Saint Stephen, SC

Lake Moultrie Nursing Home

2-star overall rating with 2-star inspections with $19,097 in total fines with 3 recent health deficiencies

1038 McGill Lane, Saint Stephen, SC

(843) 567-2307

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

88

Certified beds

Average residents

83

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing

LPN hours / resident day

0.63

Licensed practical nurse staffing

Aide hours / resident day

2.17

Nurse aide staffing

Weekend hours

2.95

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.0
0.3 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
1.9
0.1 pts worse
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
90.5%
6.6 pts better
93.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
90.6%
9.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.0%
0.4 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.1%
2.9%
1.8 pts better
11.4%
10.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.6%
6.2%
2.6 pts better
5.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.7%
20.4%
3.7 pts better
19.6%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.1%
16.3%
9.2 pts better
16.7%
9.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 14.7%
14.9%
0.2 pts better
16.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.1%
12.4%
1.7 pts worse
14.9%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
0.7%
0.3 pts worse
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.0%
1.6%
0.4 pts worse
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.8%
17.2%
8.4 pts better
19.8%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.3%
5.8%
3.5 pts better
5.1%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.4%
79.8%
12.6 pts better
81.7%
10.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 22.7%
14.1%
8.6 pts worse
12.0%
10.7 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.5%
24.7%
0.8 pts worse
23.9%
1.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-22 · Fire 2025-01-22

3 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-04-06 · Fire 2023-04-06

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-09-17 · Fire 2021-09-17

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

J · Immediate jeopardy 2025-01-22

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 2025-01-23

D · Potential for more than minimal harm 2025-01-22

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 2025-02-10

D · Potential for more than minimal harm 2025-01-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-07

G · Actual harm 2023-04-06

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 2023-05-02

D · Potential for more than minimal harm 2023-04-06

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-05-02

D · Potential for more than minimal harm 2023-04-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-05-02

D · Potential for more than minimal harm 2023-04-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-05-02

D · Potential for more than minimal harm 2023-04-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-02

F · Potential for more than minimal harm 2021-09-17

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 2021-10-01

E · Potential for more than minimal harm 2021-09-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-08

Penalties and ownership

What sits behind the stars

$11,196 2025-01-22

Fine

Fine · fine $11,196

Fine

$7,901 2023-04-06

Fine

Fine · fine $7,901

Fine

Ownership

Browder, Christina

Corporate Officer · Individual

0% 3 facilities 2016-07-12
Clarendon Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

0% 3 facilities 2005-09-30
Matthews, Robin

Operational/Managerial Control · Individual

0% 1 facilities 2016-07-12
Matthews, Robin

Corporate Officer · Individual

0% 1 facilities 2016-07-12
Stanley, Mathew

Operational/Managerial Control · Individual

0% 4 facilities 2019-05-06
Stanley, Mathew

Corporate Director · Individual

0% 4 facilities 2019-05-06

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Health
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Staffing
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Fines
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2-star overall rating with 3-star inspections with $8,788 in total fines with 3 recent health deficiencies

Overall
2 / 5
Health
3 / 5
Staffing
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Fines
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#3

Lake Marion Nursing Facility

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3-star overall rating with 4-star inspections with $15,646 in total fines with 1 recent health deficiencies

Overall
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Health
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Staffing
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Fines
$15,646

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