4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Scranton, SC
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1940 Boyd Road, Scranton, SC
(843) 389-9201
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
1983-07-21
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
RN hours / resident day
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.08
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.77
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,223
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9903
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.05
Baseline 20.53% · Performance 20.02% · Measure score 3.05 · Achievement 3.05 · Improvement 0.96
Healthcare-associated infections
6.41
Baseline 10.48% · Performance 6.69% · Measure score 6.41 · Achievement 3.82 · Improvement 6.41
Total nurse turnover
5.33
Baseline 64.56% · Performance 41.89% · Measure score 5.33 · Achievement 5.33 · Improvement 5.21
Adjusted total nurse staffing
0
Baseline 3.19 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.5% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 20% · Lower 95% interval 7.59% |
| Discharge to community | 49.14% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 32.35% · Lower 95% interval 32.76% |
| Medicare spending per beneficiary | 1.32 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 82 · Denominator 82 |
| Falls with major injury | 1.22% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 82 |
| Discharge self-care score | 38% |
53.69%
15.7 pts worse
|
Numerator 19 · Denominator 50 |
| Discharge mobility score | 48% |
50.94%
2.9 pts worse
|
Numerator 24 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 1.22% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 82 · Adjusted rate 0.87% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 4.16% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 96 |
| Staff flu vaccination coverage | 31.46% |
42%
10.5 pts worse
|
Numerator 28 · Denominator 89 |
| Discharge function score | 44% |
56.45%
12.5 pts worse
|
Numerator 22 · Denominator 50 |
| Transfer of health information to provider | 95% |
95.95%
1 pts worse
|
Numerator 38 · Denominator 40 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
90.5%
0.8 pts better
|
93.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 90.0% · Q3 97.1% · Q4 95.9% · 4Q avg 91.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
90.6%
0.8 pts better
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.0%
2.6 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.3% · Q3 7.4% · Q4 8.1% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 36.4% |
2.9%
33.5 pts worse
|
11.4%
25 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 34.4% · Q3 30.2% · Q4 37.7% · 4Q avg 36.4% |
| Percentage of long-stay residents who lose too much weight | 11.2% |
6.2%
5 pts worse
|
5.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 12.3% · Q3 17.5% · Q4 10.3% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.9% |
20.4%
4.5 pts worse
|
19.6%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 29.4% · Q3 26.2% · Q4 22.5% · 4Q avg 24.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
16.3%
0.5 pts better
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 17.0% · Q3 17.6% · Q4 16.7% · 4Q avg 15.8% · 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 | 12.5% |
14.9%
2.4 pts better
|
16.3%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.7% |
12.4%
2.7 pts better
|
14.9%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 11.9% · Q3 8.8% · Q4 6.2% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.7%
0.1 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.6%
0.2 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 1.5% · Q4 2.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.7% |
17.2%
9.5 pts better
|
19.8%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 7.2% · Q3 5.1% · Q4 7.5% · 4Q avg 7.7% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.8%
1 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.1% · Q3 5.5% · Q4 2.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.2% |
79.8%
15.6 pts worse
|
81.7%
17.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.9% · Q2 54.5% · Q3 72.8% · Q4 81.8% · 4Q avg 64.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
14.1%
8.4 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 7.1% · Expected 14.1% · 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 | 54.4% |
78.0%
23.6 pts worse
|
79.7%
25.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% |
24.7%
10.2 pts better
|
23.9%
9.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 19.0% · Expected 31.3% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
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 2024-05-30
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-05-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-05-27
Inspection history
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-08-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-31
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-30
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-30
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 2022-06-03
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-03
Health
Dispose of garbage and refuse properly.
Corrected 2022-04-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-04-26
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 2022-04-26
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-26
Health
Keep all essential equipment working safely.
Corrected 2022-06-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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