Cycle 1
Health 2024-12-05 · Fire 2024-12-05
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hartsville, SC
Morrell Nursing Center
5-star overall rating with 5-star inspections with 1 recent health deficiencies
900 North Marquis Hwy, Hartsville, SC
(843) 383-5164
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
154
Certified beds
Average residents
149
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wilson Senior Care
Operator or chain grouping
Approved since
1977-11-28
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
0.57
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.62
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
3.04
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.36
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
0.64
CMS adjusted RN staffing hours
Adjusted total hours
4.11
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
20%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,126
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.09% · Performance 21.84% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.24% · Performance 8.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.26
Baseline 40.95% · Performance 34.01% · Measure score 7.26 · Achievement 7.26 · Improvement 3.81
Adjusted total nurse staffing
5.01
Baseline 3.91 hours · Performance 4.50 hours · Measure score 5.01 · Achievement 5.01 · Improvement 2.68
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.5% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 200 · Observed rate 9.5% · Lower 95% interval 7.61% |
| Discharge to community | 51.74% |
50.57%
1.2 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 49.1% · Lower 95% interval 43.91% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.7% |
95.27%
2.4 pts better
|
Numerator 170 · Denominator 174 |
| Falls with major injury | 2.3% |
0.77%
1.5 pts worse
|
Numerator 4 · Denominator 174 |
| Discharge self-care score | 70.8% |
53.69%
17.1 pts better
|
Numerator 80 · Denominator 113 |
| Discharge mobility score | 69.91% |
50.94%
19 pts better
|
Numerator 79 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 6 · Denominator 174 · Adjusted rate 2.85% |
| Healthcare-associated infections requiring hospitalization | 8.25% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 120 · Observed rate 9.17% · Lower 95% interval 4.87% |
| Staff COVID-19 vaccination coverage | 1.55% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 194 |
| Staff flu vaccination coverage | 15.25% |
42%
26.8 pts worse
|
Numerator 34 · Denominator 223 |
| Discharge function score | 74.34% |
56.45%
17.9 pts better
|
Numerator 84 · Denominator 113 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 85 · Denominator 85 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 31.96% |
25.2%
6.8 pts better
|
Numerator 31 · Denominator 97 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.0
1.3 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
1.9
3.8 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.8 · Expected 1.7 · 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 | 30.0% |
90.6%
60.6 pts worse
|
95.5%
65.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 30.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.5% |
3.0%
3.5 pts worse
|
3.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.4% · Q3 5.8% · Q4 5.6% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.9%
2.9 pts better
|
11.4%
11.4 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 who lose too much weight | 5.6% |
6.2%
0.6 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.0% · Q3 7.1% · Q4 5.9% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.6% |
20.4%
1.8 pts better
|
19.6%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 17.8% · Q3 19.5% · Q4 19.0% · 4Q avg 18.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
16.3%
2.3 pts worse
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 17.6% · Q3 18.4% · Q4 18.8% · 4Q avg 18.6% · 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 | 4.4% |
14.9%
10.5 pts better
|
16.3%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.2% · Q3 4.2% · Q4 2.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% |
12.4%
3.9 pts better
|
14.9%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 12.9% · Q3 8.0% · Q4 3.5% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.7%
1 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 2.8% · Q4 2.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.6%
About the same
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.9% · Q3 0.9% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.2% |
17.2%
13 pts better
|
19.8%
15.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.5% · Q3 7.1% · Q4 3.0% · 4Q avg 4.2% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
5.8%
0.5 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.8% · Q3 3.5% · Q4 11.2% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
79.8%
19.9 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 99.3% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.1% |
14.1%
10 pts worse
|
12.0%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 23.8% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.6%
0.4 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 1.1% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.5% |
78.0%
7.5 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
24.7%
1.4 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 26.6% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-01 · Fire 2022-12-01
2 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 2021-05-13 · Fire 2021-05-13
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
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
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 2025-01-01
D · Potential for more than minimal harm
2022-12-01
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-01
D · Potential for more than minimal harm
2022-12-01
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-01-01
D · Potential for more than minimal harm
2021-05-13
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-13
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-13
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 2021-06-11
D · Potential for more than minimal harm
2021-05-13
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-06-11
Penalties and ownership
What sits behind the stars
Ownership
Wilson Senior Care Inc
5% Or Greater Direct Ownership Interest · Organization
Byrd, Anna
W-2 Managing Employee · Individual
Foster, Sonya
Corporate Officer · Individual
Lofe, Dennis
Corporate Director · Individual
Weesner, Susan
Corporate Officer · Individual
Nearby options
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#2
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5-star overall rating with 5-star inspections
#3
Bethea Baptist Healthcare Center
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4-star overall rating with 4-star inspections with 5 recent health deficiencies
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