Orangeburg, SC

Jolley Acres Healthcare Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies

1180 Wolfe Trail, Orangeburg, SC

(803) 534-1001

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

55

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Fundamental Healthcare

Operator or chain grouping

Approved since

1980-07-01

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

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

0.32

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.19

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,744

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

Performance score

42.86

Composite VBP score used to determine payment impact.

Payment multiplier

0.9958

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.20

Baseline 23.14% · Performance 20.87% · Measure score 3.20 · Achievement 1.20 · Improvement 3.20

Healthcare-associated infections

4.42

Baseline 10.94% · Performance 8.02% · Measure score 4.42 · Achievement 0 · Improvement 4.42

Total nurse turnover

8.33

Baseline 36.59% · Performance 29.63% · Measure score 8.33 · Achievement 8.33 · Improvement 5.43

Adjusted total nurse staffing

1.19

Baseline 3.83 hours · Performance 3.42 hours · Measure score 1.19 · Achievement 1.19 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.64%	10.72% 2.9 pts worse	No Different than the National Rate · Eligible stays 106 · Observed rate 16.98% · Lower 95% interval 9.52%
Discharge to community	51.48%	50.57% 0.9 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 45.98% · Lower 95% interval 40.83%
Medicare spending per beneficiary	1.29	1.02 0.3 pts worse
Drug regimen review with follow-up	97.22%	95.27% 2 pts better	Numerator 70 · Denominator 72
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 72
Discharge self-care score	46.51%	53.69% 7.2 pts worse	Numerator 20 · Denominator 43
Discharge mobility score	41.86%	50.94% 9.1 pts worse	Numerator 18 · Denominator 43
Pressure ulcers or injuries, new or worsened	1.39%	2.29% 0.9 pts better	Numerator 1 · Denominator 72 · Adjusted rate 0.93%
Healthcare-associated infections requiring hospitalization	8.02%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 9.72% · Lower 95% interval 4.83%
Staff COVID-19 vaccination coverage	6.17%	8.2% 2 pts worse	Numerator 5 · Denominator 81
Staff flu vaccination coverage	97.53%	42% 55.5 pts better	Numerator 158 · Denominator 162
Discharge function score	34.88%	56.45% 21.6 pts worse	Numerator 15 · Denominator 43
Transfer of health information to provider	14.29%	95.95% 81.7 pts worse	Numerator 4 · Denominator 28
Transfer of health information to patient	92.59%	96.28% 3.7 pts worse	Numerator 25 · Denominator 27
Resident COVID-19 vaccinations up to date	31.43%	25.2% 6.2 pts better	Numerator 11 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.0 0.5 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.9 About the same	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	90.5% 7.8 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.7% · Q4 95.5% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.2%	90.6% 5.6 pts better	95.5% 0.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.0% 3 pts better	3.3% 3.3 pts better	Long 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 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	3.5%	6.2% 2.7 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 0.0% · Q4 9.3% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.6%	20.4% 7.8 pts better	19.6% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 11.4% · Q3 9.8% · Q4 13.6% · 4Q avg 12.6%
Percentage of long-stay residents who received an antipsychotic medication	26.1%	16.3% 9.8 pts worse	16.7% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 27.0% · Q3 28.1% · Q4 25.0% · 4Q avg 26.1% · 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	15.8%	14.9% 0.9 pts worse	16.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.8%	12.4% 4.6 pts better	14.9% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.3% · Q3 8.1% · Q4 15.0% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.6% 1.6 pts better	1.7% 1.7 pts better	Long 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 long-stay residents with new or worsened bowel or bladder incontinence	13.5%	17.2% 3.7 pts better	19.8% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.0% · Q3 15.1% · Q4 18.5% · 4Q avg 13.5%
Percentage of long-stay residents with pressure ulcers	9.4%	5.8% 3.6 pts worse	5.1% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 13.1% · Q3 7.6% · Q4 7.7% · 4Q avg 9.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	79.8% 14.4 pts better	81.7% 12.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 96.4% · Q3 96.2% · Q4 89.3% · 4Q avg 94.2%
Percentage of short-stay residents who had an outpatient emergency department visit	11.6%	14.1% 2.5 pts better	12.0% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.1% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.6% 0.2 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.3%	78.0% 11.3 pts better	79.7% 9.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.4%	24.7% 4.3 pts better	23.9% 3.5 pts better	Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 22.2% · Expected 25.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-19 · Fire 2024-09-19

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-08-25 · Fire 2022-08-25

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-06-10 · Fire 2021-06-10

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-09-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-19

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 2024-10-25

E · Potential for more than minimal harm 2022-08-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-09-25

F · Potential for more than minimal harm 2021-06-10

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-06-10