Federal inspection record · CMS data as of October 1, 2026
Life Care Center of Hilton Head
120 Lamotte Drive, Hilton Head Island, SC · (843) 681-6006
- Cited for abuse (CMS abuse icon)
- Certified beds
- 88
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 26, 1982
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among South Carolina homes
Life Care Center of Hilton Head carries 86.25 inspection points. That is fewer than 11% of South Carolina's 186 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–15 pts
- 3★ 15–33 pts
- 2★ 33–57 pts
- 1★ over 57 pts
Bars show every rated home in South Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care4E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Pharmacy Service2F
- F
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services2D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights1D
- D
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.
Inspection history
2025-07-17
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-06-06
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-02-16
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
3 h 46 min
South Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 61% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-17 | Fine | $8,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts worse | 82.0% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts worse | 87.9% | 92.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 3.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 2.7% | 3.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 7.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 17.0% | 21.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse | 24.1% | 15.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.1 pts better | 9.7% | 11.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 12.0% | 11.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 1.5% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinenceAbout the same | 16.2% | 16.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 8.4% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine56.1 pts worse | 25.8% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 10.4% | 13.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 2.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine55.1 pts worse | 23.9% | 79.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 20.3% | 24.3% | 23.4% |
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Who owns and runs it
32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Annunziata, Jacy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Annunziata, Jacy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boyles, Sheri | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Boyles, Sheri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boyles, Sheri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Cusano, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cusano, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fletcher, Todd | Corporate Director · Individual | 0% | 165 facilities |
| Fletcher, Todd | Corporate Officer · Individual | 0% | 165 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Lay, Lisa | Corporate Director · Individual | 0% | 166 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Lay, Lisa | Operational/Managerial Control · Individual | 0% | 166 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Indirect Ownership Interest · Individual | 0% | 170 facilities |
| Preston, Forrest | Corporate Director · Individual | 0% | 170 facilities |
| Preston, Forrest | Corporate Officer · Individual | 0% | 170 facilities |
| Preston, Forrest | Operational/Managerial Control · Individual | 0% | 170 facilities |
| Preston, Forrest | Adp Of The SNF · Individual | 0% | 170 facilities |
| Solomon, Jennifer | Managing Control - Governing Body · Individual | 0% | 29 facilities |
| Solomon, Jennifer | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Swanker, Richard | Corporate Director · Individual | 0% | 168 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Swanker, Richard | Operational/Managerial Control · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Corporate Director · Individual | 0% | 165 facilities |
| Ziegler, James | Corporate Officer · Individual | 0% | 165 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
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