Cycle 1
Health 2025-03-12 · Fire 2025-03-12
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.
West Columbia, SC
NHC Healthcare - Lexington
3-star overall rating with 2-star inspections with 4 recent health deficiencies
2993 Sunset Blvd, West Columbia, SC
(803) 939-0026
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
170
Certified beds
Average residents
159
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1994-03-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.60
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.21
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
1.52
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.39
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
4.07
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
654
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.90
Composite VBP score used to determine payment impact.
Payment multiplier
1.0200
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 15.92% · Performance 15.84% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.06
Baseline 5.44% · Performance 5.72% · Measure score 7.06 · Achievement 7.06 · Improvement 0
Total nurse turnover
6.01
Baseline 46.06% · Performance 39.13% · Measure score 6.01 · Achievement 6.01 · Improvement 2.77
Adjusted total nurse staffing
3.29
Baseline 4.15 hours · Performance 4.01 hours · Measure score 3.29 · Achievement 3.29 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.22% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 467 · Observed rate 9.42% · Lower 95% interval 8% |
| Discharge to community | 65.28% |
50.57%
14.7 pts better
|
Better than the National Rate · Eligible stays 450 · Observed rate 58.67% · Lower 95% interval 60.17% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.45% |
95.27%
4.2 pts better
|
Numerator 363 · Denominator 365 |
| Falls with major injury | 0.82% |
0.77%
About the same
|
Numerator 3 · Denominator 365 |
| Discharge self-care score | 44.48% |
53.69%
9.2 pts worse
|
Numerator 125 · Denominator 281 |
| Discharge mobility score | 55.52% |
50.94%
4.6 pts better
|
Numerator 156 · Denominator 281 |
| Pressure ulcers or injuries, new or worsened | 1.93% |
2.29%
0.4 pts better
|
Numerator 7 · Denominator 363 · Adjusted rate 1.74% |
| Healthcare-associated infections requiring hospitalization | 5.72% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 360 · Observed rate 4.72% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 1.98% |
8.2%
6.2 pts worse
|
Numerator 5 · Denominator 252 |
| Staff flu vaccination coverage | 15.94% |
42%
26.1 pts worse
|
Numerator 40 · Denominator 251 |
| Discharge function score | 49.47% |
56.45%
7 pts worse
|
Numerator 139 · Denominator 281 |
| Transfer of health information to provider | 98.64% |
95.95%
2.7 pts better
|
Numerator 218 · Denominator 221 |
| Transfer of health information to patient | 95.95% |
96.28%
0.3 pts worse
|
Numerator 71 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 18.42% |
25.2%
6.8 pts worse
|
Numerator 35 · Denominator 190 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
90.5%
3.6 pts better
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.4% · Q3 92.9% · Q4 86.2% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.4% |
90.6%
4.8 pts better
|
95.5%
0.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.0%
0.4 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.2% · Q3 3.5% · Q4 4.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
2.9%
1.3 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 0.9% · Q4 2.7% · 4Q avg 1.6% |
| 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 4.6% · Q2 9.8% · Q3 4.1% · Q4 5.7% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.8% |
20.4%
3.4 pts worse
|
19.6%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 26.1% · Q3 20.8% · Q4 16.3% · 4Q avg 23.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
16.3%
5.7 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 10.9% · Q3 7.9% · Q4 9.8% · 4Q avg 10.6% · 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 | 12.0% |
14.9%
2.9 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 12.2% · Q3 9.9% · Q4 12.0% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
12.4%
4 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 15.9% · Q3 17.9% · Q4 18.5% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.6%
0.1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.9% · Q4 2.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% |
17.2%
2.2 pts better
|
19.8%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 15.5% · Q3 16.1% · Q4 14.7% · 4Q avg 15.0% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.8%
2.7 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.5% · Q3 5.4% · Q4 2.8% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.2% |
79.8%
9.6 pts worse
|
81.7%
11.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.5% · Q2 81.7% · Q3 62.5% · Q4 54.4% · 4Q avg 70.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
14.1%
5.6 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 7.5% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.6%
0.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.4% |
78.0%
7.6 pts worse
|
79.7%
9.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
24.7%
8.5 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 15.0% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-11 · Fire 2023-10-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-09-02 · Fire 2021-09-02
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
J · Immediate jeopardy
2025-03-12
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 2025-04-12
E · Potential for more than minimal harm
2025-03-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-12
E · Potential for more than minimal harm
2025-03-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-12
D · Potential for more than minimal harm
2025-03-12
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-12
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Greenhouse, David
Operational/Managerial Control · Individual
Hutcherson, Deundreau
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Manley, Michael
Operational/Managerial Control · Individual
Moorhouse, Bradley
Operational/Managerial Control · Individual
Moorhouse, Bradley
Corporate Officer · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Shelly, Timothy
Operational/Managerial Control · Individual
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Millennium Post Acute Rehabilitation
West Columbia, SC
1-star overall rating with 2-star inspections with $4,271 in total fines with 11 recent health deficiencies
#2
Presbyterian Home Of South Carolina-Columbia
Lexington, SC
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Opus Post Acute Rehabilitation
West Columbia, SC
2-star overall rating with 2-star inspections with $12,043 in total fines with 5 recent health deficiencies
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