Florence, SC

Heritage Home Of Florence Inc

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

515 South Warley Street, Florence, SC

(843) 662-4573

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

120

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-02-21

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

0.49

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

3.91

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.26

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,784

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

Performance score

15.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.15% · Performance 21.70% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.75

Baseline 7.55% · Performance 7.31% · Measure score 1.75 · Achievement 1.75 · Improvement 0.41

Total nurse turnover

0

Baseline 51.61% · Performance 97.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.38

Baseline 4.54 hours · Performance 4.32 hours · Measure score 4.38 · Achievement 4.38 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.2%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 70 · Observed rate 12.86% · Lower 95% interval 7.33%
Discharge to community	33.47%	50.57% 17.1 pts worse	Worse than the National Rate · Eligible stays 44 · Observed rate 20.45% · Lower 95% interval 22.7%
Medicare spending per beneficiary	1.56	1.02 0.5 pts worse
Drug regimen review with follow-up	95.06%	95.27% 0.2 pts worse	Numerator 77 · Denominator 81
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 81
Discharge self-care score	27.66%	53.69% 26 pts worse	Numerator 13 · Denominator 47
Discharge mobility score	38.3%	50.94% 12.6 pts worse	Numerator 18 · Denominator 47
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 81 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.31%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 4.24%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 96
Staff flu vaccination coverage	77.57%	42% 35.6 pts better	Numerator 83 · Denominator 107
Discharge function score	38.3%	56.45% 18.2 pts worse	Numerator 18 · Denominator 47
Transfer of health information to provider	97.78%	95.95% 1.8 pts better	Numerator 44 · Denominator 45
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	4.55%	25.2% 20.6 pts worse	Numerator 3 · Denominator 66

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.2	2.0 1.2 pts worse	1.9 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.9 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.9 0.5 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	73.8%	90.5% 16.7 pts worse	93.4% 19.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 70.1% · Q3 75.8% · Q4 80.0% · 4Q avg 73.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.5%	90.6% 2.1 pts worse	95.5% 7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.5%
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	3.0% 2.7 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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	11.0%	6.2% 4.8 pts worse	5.4% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 9.3% · Q3 9.5% · Q4 15.2% · 4Q avg 11.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.7%	20.4% 5.7 pts better	19.6% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 18.4% · Q3 15.2% · Q4 13.1% · 4Q avg 14.7%
Percentage of long-stay residents who received an antipsychotic medication	20.8%	16.3% 4.5 pts worse	16.7% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 20.0% · Q3 20.3% · Q4 20.9% · 4Q avg 20.8% · 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	23.9%	14.9% 9 pts worse	16.3% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 30.2% · Q3 33.6% · Q4 21.8% · 4Q avg 23.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.6%	12.4% 14.2 pts worse	14.9% 11.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.1% · Q3 38.3% · Q4 27.9% · 4Q avg 26.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.5%	0.7% 1.8 pts worse	1.0% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.3% · Q3 2.7% · Q4 1.6% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.9%	1.6% 1.3 pts worse	1.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.2% · Q4 5.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.7%	17.2% 1.5 pts worse	19.8% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 13.4% · Q3 22.6% · Q4 27.5% · 4Q avg 18.7%
Percentage of long-stay residents with pressure ulcers	12.9%	5.8% 7.1 pts worse	5.1% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 12.8% · Q3 11.7% · Q4 18.3% · 4Q avg 12.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	60.1%	79.8% 19.7 pts worse	81.7% 21.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 39.2% · Q3 71.7% · Q4 90.3% · 4Q avg 60.1%
Percentage of short-stay residents who had an outpatient emergency department visit	12.6%	14.1% 1.5 pts better	12.0% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.8% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.6% 0.5 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 1.8% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.8%	78.0% 38.2 pts worse	79.7% 39.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.1%	24.7% 3.4 pts worse	23.9% 4.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 32.6% · Expected 27.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-10 · Fire 2024-10-10

3 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-01-06 · Fire 2023-01-06

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-06-24 · Fire 2021-06-24

11 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-10

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-31

D · Potential for more than minimal harm 2023-01-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-20

D · Potential for more than minimal harm 2023-01-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-20

D · Potential for more than minimal harm 2023-01-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-01-20

D · Potential for more than minimal harm 2021-06-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-09-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-10

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 2024-10-31

D · Potential for more than minimal harm 2024-10-10

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-31

D · Potential for more than minimal harm 2023-01-06

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-01-18

D · Potential for more than minimal harm 2021-06-24

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 2021-07-19

D · Potential for more than minimal harm 2021-06-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-07-18

D · Potential for more than minimal harm 2021-06-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-07-17

D · Potential for more than minimal harm 2021-06-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-24

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 2021-07-17

D · Potential for more than minimal harm 2021-06-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-07-19

D · Potential for more than minimal harm 2021-06-24

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 2021-07-19

D · Potential for more than minimal harm 2021-06-24

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 2021-07-16

D · Potential for more than minimal harm 2021-06-24