Cycle 1
Health 2025-03-07 · Fire 2025-03-07
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Aiken, SC
Aiken Rehabilitation and Care Center
4-star overall rating with 4-star inspections with 1 recent health deficiencies
3525 Augustus Road, Aiken, SC
(803) 642-8376
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
125
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1991-05-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.99
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
4.84
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
72%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,739
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.45
Baseline 26.00% · Performance 22.45% · Measure score 3.45 · Achievement 0 · Improvement 3.45
Healthcare-associated infections
0
Baseline 6.11% · Performance 8.96% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.45
Baseline 68.86% · Performance 51.49% · Measure score 3.45 · Achievement 2.98 · Improvement 3.45
Adjusted total nurse staffing
3.42
Baseline 3.98 hours · Performance 4.05 hours · Measure score 3.42 · Achievement 3.42 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 11.88% · Lower 95% interval 8.38% |
| Discharge to community | 60.26% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 131 · Observed rate 54.96% · Lower 95% interval 53.38% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 116 · Denominator 116 |
| Falls with major injury | 0.86% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 116 |
| Discharge self-care score | 36.25% |
53.69%
17.4 pts worse
|
Numerator 29 · Denominator 80 |
| Discharge mobility score | 27.5% |
50.94%
23.4 pts worse
|
Numerator 22 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 5.17% |
2.29%
2.9 pts worse
|
Numerator 6 · Denominator 116 · Adjusted rate 4.61% |
| Healthcare-associated infections requiring hospitalization | 8.96% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 12.05% · Lower 95% interval 6.04% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 153 |
| Staff flu vaccination coverage | 14.62% |
42%
27.4 pts worse
|
Numerator 25 · Denominator 171 |
| Discharge function score | 33.75% |
56.45%
22.7 pts worse
|
Numerator 27 · Denominator 80 |
| Transfer of health information to provider | 97.06% |
95.95%
1.1 pts better
|
Numerator 33 · Denominator 34 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 47 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 18.31% |
25.2%
6.9 pts worse
|
Numerator 13 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
90.5%
9.2 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.1% |
90.6%
20.5 pts worse
|
95.5%
25.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 70.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.0%
1.9 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.4% · Q3 4.7% · Q4 3.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
2.9%
2.6 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.2%
0.9 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.0% · Q3 5.5% · Q4 7.3% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
20.4%
3.4 pts better
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 18.2% · Q3 17.6% · Q4 14.3% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.6% |
16.3%
7.3 pts worse
|
16.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 23.5% · Q3 30.8% · Q4 15.1% · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.5% |
14.9%
6.6 pts worse
|
16.3%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 31.1% · Q4 8.8% · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
12.4%
1.6 pts worse
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.9% · Q3 19.4% · Q4 1.2% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
0.7%
1.2 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.4% · Q3 0.7% · Q4 0.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
1.6%
2.6 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.4% · Q3 3.5% · Q4 4.3% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
17.2%
10.8 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 40.1% · Q3 22.6% · Q4 20.6% · 4Q avg 28.0% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
5.8%
2.4 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 16.8% · Q3 3.5% · Q4 5.3% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
79.8%
11.2 pts better
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.9% · Q2 94.2% · Q3 91.3% · Q4 90.0% · 4Q avg 91.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
14.1%
4.3 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 10.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.6%
0.4 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.0% · Q3 2.4% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.2% |
78.0%
14.8 pts worse
|
79.7%
16.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
24.7%
1.1 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 29.2% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-11 · Fire 2023-08-11
8 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-11-05 · Fire 2021-11-05
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-03-07
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-04-01
D · Potential for more than minimal harm
2024-12-12
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-12-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-06-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-16
D · Potential for more than minimal harm
2024-03-14
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-13
E · Potential for more than minimal harm
2023-08-11
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-11
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-10
F · Potential for more than minimal harm
2021-11-05
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-11-05
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-11-05
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-11-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-11-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-11-05
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-12-05
C · Minimal harm
2021-11-05
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2021-12-05
Penalties and ownership
What sits behind the stars
Ownership
Pepper Hill SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Capital Funding Group, LLC
5% Or Greater Security Interest · Organization
Capital Funding LLC
5% Or Greater Mortgage Interest · Organization
Ch Pepper Hill Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ch Pepper Hill Holdings LLC
5% Or Greater Mortgage Interest · Organization
Cw Pepper Hill Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Cw Pepper Hill Holdings LLC
5% Or Greater Mortgage Interest · Organization
Fowler, Wanda M
Operational/Managerial Control · Individual
Goodman, Menucha
Operational/Managerial Control · Individual
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Herzka, Yisroel
5% Or Greater Mortgage Interest · Individual
Lionheart SNF LLC
5% Or Greater Indirect Ownership Interest · Organization
Pepper Hill SNF Realty LLC
5% Or Greater Mortgage Interest · Organization
Ss Pepper Hill Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ss Pepper Hill Holdings LLC
5% Or Greater Mortgage Interest · Organization
Strauss, Susan
5% Or Greater Indirect Ownership Interest · Individual
Strauss, Susan
Corporate Officer · Individual
Strauss, Susan
5% Or Greater Mortgage Interest · Individual
Venza Care Administrative Services LLC
Operational/Managerial Control · Organization
Venza Care Clinical Consulting LLC
Operational/Managerial Control · Organization
Wheeler, Kerry
Operational/Managerial Control · Individual
Wolofsky, Chava
5% Or Greater Indirect Ownership Interest · Individual
Wolofsky, Chava
5% Or Greater Mortgage Interest · Individual
Nearby options
Other facilities in reach
#1
PruittHealth- Aiken
Aiken, SC
3-star overall rating with 3-star inspections with 3 recent health deficiencies
#2
Carlyle Senior Care of Aiken
Aiken, SC
1-star overall rating with 1-star inspections with 7 recent health deficiencies
#3
Anchor Post Acute
Aiken, SC
1-star overall rating with 2-star inspections with $9,428 in total fines with 7 recent health deficiencies
Jump out