Cycle 1
Health 2025-04-30 · Fire 2025-04-30
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Myrtle Beach, SC
Brightwater Skilled Nursing Center
4-star overall rating with 3-star inspections with $7,342 in total fines with 8 recent health deficiencies
171 Brightwater Drive, Myrtle Beach, SC
(843) 903-8300
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
67
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Living Communities
Operator or chain grouping
Approved since
2009-12-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 5 staffing / 3 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
0.97
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.42
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.43
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.39
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.72
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
5.20
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,883
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.14% · Performance 27.05% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.02% · Performance 9.46% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.64
Baseline 64.37% · Performance 44.71% · Measure score 4.64 · Achievement 4.64 · Improvement 4.48
Adjusted total nurse staffing
5.51
Baseline 4.53 hours · Performance 4.65 hours · Measure score 5.51 · Achievement 5.51 · Improvement 0.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.4% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 538 · Observed rate 12.08% · Lower 95% interval 9.39% |
| Discharge to community | 58.53% |
50.57%
8 pts better
|
Better than the National Rate · Eligible stays 557 · Observed rate 53.5% · Lower 95% interval 53.24% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.89% |
95.27%
3.6 pts better
|
Numerator 355 · Denominator 359 |
| Falls with major injury | 1.67% |
0.77%
0.9 pts worse
|
Numerator 6 · Denominator 359 |
| Discharge self-care score | 53.08% |
53.69%
0.6 pts worse
|
Numerator 138 · Denominator 260 |
| Discharge mobility score | 56.92% |
50.94%
6 pts better
|
Numerator 148 · Denominator 260 |
| Pressure ulcers or injuries, new or worsened | 1.11% |
2.29%
1.2 pts better
|
Numerator 4 · Denominator 359 · Adjusted rate 1.15% |
| Healthcare-associated infections requiring hospitalization | 9.47% |
7.12%
2.4 pts worse
|
Worse than the National Rate · Eligible stays 352 · Observed rate 9.66% · Lower 95% interval 7.14% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | 13.27% |
42%
28.7 pts worse
|
Numerator 13 · Denominator 98 |
| Discharge function score | 66.92% |
56.45%
10.5 pts better
|
Numerator 174 · Denominator 260 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 226 · Denominator 226 |
| Transfer of health information to patient | 96.84% |
96.28%
0.6 pts better
|
Numerator 92 · Denominator 95 |
| Resident COVID-19 vaccinations up to date | 12.35% |
25.2%
12.8 pts worse
|
Numerator 21 · Denominator 170 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 3.9 · Expected 3.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
1.9
1.3 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 4.2 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
90.5%
2.6 pts better
|
93.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 90.9% · Q3 91.7% · Q4 95.5% · 4Q avg 93.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.3% |
90.6%
1.7 pts better
|
95.5%
3.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.0%
1.6 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.1% · Q3 4.2% · Q4 0.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
2.9%
0.8 pts worse
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.2% · Q4 0.0% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.2%
1.1 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.8% |
20.4%
2.4 pts worse
|
19.6%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
16.3%
7 pts worse
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.3% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.8% |
12.4%
8.6 pts better
|
14.9%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
17.2%
0.7 pts worse
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 23.6% · Q3 4.3% · Q4 13.3% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
5.8%
1.8 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 12.4% · Q3 6.5% · Q4 2.5% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% |
79.8%
9.3 pts better
|
81.7%
7.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.6% · Q2 89.4% · Q3 92.0% · Q4 90.8% · 4Q avg 89.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 28.1% |
14.1%
14 pts worse
|
12.0%
16.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 27.0% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.6%
0.2 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.6% · Q3 1.2% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.9% |
78.0%
11.9 pts better
|
79.7%
10.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
24.7%
4.9 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 28.4% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-13 · Fire 2023-09-13
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-01-06 · Fire 2022-01-06
7 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-01-06
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-01-20
D · Potential for more than minimal harm
2022-01-06
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-01-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-02
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Not marked corrected
D · Potential for more than minimal harm
2025-12-02
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.
Not marked corrected
E · Potential for more than minimal harm
2025-04-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-04-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-04-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-04-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-04-30
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-04-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-12
F · Potential for more than minimal harm
2023-09-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-18
D · Potential for more than minimal harm
2023-09-13
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-18
L · Immediate jeopardy
2022-01-06
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-01-28
K · Immediate jeopardy
2022-01-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-28
F · Potential for more than minimal harm
2022-01-06
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-01-28
D · Potential for more than minimal harm
2022-01-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-28
D · Potential for more than minimal harm
2022-01-06
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 2022-01-28
D · Potential for more than minimal harm
2022-01-06
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-01-28
D · Potential for more than minimal harm
2022-01-06
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 2022-01-28
Penalties and ownership
What sits behind the stars
$7,342
2023-07-17
Fine
Fine · fine $7,342
Fine
Ownership
Senior Living Commuities LLC
5% Or Greater Direct Ownership Interest · Organization
Maxwell Group, Inc.
Operational/Managerial Control · Organization
Thompson, Donald
Corporate Director · Individual
Nearby options
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3-star overall rating with 3-star inspections with $27,834 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
PruittHealth- Conway At Conway Medical Center
Conway, SC
1-star overall rating with 1-star inspections with 8 recent health deficiencies
#3
Angel Oak Nursing and Rehabilitation Center, LLC
Myrtle Beach, SC
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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