4 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
North Augusta, SC
4-star overall rating with 4-star inspections with 4 recent health deficiencies
350 Austin Graybill, North Augusta, SC
(803) 278-4272
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
192
Certified beds
Average residents
183
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1991-12-18
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
RN hours / resident day
0.34
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
8,960
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.93
Baseline 23.45% · Performance 22.53% · Measure score 0.93 · Achievement 0 · Improvement 0.93
Healthcare-associated infections
0
Baseline 5.85% · Performance 9.80% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.47
Baseline 61.67% · Performance 37.26% · Measure score 6.47 · Achievement 6.47 · Improvement 6.13
Adjusted total nurse staffing
2.67
Baseline 4.33 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.17% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 293 · Observed rate 13.65% · Lower 95% interval 9.14% |
| Discharge to community | 51.02% |
50.57%
0.5 pts better
|
No Different than the National Rate · Eligible stays 275 · Observed rate 44% · Lower 95% interval 44.97% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.8% |
95.27%
3.5 pts better
|
Numerator 165 · Denominator 167 |
| Falls with major injury | 1.2% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 167 |
| Discharge self-care score | 54.24% |
53.69%
0.6 pts better
|
Numerator 64 · Denominator 118 |
| Discharge mobility score | 61.86% |
50.94%
10.9 pts better
|
Numerator 73 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 1.2% |
2.29%
1.1 pts better
|
Numerator 2 · Denominator 167 · Adjusted rate 0.9% |
| Healthcare-associated infections requiring hospitalization | 9.8% |
7.12%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 170 · Observed rate 11.18% · Lower 95% interval 6.35% |
| Staff COVID-19 vaccination coverage | 0.46% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 217 |
| Staff flu vaccination coverage | 20.28% |
42%
21.7 pts worse
|
Numerator 44 · Denominator 217 |
| Discharge function score | 62.71% |
56.45%
6.3 pts better
|
Numerator 74 · Denominator 118 |
| Transfer of health information to provider | 98.65% |
95.95%
2.7 pts better
|
Numerator 73 · Denominator 74 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 46 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 19.59% |
25.2%
5.6 pts worse
|
Numerator 19 · Denominator 97 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.9
0.7 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
90.5%
7.7 pts better
|
93.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 98.7% · Q3 98.7% · Q4 98.7% · 4Q avg 98.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
90.6%
8.1 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.0%
1.3 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.7% · Q3 3.3% · Q4 4.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
2.9%
0.8 pts worse
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.4% · Q3 4.8% · Q4 0.8% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
6.2%
1.3 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.5% · Q3 5.0% · Q4 5.2% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
20.4%
0.3 pts worse
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 20.9% · Q3 21.5% · Q4 22.6% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.5% |
16.3%
1.2 pts worse
|
16.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 19.8% · Q3 17.0% · Q4 14.0% · 4Q avg 17.5% · 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 | 12.9% |
14.9%
2 pts better
|
16.3%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 13.6% · Q3 14.8% · Q4 15.3% · 4Q avg 12.9% · 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 9.5% · Q2 10.9% · Q3 13.0% · Q4 9.2% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.5% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.6%
0.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.7% · Q3 1.3% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.6% |
17.2%
0.6 pts better
|
19.8%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 18.7% · Q3 13.5% · Q4 23.1% · 4Q avg 16.6% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
5.8%
1.4 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.7% · Q3 3.3% · Q4 5.5% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
79.8%
10.5 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 85.0% · Q3 90.2% · Q4 93.5% · 4Q avg 90.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.7% |
14.1%
1.6 pts worse
|
12.0%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 14.8% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.6%
0.2 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.6% · Q3 1.5% · Q4 3.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.6% |
78.0%
3.4 pts worse
|
79.7%
5.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
24.7%
4.1 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 28.1% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-16
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-27
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 2022-09-27
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-09-27
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-09-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
North Augusta, SC
3-star overall rating with 3-star inspections with $19,674 in total fines with 2 recent health deficiencies
Augusta, GA
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Augusta, GA
5-star overall rating with 4-star inspections with $6,201 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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