1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Charleston, SC
5-star overall rating with 4-star inspections with $6,032 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
194 Spring St, Charleston, SC
(315) 576-5726
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
23
Certified beds
Average residents
20
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-10-06
CMS approved date
Coverage
Medicare
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
RN hours / resident day
1.31
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
2.59
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.91
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.32
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.64
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.22
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
64%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,565
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.03
Composite VBP score used to determine payment impact.
Payment multiplier
1.0029
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.57
Performance 18.39% · Measure score 6.57 · Achievement 6.57 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.90
Performance 5.77% · Measure score 6.90 · Achievement 6.90 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
1.24
Performance 58.62% · Measure score 1.24 · Achievement 1.24 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 317 · Observed rate 9.15% · Lower 95% interval 7.48% |
| Discharge to community | 58.71% |
50.57%
8.1 pts better
|
Better than the National Rate · Eligible stays 301 · Observed rate 54.82% · Lower 95% interval 53.56% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.52% |
95.27%
4.2 pts better
|
Numerator 209 · Denominator 210 |
| Falls with major injury | 0.48% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 210 |
| Discharge self-care score | 40.12% |
53.69%
13.6 pts worse
|
Numerator 67 · Denominator 167 |
| Discharge mobility score | 43.71% |
50.94%
7.2 pts worse
|
Numerator 73 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 210 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.77% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 199 · Observed rate 4.52% · Lower 95% interval 3.48% |
| Staff COVID-19 vaccination coverage | 3.85% |
8.2%
4.3 pts worse
|
Numerator 2 · Denominator 52 |
| Staff flu vaccination coverage | 68.31% |
42%
26.3 pts better
|
Numerator 97 · Denominator 142 |
| Discharge function score | 58.68% |
56.45%
2.2 pts better
|
Numerator 98 · Denominator 167 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 39 · Denominator 39 |
| Transfer of health information to patient | 99.4% |
96.28%
3.1 pts better
|
Numerator 166 · Denominator 167 |
| Resident COVID-19 vaccinations up to date | 11.93% |
25.2%
13.3 pts worse
|
Numerator 13 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
79.8%
19.7 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
14.1%
5.2 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.1% · Expected 10.2% · 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 | 32.0% |
78.0%
46 pts worse
|
79.7%
47.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 32.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.3% |
24.7%
3.4 pts better
|
23.9%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 17.4% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-05-28
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-26
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-01
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 2024-03-01
Penalties and ownership
Fine · fine $6,032
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Nearby options
Charleston, SC
2-star overall rating with 1-star inspections with $46,164 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Mount Pleasant, SC
1-star overall rating with 1-star inspections with $84,974 in total fines with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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