Magnolia Manor - Rock Hill

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.

34.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.1% 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 38 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 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 106 beds and averages 95.0 residents a day — about 90% occupied, or roughly 11 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 2.86 hrs/resident/day on weekends vs 3.36 on weekdays — 15% thinner on weekends. RN hours go from 0.46 to 0.22 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.

20 citations, most serious first. The 15 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-01-13 · 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 and interviews, the facility failed to protect Resident (R)1 from physical, verbal, and mental abuse by Licensed Practical Nurse (LPN)1. Specifically, LPN1 used inappropriate language to address R1. Furthermore, witnesses observed LPN1 physically hit R1, as a reaction to R1 hitting LPN1. The State Agency (SA) utilizing the Reasonable Person Approach, has determined that any reasonable person in the same situation would experience adverse psychosocial harm. On 01/13/25 at 3:18 PM, the Director of Nursing was notified that the failure to protect a resident from physical and verbal abuse constituted Immediate Jeopardy (IJ) at F600. On 01/13/25 at 3:18 PM, the survey team provided the Director of Nursing with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 11/22/24. The IJ was related to 42 CFR 483.12 - Freedom from Abuse, Neglect, and Exploitation. On 01/13/25, the facility provided an acceptable IJ Removal Plan. On…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-06-10 · 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 interview, record review, and review of facility policy, the facility failed to provide appropriate care and services to ensure Resident (R)1's quality of life, specifically Licensed Practical Nurse (LPN)1 failed to accurately assess R1, who expired approximately 30 minutes later. On [DATE] at 3:02 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of [DATE]. The IJ was related to 42 CFR 483.25 - Freedom from Abuse, Neglect, and Exploitation. On [DATE] the facility provided an acceptable IJ Removal Plan. On [DATE] the survey team validated the facility's corrective actions and the immediacy of the IJ was removed as of [DATE]. The facility remained out of compliance at F600 at a lower scope and severity of D. An Extended Survey was conducted in conjunction with the Complaint Survey for non-compliance at F600, constituting substandard quality of care. Findings include: Review of a facility policy titled Abuse,…

  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 · J2023-08-24 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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, interviews, and record review, the facility failed to provide timely cardiopulmonary resuscitation (CPR). On [DATE] at 4:44 AM, Licensed Practical Nurse (LPN)1 found Resident (R)1 unresponsive. She alerted Certified Nursing Aide (CNA)1 to find other nurses to assist with the code, but did not immediately provide compressions. Facility staff did not start compressions on R1 until a few minutes later when LPN2 and Registered Nurse (RN)1 arrived. On [DATE] at approximately 2:57 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On [DATE] at approximately 4:44 AM, Resident (R)1 was discovered unresponsive by Licensed Practical Nurse (LPN)1. LPN1 did not provide Cardiopulmonary Resuscitation (CPR) to R1, and no CPR was provided until 2 other nurses arrived a few minutes later. The facility'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-08-24 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure staff competencies necessary for cardiopulmonary resuscitation (CPR). On [DATE] at 4:44 AM, Licensed Practical Nurse (LPN)1 found R1 unresponsive. She alerted Certified Nursing Aide (CNA)1 to find other nurses to assist with the code but did not immediately provide CPR. Facility did not start compressions on R1 until a few minutes later when LPN2 and Registered Nurse (RN)1 arrived. LPN1 did not have up-to-date certification in CPR, which required renewal on 05/2017. On [DATE] at approximately 2:57 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On [DATE] at approximately 4:44 AM, R1 was discovered unresponsive by LPN1. LPN1 did not provide CPR to the resident, and no CPR was provided until 2 other nurses arrived a few minutes later. It was later discovered that…

  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
• Immediate jeopardy · Kcited before2022-06-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, record review, interview, and policy review, the facility failed to prevent an avoidable pressure ulcer to the right lateral calf for one Resident (R) 90 of five residents reviewed for pressure ulcer out of a total sample of 50 residents. The facility missed 24 opportunities to complete ordered skin assessments under the resident's brace and the resident sustained an avoidable stage IV pressure ulcer. Substandard Quality of Care (SQC) was identified at 43 CFR 483.25 treatment/services to prevent/heal pressure ulcers. The facility's Administrator and Director of Nursing (DON) were informed on 06/14/22 at 7:54 PM that Immediate Jeopardy existed at F686 related to the failure to ensure R90's skin was assessed underneath the brace to her right calf. The Immediate Jeopardy began on 02/17/22, the date R90 was admitted to the facility with a brace. The facility provided an Immediate Jeopardy Removal Plan that was accepted on 06/15/22 at 6:54 PM. The survey team validated implementation 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
• Potential for harm · Fcited before2025-12-11 · tag F0880 — failed to prevent and control infections — widespread
  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 facility policy, observations and interviews, the facility failed to ensure that staff wore proper Personal Protective Equipment (PPE) when handling soiled linen/clothing. Specifically, a Laundry Aid was observed not wearing gloves, while handling soiled linen/clothing.Findings Include:Review of facility policy titled Maintenance/Housekeeping Policies and Procedures, original date 3/2006 revealed:Procedures: Personnel: 5. Personnel in the laundry services are properly garbed at all times. When handling soiled linens, gowns, and gloves, at a minimum will be donned.During an observation on 12/11/2025 at 9:37 AM, Laundry Aide (LA) was observed pushing a blue laundry bin from the laundry room to multiple units collecting bags with soiled linen/clothing. The LA pushed the cart to the soiled utility room on Unit 1, opened the door and checked multiple yellow trash bins until a bag of soiled linen/clothing was discovered, tied the bag while still in the bin, then pulled the bag of soiled linen/clothing out of one yellow bin, placed it in the blue bin, placed a clean bag…

