Cycle 1
Health 2026-01-16 · Fire 2026-01-16
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hilton Head Island, SC
Broad Creek Care Center
5-star overall rating with 5-star inspections
801 Lemon Grass Court, Hilton Head Island, SC
(843) 341-7311
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
23
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vi Living
Operator or chain grouping
Approved since
1997-06-03
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
10 facilities
Chain averages 5 overall / 4 health / 5 staffing / 5 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
1.66
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.15
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.40
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.25
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.79
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.31
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.70
CMS adjusted RN staffing hours
Adjusted total hours
5.54
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,801
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.66
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
1.23
Baseline 20.41% · Performance 20.86% · Measure score 1.23 · Achievement 1.23 · Improvement 0
Healthcare-associated infections
0
Baseline 9.07% · Performance 9.06% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.47
Baseline 68.57% · Performance 38.09% · Measure score 6.47 · Achievement 6.26 · Improvement 6.47
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.6% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 174 · Observed rate 10.92% · Lower 95% interval 8.49% |
| Discharge to community | 70.55% |
50.57%
20 pts better
|
Better than the National Rate · Eligible stays 158 · Observed rate 67.72% · Lower 95% interval 64.53% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 84 · Denominator 84 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 84 |
| Discharge self-care score | 53.23% |
53.69%
0.5 pts worse
|
Numerator 33 · Denominator 62 |
| Discharge mobility score | 59.68% |
50.94%
8.7 pts better
|
Numerator 37 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 4 · Denominator 84 · Adjusted rate 5.71% |
| Healthcare-associated infections requiring hospitalization | 9.06% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 10.19% · Lower 95% interval 5.4% |
| Staff COVID-19 vaccination coverage | 15.28% |
8.2%
7.1 pts better
|
Numerator 11 · Denominator 72 |
| Staff flu vaccination coverage | 38.24% |
42%
3.8 pts worse
|
Numerator 26 · Denominator 68 |
| Discharge function score | 61.29% |
56.45%
4.8 pts better
|
Numerator 38 · Denominator 62 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.74% |
96.28%
0.5 pts worse
|
Numerator 45 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 39.47% |
25.2%
14.3 pts better
|
Numerator 15 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
90.5%
8 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.6%
9.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.0%
3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
2.9%
1.2 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.2%
1.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.9% |
20.4%
16.5 pts better
|
19.6%
15.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
16.3%
6.8 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.5% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
12.4%
4.2 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.6%
About the same
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.3% |
17.2%
2.9 pts better
|
19.8%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
5.8%
3.6 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
79.8%
15.3 pts better
|
81.7%
13.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 83.9% · 4Q avg 95.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
14.1%
0.5 pts better
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 12.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.0%
22 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 39.4% |
24.7%
14.7 pts worse
|
23.9%
15.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 39.4% · Observed 37.5% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-27 · Fire 2025-02-27
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-07 · Fire 2023-06-07
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-10-27
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-27
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 2023-11-30
D · Potential for more than minimal harm
2023-10-27
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 2023-11-30
F · Potential for more than minimal harm
2023-06-07
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 2023-07-07
D · Potential for more than minimal harm
2023-06-07
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 2023-07-07
D · Potential for more than minimal harm
2023-06-07
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 2023-07-07
Penalties and ownership
What sits behind the stars
Ownership
Cc-Development Group, Inc.
5% Or Greater Direct Ownership Interest · Organization
Margot And Tom Pritzker Foundation
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Karen Trust
5% Or Greater Indirect Ownership Interest · Organization
Pritzker Pucker Family Foundation No. 2
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Nicholas Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Daniel Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Don #3 Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Jim Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Johnny Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Linda Trust
5% Or Greater Indirect Ownership Interest · Organization
P. G. - Tony Trust
5% Or Greater Indirect Ownership Interest · Organization
Classic Residence Management Limited Partnership
Operational/Managerial Control · Organization
Cope, Tara
Corporate Director · Individual
Cope, Tara
Corporate Officer · Individual
Evraets, Melissa
Operational/Managerial Control · Individual
Hall, Robert
Operational/Managerial Control · Individual
Koszylko, Tomek
Operational/Managerial Control · Individual
Maslow, Cary
Operational/Managerial Control · Individual
Muszynski, Thomas
Corporate Director · Individual
Muszynski, Thomas
Corporate Officer · Individual
Poorman, John
Corporate Director · Individual
Poorman, John
Corporate Officer · Individual
Smith, Gary
Corporate Director · Individual
Smith, Gary
Corporate Officer · Individual
Whiting, Jennifer
Operational/Managerial Control · Individual
Williams, Andrea
Operational/Managerial Control · Individual
Williams, Bridget
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Fraser Health Center
Hilton Head Island, SC
5-star overall rating with 3-star inspections with 4 recent health deficiencies
#2
The Preston Health Center
Hilton Head Island, SC
5-star overall rating with 5-star inspections with $8,018 in total fines
#3
Life Care Center of Hilton Head
Hilton Head Island, SC
2-star overall rating with 1-star inspections with abuse icon flag with $8,281 in total fines with 5 recent health deficiencies
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