Cycle 1
Health 2024-08-15 · Fire 2024-08-15
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Gaffney, SC
Brookview Healthcare Center
1-star overall rating with 1-star inspections with $42,599 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
510 Thompson Street, Gaffney, SC
(864) 489-3101
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-02-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.20
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.11
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.22
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.23
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
78%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,026
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.43
Baseline 21.74% · Performance 19.89% · Measure score 3.43 · Achievement 3.34 · Improvement 3.43
Healthcare-associated infections
2.52
Baseline 8.02% · Performance 7.11% · Measure score 2.52 · Achievement 2.43 · Improvement 2.52
Total nurse turnover
3.81
Baseline 36.36% · Performance 48.11% · Measure score 3.81 · Achievement 3.81 · Improvement 0
Adjusted total nurse staffing
1.45
Baseline 3.82 hours · Performance 3.49 hours · Measure score 1.45 · Achievement 1.45 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.91% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 16.09% · Lower 95% interval 8.64% |
| Discharge to community | 55.24% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 68 · Observed rate 44.12% · Lower 95% interval 44.18% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.87% |
95.27%
2.6 pts better
|
Numerator 46 · Denominator 47 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 47 |
| Discharge self-care score | 39.13% |
53.69%
14.6 pts worse
|
Numerator 9 · Denominator 23 |
| Discharge mobility score | 30.43% |
50.94%
20.5 pts worse
|
Numerator 7 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 4.26% |
2.29%
2 pts worse
|
Numerator 2 · Denominator 47 · Adjusted rate 2.86% |
| Healthcare-associated infections requiring hospitalization | 7.11% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.9% |
| Staff COVID-19 vaccination coverage | 3.5% |
8.2%
4.7 pts worse
|
Numerator 5 · Denominator 143 |
| Staff flu vaccination coverage | 20.81% |
42%
21.2 pts worse
|
Numerator 36 · Denominator 173 |
| Discharge function score | 39.13% |
56.45%
17.3 pts worse
|
Numerator 9 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.0
1.3 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.3 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.3 |
1.9
2.4 pts worse
|
1.8
2.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% |
90.5%
5.1 pts worse
|
93.4%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 89.0% · Q3 83.0% · Q4 81.6% · 4Q avg 85.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.1% |
90.6%
0.5 pts better
|
95.5%
4.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| 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 4.6% · Q2 8.0% · Q3 5.0% · Q4 1.9% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.9%
2.9 pts better
|
11.4%
11.4 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 who lose too much weight | 5.7% |
6.2%
0.5 pts better
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 3.4% · Q3 2.2% · Q4 8.2% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.4% |
20.4%
6 pts worse
|
19.6%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 26.1% · Q3 26.4% · Q4 23.9% · 4Q avg 26.4% |
| 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 22.1% · Q2 24.2% · Q3 21.2% · Q4 26.9% · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.2%
0.3 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3% |
14.9%
5.6 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
12.4%
3.9 pts worse
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 5.3% · Q3 27.6% · Q4 17.6% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.7%
0.7 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 1.5% · Q4 0.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.6% |
1.6%
5 pts worse
|
1.7%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 3.0% · Q3 5.0% · Q4 8.8% · 4Q avg 6.6% · 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 · Q1 15.8% · Q2 23.1% · Q3 23.4% · Q4 9.7% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
5.8%
1.9 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.6% · Q3 1.7% · Q4 3.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.5% |
79.8%
30.3 pts worse
|
81.7%
32.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 47.6% · Q2 53.8% · Q3 53.5% · Q4 42.2% · 4Q avg 49.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
14.1%
4 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 17.2% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.6%
0.8 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.4% |
78.0%
42.6 pts worse
|
79.7%
44.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.7% |
24.7%
11 pts worse
|
23.9%
11.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.7% · Observed 37.9% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-08 · Fire 2022-07-08
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-04-29 · Fire 2021-04-29
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-08-15
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-08-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-08-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-08-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-28
Inspection history
Recent health citations
J · Immediate jeopardy
2025-09-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
J · Immediate jeopardy
2025-02-28
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 2025-03-22
D · Potential for more than minimal harm
2025-02-28
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 2025-03-22
J · Immediate jeopardy
2025-01-31
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-26
L · Immediate jeopardy
2024-08-15
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 2024-11-01
F · Potential for more than minimal harm
2024-08-15
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-08-15
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-11-01
D · Potential for more than minimal harm
2024-03-11
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-03-25
F · Potential for more than minimal harm
2022-07-08
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 2022-07-29
Penalties and ownership
What sits behind the stars
$11,910
2025-02-28
Fine
Fine · fine $11,910
Fine
$15,043
2025-01-31
Fine
Fine · fine $15,043
Fine
$15,646
2024-08-15
Fine
Fine · fine $15,646
Fine
Ownership
Najman, Eden
5% Or Greater Direct Ownership Interest · Individual
Hawkins, Christina
Operational/Managerial Control · Individual
Najman, Eden
Operational/Managerial Control · Individual
Osinloye, Adediji
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Peachtree Centre
Gaffney, SC
2-star overall rating with 3-star inspections with $7,901 in total fines with 2 recent health deficiencies
#2
Palmetto Patriots
Gaffney, SC
5-star overall rating with 5-star inspections with $30,147 in total fines
#3
White Oak Estates
Spartanburg, SC
4-star overall rating with 4-star inspections with $8,827 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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