientation and annual in-service training. Policy Interpretation: 1. All staff are required to participate in regular in-service education. In-service education participation is considered working time for which staff are paid their regular wages. 7. Training requirements are met prior to staff providing services to residents, annually, and as necessary based on the facility assessment. 8. Completed training is documented by the staff development…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 a review of the facility policy, observations, interviews, and record review, the facility failed to ensure that self administration of medications was clinically appropriate as required for Resident (R)8, 1 of 1 resident reviewed for self administration. Two medications, a nasal spray and an albuterol inhaler, were found at R8's bedside without an assessment or authorization for self administration. This failure placed the resident at risk for medication errors and adverse health outcomes.Findings Include: Review of the facility policy titled Self Administration of Medications, last revised February 2012, states: Residents have the right to self administer medications if the interdisciplinary team has determined that it is clinically appropriate and safe for the resident to do so. Policy Interpretation and Implementation: 1. As part of the evaluation comprehensive assessment, the interdisciplinary team (IDT) assesses each resident's cognitive and physical abilities to determine whether self…

  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 · D2026-05-01 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 facility policy, record review, and interviews, the facility failed to report to the State Agency (SA), two incidents of resident to resident phsyical abuse, in a timely manner. For 2 of 3 residents reviewed.(Cross Reference F600)Findings include: Review of the facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program with a revision date of April 2021, documented, Residents have the right to be free from abuse, neglect, . Policy Interpretation and Implementation The resident abuse, neglect, . program consists of a facility-wide commitment and resource allocation to support the following objectives: . 9. Investigate and report any allegations within timeframes required by federal requirements . Review of R4's Face Sheet revealed R4 was admitted to the facility on [DATE], with diagnoses including but not limited to, hereditary and idiopathic neuropathy, dementia, moderate, with other behavioral disturbance, insomnia, and hypertensive chronic kidney disease…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-01 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 facility policy, record review, and interviews, the facility failed to thoroughly investigate an incident of resident to resident physical abuse involving Resident (R)4 and R5, for 1 or 3 residents reviewed.(Cross Reference F600 and F726)Findings include:Review of the facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program with a revision date of April 2021, documented, Residents have the right to be free from abuse, neglect, . This includes but is not limited to . physical abuse . Policy Interpretation and Implementation The resident abuse, neglect, . prevention program consists of a facility-wide commitment and resource allocation to support the following objectives: 3. Ensure adequate staffing and oversight/support . 6. Provide staff orientation and training/orientation programs . 8. Identify and investigate all possible incidents of abuse, neglect, . 9. Investigate and report . 10. Protect residents from any further harm during investigations .Review 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0656 — failed to write and follow a full care plan — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, record review, and interviews, the facility failed to create a Comprehensive Person Centered Care plan for Resident (R)4, related to his aggressive behaviors and R8 related to self administration, for 2 of 3 residents reviewed for Care Plans.Findings include:Review of the facility policy titled, Behavioral Assessment, Intervention, and Monitoring with a revision date of February 2025, documented, Policy Statement 1. Residents will have minimal complications associated with the management of altered or impaired behavior . Policy Interpretation and Implementation . 2. As part of the comprehensive assessment, staff evaluate (based on input from the resident, family and caregivers, review of the medical record, and general observations): a. the resident's usual patterns of cognition, mood, and behavior; . 3. The nursing staff identify, document, and inform the physician about specific details regarding changes in the an individual's mental status, behavior, . 5. New onset or…

  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 · Dcited before2026-05-01 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, and review of facility policy, the facility failed to ensure the comprehensive care plan was updated and revised to reflect changes in condition and care needs for 1 of 2 residents (R8) reviewed for care plans. The care plan was not updated when R8's peripherally inserted central catheter (PICC) line was removed, and it did not include interventions related to self administration of medications. This failure created the potential for unmet needs and inconsistent care. Findings Include: Review of the facility policy titled, Care Plans - Comprehensive with a revised date of September 2010, documented, Policy Statement: An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. Policy Interpretation and Implementation: 1. Our facility's Care Planning/Interdisciplinary Team, in coordination with the resident, his/her family or representative (sponsor), develops and maintains a comprehensive care plan for each…

  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 · D2026-05-01 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 facility policy, record review, and interviews, the facility failed to ensure the accurate transcription of physician orders for 1 of 2 resident (R8) reviewed. R8's wound care order was entered incorrectly on the Medication Administration Record (MAR) as daily, while the Physician's instruction required treatment every other day (QOD). This failure created the potential for incorrect treatment frequency and adverse outcomes. Findings Include:Review of the facility policy titled Medication Orders, last revised November 2014, states Purpose: The purpose of this procedure is to establish uniform guidelines in the receiving and recording of medication orders. Supervision by a Physician: . 2. A current list of orders must be maintained in the clinical record of each resident . Recording Orders .6. Treatment Orders-When recording treatment orders, specify the treatment, frequency and duration of the treatment. Example: Apply 4X4 duoderm with border to stage 1 ulcer on coccyx; change every 3 days and…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the facility policy, observations, interviews, and record review, the facility failed to maintain appropriate infection prevention and control practices during wound care for 1 of 1 residents reviewed for wound care, Resident R (8). This failure had the potential to expose the resident to cross contamination, delayed wound healing, and increased risk of infection, including the possibility of developing a preventable wound infection or worsening of the existing wound. Findings Include: Review of the facility policy titled, Enhanced Barrier Precautions, last revised December 2024, states, Policy Statement: Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents. Policy Interpretation and Implementation . 2. Enhanced barrier precautions apply when . b. A resident .has a wound or indwelling medical devices. 7. EBPs employ targeted gown and glove use in addition to standard precautions during high contact resident care activities when contact precautions do not otherwise apply. a. Gloves and gown…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$31,591 in federal fines across 3 penalties.

• $15,945 — penalty dated 2026-02-25
• $7,823 — penalty dated 2024-10-04
• $7,823 — penalty dated 2024-10-04

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 PACS GROUP — 274 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 7 rows in the source record cover these 6 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.

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.

This home reported $702K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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, FY2023). 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