  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
• Potential for harm · F2024-08-01 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure the meals served were palatable and prepared according to menu specifications. Taste tests of the foods prepared for the puree, mechanical and regular diets revealed the foods tasted freezer burnt, bland and was grossly under seasoned. Residents interviewed during the residential council meeting verbally expressed dissatisfaction with the meals. Findings include: Observations of test trays by multiple surveyors on 07/30/24 at approximately 1:00 PM revealed, sweet, mashed potatoes that tasted bland, watery squash without season, a burnt dinner roll that tasted freezer burnt, bland chopped polish sausage, Salisbury steak that had no seasoning and tasted freezer burnt. Interview on 07/31/24 at 10:30AM, the Certified Dietary Manager (CDM) stated that he had not received any grievances related to food services. CDM also stated that the facility mostly uses frozen items for meals and sometimes cook fresh items for the residents. Interview on 07/31/24 at 10:54 AM during the resident council meeting, the resident council…

  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 · F2024-08-01 · 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

  Based on observation, interview, and review of facility policy, the facility failed to ensure foods were stored properly and failed to ensure that kitchen staff wore hair/beard restraints during meal preparation. Additionally, the facility failed to ensure the ice machine was properly cleaned and sanitized, for 1 of 1 main kitchen. Findings include: Review of the facility policy titled Food Safety in Receiving and Storage last revised on 06/20/23, states, Food will be received and stored by methods to minimize contamination and bacterial growth. Receiving guidelines, 5. Inspect food when it is delivered to the facility and prior to storage for signs of contamination. 6. Check expiration dates and use by dates to assure the dates are within acceptable parameters. General Food Storage Guidelines 3. Label both the container and its lid with the common name of the contents, the date it was transferred to the new container and the discard date. Review of the facility policy titled Ice-Storage and Ice-making Machines, Sanitary Care and Maintenance last revised on 05/15/23, states,…

  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 · F2024-08-01 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations, interviews, record review and review of the facility policy, the facility failed to maintain an effective pest control program. Findings Include: Review of the undated facility policy titled, Pest Control revealed, Facility will maintain an effective pest control program to prevent or eliminate infestation of pests and rodents. During an observation on 07/31/24 at 10:45 AM, in the kitchen, revealed multiple cockroaches crawling on the floor near the stove. During an observation on 08/01/24 at 10:57 AM, in the kitchen, revealed a cockroach crawling on a bag of bread. During an observation on 08/01/24 at 12:15 PM, in the kitchen, revealed a cockroach crawling on the dishwasher. During an interview on 07/31/24 at 11:30 AM, the Kitchen Manager (KM) stated he had never seen any roaches before and it was his first time seeing them. During a follow up interview with the KM, he stated that he had seen some roaches a while back and they had contacted Ecolab to come out.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, observation, and interview, the facility failed to ensure proper procedure was followed during wound care to promote healing and/or to prevent infection for Resident (R)26, for 1 of 2 residents reviewed for wound care. Findings include: Review of the facility policy titled, Performing a Dressing Change last revised on 06/01/15, states, A dressing change will follow specific manufacture's guidelines and general infection control principles. Review of R26's Face Sheet revealed R26 was admitted to the facility on [DATE], with diagnoses including but not limited to: diabetes mellitus type 2, depression, and non-pressure chronic ulcer of buttock. Review of R26's Progress Note dated 07/25/24 stated, Right buttock stage 2 pressure wound 1.2 x 0.6 x 0.2 with moderate serous exudate. Open area with exposed dermis. Wound progress not at goal. Surface area greater than previous measurement. MD suspect sliding board use for transfer may be exacerbating wound. Review of R26's Physician…

