Loris, SC

Loris Rehab And Nursing Center, LLC

4-star overall rating with 4-star inspections with 1 recent health deficiencies

3620 Stevens Street, Loris, SC

(843) 716-7106

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 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

For-Profit

Publicly displayed owner type

Chain

Wilson Senior Care

Operator or chain grouping

Approved since

1971-12-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 5 overall / 5 health / 3 staffing / 3 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

0.28

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.00

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

3.73

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

3.14

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

4.01

CMS adjusted total nurse staffing hours

Case-mix index

1.27

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

Value-based purchasing

Program rank

5,288

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

Performance score

36.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9901

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.18

Baseline 20.87% · Performance 19.96% · Measure score 3.18 · Achievement 3.18 · Improvement 1.87

Healthcare-associated infections

0.10

Baseline 8.27% · Performance 8.08% · Measure score 0.10 · Achievement 0 · Improvement 0.10

Total nurse turnover

7.75

Baseline 43.06% · Performance 32.00% · Measure score 7.75 · Achievement 7.75 · Improvement 5.57

Adjusted total nurse staffing

3.65

Baseline 3.83 hours · Performance 4.12 hours · Measure score 3.65 · Achievement 3.65 · Improvement 0.95

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.69%	10.72% About the same	No Different than the National Rate · Eligible stays 140 · Observed rate 10.71% · Lower 95% interval 7.8%
Discharge to community	55.69%	50.57% 5.1 pts better	No Different than the National Rate · Eligible stays 101 · Observed rate 51.49% · Lower 95% interval 45.76%
Medicare spending per beneficiary	0.82	1.02 0.2 pts better
Drug regimen review with follow-up	34.78%	95.27% 60.5 pts worse	Numerator 32 · Denominator 92
Falls with major injury	1.09%	0.77% 0.3 pts worse	Numerator 1 · Denominator 92
Discharge self-care score	46.97%	53.69% 6.7 pts worse	Numerator 31 · Denominator 66
Discharge mobility score	56.06%	50.94% 5.1 pts better	Numerator 37 · Denominator 66
Pressure ulcers or injuries, new or worsened	2.17%	2.29% 0.1 pts better	Numerator 2 · Denominator 92 · Adjusted rate 2.03%
Healthcare-associated infections requiring hospitalization	8.08%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 76 · Observed rate 9.21% · Lower 95% interval 4.96%
Staff COVID-19 vaccination coverage	1.92%	8.2% 6.3 pts worse	Numerator 2 · Denominator 104
Staff flu vaccination coverage	25.4%	42% 16.6 pts worse	Numerator 32 · Denominator 126
Discharge function score	45.45%	56.45% 11 pts worse	Numerator 30 · Denominator 66
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 66 · Denominator 66
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	1.92%	25.2% 23.3 pts worse	Numerator 1 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.0 0.2 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	1.9 0.9 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	90.5% 9.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.3%	3.0% 4.3 pts worse	3.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.4% · Q3 11.0% · Q4 7.0% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	2.9% 1.7 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	6.0%	6.2% 0.2 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.5% · Q3 2.9% · Q4 6.9% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.1%	20.4% 8.7 pts worse	19.6% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 29.4% · Q3 30.4% · Q4 29.5% · 4Q avg 29.1%
Percentage of long-stay residents who received an antipsychotic medication	9.3%	16.3% 7 pts better	16.7% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.9% · Q3 8.3% · Q4 8.9% · 4Q avg 9.3% · 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	17.9%	14.9% 3 pts worse	16.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 15.6% · Q3 18.9% · Q4 25.6% · 4Q avg 17.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.1%	12.4% 2.3 pts better	14.9% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 13.6% · Q3 7.8% · Q4 8.5% · 4Q avg 10.1% · 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	2.7%	1.6% 1.1 pts worse	1.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.6% · Q3 2.8% · Q4 2.9% · 4Q avg 2.7% · 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 22.1% · Q2 15.2% · Q3 17.4% · Q4 30.4% · 4Q avg 21.3%
Percentage of long-stay residents with pressure ulcers	7.3%	5.8% 1.5 pts worse	5.1% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.0% · Q3 8.0% · Q4 8.0% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	79.8% 18.4 pts better	81.7% 16.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.2% · Q4 95.3% · 4Q avg 98.2%
Percentage of short-stay residents who had an outpatient emergency department visit	24.6%	14.1% 10.5 pts worse	12.0% 12.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 21.9% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.6% 0.6 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.7% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.2%	78.0% 21.2 pts better	79.7% 19.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.3%	24.7% 2.6 pts worse	23.9% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 21.9% · Expected 19.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-12-13 · Fire 2022-12-13

4 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 2021-11-04 · Fire 2021-11-04

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-01

F · Potential for more than minimal harm 2022-12-13

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 2022-12-28

D · Potential for more than minimal harm 2022-12-13

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-13

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 2022-12-28

Penalties and ownership