Inman, SC

Lake Emory Post Acute Care

1-star overall rating with 2-star inspections with abuse icon flag with $13,627 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

59 Blackstock Road, Inman, SC

(864) 472-2028

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

88

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Fundamental Healthcare

Operator or chain grouping

Approved since

1991-02-15

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

0.19

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

1.83

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

3.11

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

2.73

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.12

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

0.21

CMS adjusted RN staffing hours

Adjusted total hours

3.45

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

63%

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

13,726

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

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0

Baseline 6.95% · Performance 8.96% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Baseline 60.67% · Performance 69.62% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.73 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.24%
10.72%
0.5 pts better
No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 6.76%
Discharge to community 34.92%
50.57%
15.6 pts worse
No Different than the National Rate · Eligible stays 35 · Observed rate 22.86% · Lower 95% interval 24.52%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 23 · Denominator 23
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 23
Discharge self-care score 50%
53.69%
3.7 pts worse
Numerator 10 · Denominator 20
Discharge mobility score 35%
50.94%
15.9 pts worse
Numerator 7 · Denominator 20
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 23 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 8.96%
7.12%
1.8 pts worse
No Different than the National Rate · Eligible stays 25 · Observed rate 20% · Lower 95% interval 4.04%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 82
Staff flu vaccination coverage 80.21%
42%
38.2 pts better
Numerator 77 · Denominator 96
Discharge function score 40%
56.45%
16.5 pts worse
Numerator 8 · Denominator 20
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
90.5%
6.5 pts better
93.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 97.3% · Q3 94.9% · Q4 100.0% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
90.6%
6.8 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
3.0%
2.2 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.4% · Q3 5.1% · Q4 6.2% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 10.1%
2.9%
7.2 pts worse
11.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.1% · Q3 8.8% · Q4 8.7% · 4Q avg 10.1%
Percentage of long-stay residents who lose too much weight 3.2%
6.2%
3 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.0% · Q3 4.1% · Q4 2.7% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.7%
20.4%
3.3 pts worse
19.6%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 20.9% · Q3 25.7% · Q4 28.4% · 4Q avg 23.7%
Percentage of long-stay residents who received an antipsychotic medication 16.0%
16.3%
0.3 pts better
16.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 13.7% · Q3 19.4% · Q4 18.3% · 4Q avg 16.0% · 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 26.3%
14.9%
11.4 pts worse
16.3%
10 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 29.5% · Q4 16.9% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.4%
12.4%
8 pts worse
14.9%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 16.4% · Q3 23.8% · Q4 28.4% · 4Q avg 20.4% · 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 0.7%
1.6%
0.9 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.3%
17.2%
4.1 pts worse
19.8%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.1% · Q3 33.1% · Q4 24.6% · 4Q avg 21.3%
Percentage of long-stay residents with pressure ulcers 10.1%
5.8%
4.3 pts worse
5.1%
5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 9.7% · Q3 14.0% · Q4 4.6% · 4Q avg 10.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.7%
79.8%
2.9 pts better
81.7%
1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 79.7% · Q3 70.6% · Q4 85.4% · 4Q avg 82.7%
Percentage of short-stay residents who newly received an antipsychotic medication 3.7%
1.6%
2.1 pts worse
1.6%
2.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.8% · Q3 4.0% · Q4 3.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75.0%
78.0%
3 pts worse
79.7%
4.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-26 · Fire 2024-07-18

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-18 · Fire 2023-02-03

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-03 · Fire 2021-06-24

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-07-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-18

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-08-12

F · Potential for more than minimal harm 2023-02-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-19

E · Potential for more than minimal harm 2023-02-03

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-02-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-02-03

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-02-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-04-19

Inspection history

Recent health citations

G · Actual harm 2026-01-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-08-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-04-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-12

J · Immediate jeopardy 2024-08-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-12

J · Immediate jeopardy 2024-08-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-08-14

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-08-15

F · Potential for more than minimal harm 2024-07-18

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 2024-08-15

D · Potential for more than minimal harm 2023-08-24

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 2023-10-11

F · Potential for more than minimal harm 2023-02-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-02-03

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-02-03

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-02-03

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-02-03

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 2023-03-14

Penalties and ownership

What sits behind the stars

$6,813 2024-07-18

Fine

Fine · fine $6,813

Fine

$6,814 2024-07-18

Fine

Fine · fine $6,814

Fine

Ownership

Thi Of South Carolina, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 18 facilities 2003-08-30
Blankenship, Jeanette

Corporate Officer · Individual

0% 1 facilities 2019-05-30
Blankenship, Jeanette

W-2 Managing Employee · Individual

0% 1 facilities 2019-05-30
Forman, Murray

5% Or Greater Indirect Ownership Interest · Individual

0% 42 facilities 2006-03-28
Hunt Valley Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 37 facilities 2006-03-28
Thi Of Baltimore, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 37 facilities 2003-08-30

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