  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 · D2024-08-01 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  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.
  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 review, and review of facility policy, the facility failed to provide physician ordered restorative services for Resident (R)3, for 1 of 3 residents reviewed. Findings include: Review of the facility's policy titled, Restorative Nursing with a revision date of 02/29/24, revealed, Treatment protocols for individual positioning with splinting static or dynamic splinting and positioning are utilized to inhibit tone and maintain or prevent abnormal posturing or positioning. Appropriate use of splints to assist with positioning may enhance functional mobility. Review of R3's Face Sheet revealed R3 was admitted to the facility on [DATE], with the diagnoses including but not limited to: hemiplegia, and hemiparesis following cerebral infarction affecting left non-dominant side, occlusion and stenosis of other cerebral arteries, dysphagia, chronic obstructive pulmonary disease with exacerbation, edema, left hand contracture, and pain in joints of left hand. Review of R3'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-01 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to properly dispose of expired medication and biologicals for 1 of 5 medication carts. Findings include: Review of the facility policy titled Pharmacy Services Policies and Procedures with a complete manual revision date of 04/01/22, states, Medication with manufacturer's expiration date expressed in month and year (e.g., May 2019) will expire on the last day of the mouth. (unless a sooner date has been placed on the package by the pharmacy). Once any medication or biological package is opened, the facility should follow manufacturer/supplier guidelines with respect to expiration dates of opened medications. Outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock, disposed of according to procedures of medication destruction, and recorded from the pharmacy, if replacements are needed. Facility should ensure that medication and biologicals for expired and/or discharged residents are stored separately, away…

  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 before2024-08-01 · 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 review of facility policy, observation, and interview, the facility failed to ensure proper infection control procedures were followed during wound care to prevent infection for Resident (R)26, for 1 of 2 residents reviewed for wound care. Findings include: Review of the facility policy titled, Transmission Based/Standard Precautions, and Enhanced Barrier Precautions last revised on 05/15/23, states Healthcare worker will implement enhanced barrier precautions according to policy . 1. Enhanced Barrier Precautions (EBP), A. EBP will be implements for All residents with the following: 2) wounds and/or indwelling medical devices regardless of MDRO colonization status, C. EBP requires the following PPE: 1) Gloves, 2) Gown, . 4) All PPE is donned and doffed with appropriate hand hygiene and disposable after individual use or when visibly soiled. Review of R26's Face Sheet revealed R26 was admitted to the facility on [DATE], with diagnoses including but not limited to: diabetes mellitus type 2, depression,…

  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
• Potential for harm · Dcited before2024-05-22 · 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 interviews, record reviews, and review of facility policy, the facility failed to ensure Resident (R)1 was free from verbal abuse by Licensed Practical Nurse (LPN)1. Findings include: Review of the facility policy titled Abuse, Neglect, Exploitation or Mistreatment last revised in October 2020, states, The facility's leadership prohibits neglect, mental, physical and/or verbal abuse, use of a physical and/or chemical restraint not required to treat a medical condition, involuntary seclusion, corporal punishment and misappropriation of a patient's/resident's property and/or funds. Review of R1's Face Sheet revealed R1 was admitted to the facility on [DATE], with diagnoses including but not limited to: generalized anxiety disorder, pressure ulcer of sacral region stage 3, and needs assistance with personal care. Review of R1's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/05/24, revealed R1 had a Brief Interview of Mental Status (BIMS) score of 14 out of 15, indicating R1…

  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 · E2024-03-25 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  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, interviews, and record reviews, the facility failed to protect 2 of 3 residents from misappropriation of controlled substances and 1 of 3 residents from misappropriation of routine medications, Residents (R)1, R2, and R3. Findings include: Review of the Facility Policy titled Abuse, Neglect, Exploitation, or Mistreatment dated 10/23/19, states, The facility's Leadership prohibits neglect, mental, physical . and misappropriation of a patient's/resident's property and/or funds . Review of the Facility Policy titled Receipt of Controlled Substances dated 04/01/22, states, The licensed nurse receiving the medication must verify the contents, quantity, and sign the Packing Slip in the presence of the driver. Furthermore, it states, The licensed nurse accepting the Controlled Medication(s) immediately places the controlled medications into an appropriate separately locked, permanently affixed compartment. Review of R1's Face Sheet revealed R1 was admitted to the facility on [DATE],…

  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

“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

$128,214 in federal fines across 5 penalties.

• $13,348 — penalty dated 2025-01-13
• $95,079 — penalty dated 2024-03-25
• $4,194 — penalty dated 2023-11-06
• $7,796 — penalty dated 2023-08-24
• $7,797 — penalty dated 2023-08-24

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 FUNDAMENTAL HEALTHCARE — 66 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 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 73% 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 $582K 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