Compass Post Acute Rehabilitation ratings, inspections, staffing, and fines

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in South Carolina.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

4 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among South Carolina homes

Compass Post Acute Rehabilitation carries 5 inspection points. That is fewer than 84% of South Carolina's 186 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–3 pts
4★ 3–15 pts
3★ 15–33 pts
2★ 33–57 pts
1★ over 57 pts

Bars show every rated home in South Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

3 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts

E 0 8 pts

F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary2F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 10, 2025 · Standard · F812 · Corrected May 1, 2025
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
March 26, 2024 · Standard · F812 · Corrected April 12, 2024

Resident Assessment and Care Planning1D

D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
April 10, 2025 · Standard · F657 · Corrected May 1, 2025

Inspection history

2026-07-16
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-04-10
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-03-26
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 31 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

3 h 31 min

South Carolina average

3 h 52 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 37% of nursing staff and 42% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better	1.5	2.0	1.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same	1.7	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better	100.0%	91.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.5 pts better	100.0%	92.5%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse	4.6%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms7.2 pts worse	10.4%	3.2%	13.5%
Percentage of long-stay residents who lose too much weight8.7 pts worse	14.8%	6.1%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.5 pts better	12.8%	21.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication3.2 pts better	12.2%	15.4%	15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better	0.0%	0.1%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better	10.4%	11.8%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse	12.3%	11.6%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better	0.4%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better	0.0%	1.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts better	12.4%	16.2%	18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better	3.8%	4.9%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.6 pts better	99.5%	81.9%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better	13.1%	13.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse	1.5%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.9 pts better	94.9%	79.0%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts better	21.5%	24.3%	23.4%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Burnam, Soon	Corporate Officer · Individual	0%	353 facilities
Conway Health Holdings LLC	Adp Of The SNF · Organization	0%	1 facilities
Craven, Robert	Managing Control - Governing Body · Individual	0%	2 facilities
Craven, Robert	Adp Of The SNF · Individual	0%	2 facilities
Peterson, Forrest	Corporate Officer · Individual	0%	42 facilities
Sato, Ami	Corporate Officer · Individual	0%	151 facilities
Standard Bearer Healthcare Op LP	Adp Of The SNF · Organization	0%	21 facilities
Thatcher, Brent	Corporate Officer · Individual	0%	17 facilities
The Ensign Group Inc	Adp Of The SNF · Organization	0%	135 facilities
Tiller, Raymond	Managing Control - Governing Body · Individual	0%	1 facilities
Tiller, Raymond	Operational/Managerial Control · Individual	0%	1 facilities
Tiller, Raymond	Adp Of The SNF · Individual	0%	1 facilities

·

Other homes nearby

Oak View Health And Rehabilitation
Conway, SC · The Ensign Group

Worst citation, 3 yrs
L

Nursing / resident / day
3 h 40 min

Fines
$59,005
PruittHealth- Conway At Conway Medical Center
Conway, SC · Pruitthealth

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 26 min

Fines
$0
Angel Oak Nursing and Rehabilitation Center, LLC
Myrtle Beach, SC · Ivy Healthcare Group

Worst citation, 3 yrs
G

Nursing / resident / day
3 h 17 min

Fines
$8,788

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