Mullins, SC

MUSC Health Mullins Nursing Home

3-star overall rating with 3-star inspections with $12,844 in total fines with 2 recent health deficiencies

518 S Main Street, Mullins, SC

(843) 464-8211

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

78

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-08-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

2.14

Nurse aide staffing

Weekend hours

2.88

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.0
0.2 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
1.9
0.6 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
90.5%
8.1 pts better
93.4%
5.2 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 2.1%
3.0%
0.9 pts better
3.3%
1.2 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 2.2%
6.2%
4 pts better
5.4%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.5%
20.4%
7.9 pts better
19.6%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.0%
16.3%
10.3 pts better
16.7%
10.7 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 11.3%
14.9%
3.6 pts better
16.3%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.0%
12.4%
3.4 pts better
14.9%
5.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.7%
0.1 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.3%
17.2%
14.9 pts better
19.8%
17.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.3%
5.8%
1.5 pts better
5.1%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.8%
79.8%
14 pts better
81.7%
12.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.2%
14.1%
2.1 pts worse
12.0%
4.2 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 assessed and appropriately given the seasonal influenza vaccine 95.5%
78.0%
17.5 pts better
79.7%
15.8 pts better
Short Stay · 2024Q3-2025Q2
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 2025-05-16 · Fire 2025-05-16

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-07 · Fire 2023-12-07

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 2022-01-14 · Fire 2022-01-14

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-16

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 2025-06-17

D · Potential for more than minimal harm 2025-05-16

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 2025-06-17

F · Potential for more than minimal harm 2023-12-07

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 2024-01-19

D · Potential for more than minimal harm 2023-12-07

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 2024-01-19

D · Potential for more than minimal harm 2023-12-07

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 2024-01-19

D · Potential for more than minimal harm 2023-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-19

J · Immediate jeopardy 2023-07-14

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 2023-07-15

L · Immediate jeopardy 2022-01-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-01

L · Immediate jeopardy 2022-01-14

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-02-01

D · Potential for more than minimal harm 2022-01-14

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-02-01

D · Potential for more than minimal harm 2022-01-14

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 2022-02-01

D · Potential for more than minimal harm 2022-01-14

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 2022-02-01

D · Potential for more than minimal harm 2022-01-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-02-01

D · Potential for more than minimal harm 2022-01-14

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 2022-02-01

Penalties and ownership

What sits behind the stars

$12,844 2023-07-14

Fine

Fine · fine $12,844

Fine

Ownership

Cawley, Patrick

Corporate Officer · Individual

0% 2 facilities 2019-03-01
Lewis, Daniel

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Lewis, Daniel

Corporate Director · Individual

0% 1 facilities 2025-01-01
Medical University Of South Carolina

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2019-03-01
Rae, Karyn

Corporate Director · Individual

0% 2 facilities 2019-03-01
Smetka, Vlastimil

Corporate Director · Individual

0% 1 facilities 2023-09-27

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Staffing
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Fines
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