Saint Matthews, SC

Calhoun Convalescent Center

1-star overall rating with 1-star inspections with $133,935 in total fines with 6 recent health deficiencies

601 Dantzler Street, Saint Matthews, SC

(803) 655-7101

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Fundamental Healthcare

Operator or chain grouping

Approved since

1989-01-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

69 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.46

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

1.77

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

2.95

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.63

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.23

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,183

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

7.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.60

Baseline 23.92% · Performance 21.79% · Measure score 2.60 · Achievement 0 · Improvement 2.60

Healthcare-associated infections

Baseline 7.88% · Performance 9.49% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 57.66% · Performance 68.42% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.46

Baseline 2.91 hours · Performance 3.19 hours · Measure score 0.46 · Achievement 0 · Improvement 0.46

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.29%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 8.62% · Lower 95% interval 6.51%
Discharge to community	51.1%	50.57% 0.5 pts better	No Different than the National Rate · Eligible stays 41 · Observed rate 41.46% · Lower 95% interval 37.29%
Medicare spending per beneficiary	1.37	1.02 0.4 pts worse
Drug regimen review with follow-up	87.5%	95.27% 7.8 pts worse	Numerator 21 · Denominator 24
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 24
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.17%	2.29% 1.9 pts worse	Numerator 1 · Denominator 24 · Adjusted rate 3.11%
Healthcare-associated infections requiring hospitalization	9.49%	7.12% 2.4 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 20% · Lower 95% interval 5.34%
Staff COVID-19 vaccination coverage	85.57%	8.2% 77.4 pts better	Numerator 83 · Denominator 97
Staff flu vaccination coverage	59.79%	42% 17.8 pts better	Numerator 58 · Denominator 97
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · 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	1.4	2.0 0.6 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.9 0.6 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	43.3%	90.5% 47.2 pts worse	93.4% 50.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 40.4% · Q3 45.0% · Q4 52.4% · 4Q avg 43.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.0%	90.6% 3.6 pts worse	95.5% 8.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	3.0% 2.1 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	11.1%	2.9% 8.2 pts worse	11.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 12.5% · Q3 10.8% · Q4 7.8% · 4Q avg 11.1%
Percentage of long-stay residents who lose too much weight	11.8%	6.2% 5.6 pts worse	5.4% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 18.7% · Q3 11.1% · Q4 9.3% · 4Q avg 11.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.5%	20.4% 2.9 pts better	19.6% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 16.0% · Q3 17.6% · Q4 17.0% · 4Q avg 17.5%
Percentage of long-stay residents who received an antipsychotic medication	21.6%	16.3% 5.3 pts worse	16.7% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 21.0% · Q3 20.6% · Q4 18.8% · 4Q avg 21.6% · 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	32.8%	14.9% 17.9 pts worse	16.3% 16.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 45.5% · Q3 6.5% · Q4 38.6% · 4Q avg 32.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.1%	12.4% 13.7 pts worse	14.9% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.3% · Q2 41.1% · Q3 6.5% · Q4 18.1% · 4Q avg 26.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.7% 0.4 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	1.6% 0.2 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.8%	17.2% 1.6 pts worse	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 19.3% · Q3 18.0% · Q4 21.5% · 4Q avg 18.8%
Percentage of long-stay residents with pressure ulcers	5.6%	5.8% 0.2 pts better	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.3% · Q3 3.7% · Q4 8.3% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	11.0%	79.8% 68.8 pts worse	81.7% 70.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 14.3% · Q3 11.9% · Q4 15.2% · 4Q avg 11.0%
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% · 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	39.5%	78.0% 38.5 pts worse	79.7% 40.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-26 · Fire 2025-03-26

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-08-11 · Fire 2023-08-11

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2021-10-01 · Fire 2021-10-01

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-08-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-09-01

Inspection history

Recent health citations

J · Immediate jeopardy 2025-03-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-03-26

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 2025-04-08

D · Potential for more than minimal harm 2025-03-26

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-03-26

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 2025-04-08

D · Potential for more than minimal harm 2025-03-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-03-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-08

J · Immediate jeopardy 2024-06-14

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 2024-06-12

D · Potential for more than minimal harm 2024-02-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-06

J · Immediate jeopardy 2023-09-05

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 2023-09-07

J · Immediate jeopardy 2023-09-05

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-09-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-09-24

F · Potential for more than minimal harm 2023-08-11

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-10-04

F · Potential for more than minimal harm 2023-08-11

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 2023-10-04

E · Potential for more than minimal harm 2023-08-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-10-04