2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Spartanburg, SC
2-star overall rating with 2-star inspections with $27,859 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
375 Serpentine Drive, Spartanburg, SC
(864) 585-0218
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
95
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
1978-04-01
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
0.86
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
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
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.15
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,667
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.63% · Performance 22.93% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.96
Baseline 7.69% · Performance 7.55% · Measure score 0.96 · Achievement 0.96 · Improvement 0.01
Total nurse turnover
3.51
Baseline 35.82% · Performance 49.33% · Measure score 3.51 · Achievement 3.51 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.75 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.11% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 19.28% · Lower 95% interval 9.25% |
| Discharge to community | 38.92% |
50.57%
11.6 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 27.27% · Lower 95% interval 28.5% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 3.13% |
0.77%
2.4 pts worse
|
Numerator 2 · Denominator 64 |
| Discharge self-care score | 29.27% |
53.69%
24.4 pts worse
|
Numerator 12 · Denominator 41 |
| Discharge mobility score | 29.27% |
50.94%
21.7 pts worse
|
Numerator 12 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 9.38% |
2.29%
7.1 pts worse
|
Numerator 6 · Denominator 64 · Adjusted rate 7.4% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 3.82% |
| Staff COVID-19 vaccination coverage | 1.04% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 96 |
| Staff flu vaccination coverage | 23.08% |
42%
18.9 pts worse
|
Numerator 27 · Denominator 117 |
| Discharge function score | 34.15% |
56.45%
22.3 pts worse
|
Numerator 14 · Denominator 41 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 20 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 12.12% |
25.2%
13.1 pts worse
|
Numerator 4 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.9
1.1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.7% |
90.5%
11.8 pts worse
|
93.4%
14.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 67.6% · Q3 79.2% · Q4 87.7% · 4Q avg 78.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 76.5% |
90.6%
14.1 pts worse
|
95.5%
19 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 76.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.0%
0.9 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.6% · Q3 5.2% · Q4 2.5% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
2.9%
0.2 pts worse
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
6.2%
About the same
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.3% · Q3 7.2% · Q4 8.7% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.2% |
20.4%
3.8 pts worse
|
19.6%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 25.4% · Q3 22.9% · Q4 21.4% · 4Q avg 24.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.1% |
16.3%
10.8 pts worse
|
16.7%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 30.2% · Q3 22.2% · Q4 26.5% · 4Q avg 27.1% · 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 | 16.9% |
14.9%
2 pts worse
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 10.8% · Q4 6.9% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.7% |
12.4%
1.7 pts better
|
14.9%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 15.5% · Q3 7.8% · Q4 4.7% · 4Q avg 10.7% · 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 | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 20.8% |
17.2%
3.6 pts worse
|
19.8%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 24.8% · Q3 23.1% · Q4 20.1% · 4Q avg 20.8% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.8%
0.4 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.9% · Q3 4.8% · Q4 3.1% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
79.8%
8.3 pts better
|
81.7%
6.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.2% · Q2 89.2% · Q3 88.1% · Q4 87.3% · 4Q avg 88.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
14.1%
9.2 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 5.1% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.4% |
1.6%
2.8 pts worse
|
1.6%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.5% · Q3 2.1% · Q4 7.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.6% |
78.0%
7.6 pts better
|
79.7%
5.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
24.7%
4.7 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 20.5% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-29
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-06-30
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-06-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-04-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-04-15
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-04-15
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-04-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-04-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-04-15
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-04-15
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-10
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-07-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-05
Health
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.
Corrected 2024-07-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-20
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 2023-04-24
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-05-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-01
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-16
Penalties and ownership
Fine · fine $12,054
Fine
Fine · fine $15,805
Fine
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Spartanburg, SC
5-star overall rating with 5-star inspections with 1 recent health deficiencies
Spartanburg, SC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Spartanburg, SC
2-star overall rating with 2-star inspections with $10,364 in total fines with 5 recent health deficiencies
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