Cycle 1
Health 2024-11-15 · Fire 2024-11-15
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cheraw, SC
Cheraw Healthcare
2-star overall rating with 2-star inspections with $210,130 in total fines with 6 recent health deficiencies
400 Moffat Road, Cheraw, SC
(843) 537-5253
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-02-06
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
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.29
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.22
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
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.37
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,245
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9859
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.35
Baseline 23.18% · Performance 19.58% · Measure score 5.35 · Achievement 3.99 · Improvement 5.35
Healthcare-associated infections
1.58
Baseline 9.72% · Performance 8.74% · Measure score 1.58 · Achievement 0 · Improvement 1.58
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.16
Baseline 3.35 hours · Performance 3.69 hours · Measure score 2.16 · Achievement 2.16 · Improvement 0.91
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 6.71% · Lower 95% interval 6.31% |
| Discharge to community | 42.33% |
50.57%
8.2 pts worse
|
Worse than the National Rate · Eligible stays 133 · Observed rate 36.84% · Lower 95% interval 34.7% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 125 · Denominator 125 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 124 |
| Discharge self-care score | 47.62% |
53.69%
6.1 pts worse
|
Numerator 40 · Denominator 84 |
| Discharge mobility score | 39.29% |
50.94%
11.6 pts worse
|
Numerator 33 · Denominator 84 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 4 · Denominator 124 · Adjusted rate 2.79% |
| Healthcare-associated infections requiring hospitalization | 8.74% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 9.09% · Lower 95% interval 5.57% |
| Staff COVID-19 vaccination coverage | 3% |
8.2%
5.2 pts worse
|
Numerator 3 · Denominator 100 |
| Staff flu vaccination coverage | 23.38% |
42%
18.6 pts worse
|
Numerator 36 · Denominator 154 |
| Discharge function score | 44.05% |
56.45%
12.4 pts worse
|
Numerator 37 · Denominator 84 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 60 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.9
0.1 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.0% |
90.5%
12.5 pts worse
|
93.4%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.2% · Q2 69.6% · Q3 69.6% · Q4 89.0% · 4Q avg 78.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.1% |
90.6%
1.5 pts worse
|
95.5%
6.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.0%
2.2 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.9% · Q3 5.9% · Q4 6.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
2.9%
2.3 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.2%
3.8 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 10.5% · Q3 11.8% · Q4 12.0% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.0% |
20.4%
2.6 pts worse
|
19.6%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 22.6% · Q3 18.4% · Q4 24.7% · 4Q avg 23.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.7% |
16.3%
6.6 pts better
|
16.7%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 8.1% · Q3 9.6% · Q4 10.3% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 6.9% |
0.2%
6.7 pts worse
|
0.1%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 6.9% · Q3 4.9% · Q4 6.0% · 4Q avg 6.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.0% |
14.9%
5.1 pts worse
|
16.3%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 16.2% · Q3 23.5% · Q4 9.8% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
12.4%
4 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 20.3% · Q3 16.2% · Q4 9.2% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.7%
0.6 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.4% · Q3 0.5% · Q4 0.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.6%
0.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
17.2%
11.5 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.8% · Q2 27.6% · Q3 35.9% · Q4 11.7% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
5.8%
2.6 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.3% · Q3 7.3% · Q4 9.2% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.7% |
79.8%
1.1 pts worse
|
81.7%
3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 83.0% · Q2 72.1% · Q3 83.1% · Q4 77.3% · 4Q avg 78.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
14.1%
1.9 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 16.7% · Expected 11.6% · 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 | 66.7% |
78.0%
11.3 pts worse
|
79.7%
13 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.7% |
24.7%
3 pts worse
|
23.9%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 29.8% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-20 · Fire 2022-10-20
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-12-17 · Fire 2021-12-17
1 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.
Inspection history
Recent health citations
J · Immediate jeopardy
2025-11-07
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Not marked corrected
F · Potential for more than minimal harm
2024-11-15
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 2024-12-12
E · Potential for more than minimal harm
2024-11-15
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-15
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-15
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-06-19
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 2024-07-15
J · Immediate jeopardy
2023-04-25
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 2023-02-17
Penalties and ownership
What sits behind the stars
$22,925
2025-11-07
Fine
Fine · fine $22,925
Fine
$187,205
2023-04-25
Fine
Fine · fine $187,205
Fine
Ownership
Nearby options
Other facilities in reach
#1
Rehab Center of Cheraw
Cheraw, SC
0-star overall rating with 0-star inspections with Special Focus status with $64,075 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Bennettsville Health And Rehabilitation Center
Bennettsville, SC
1-star overall rating with 2-star inspections with $15,646 in total fines with 1 recent health deficiencies
#3
PruittHealth-Rockingham
Rockingham, NC
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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