Cycle 1
Health 2025-04-18 · Fire 2025-04-18
7 health deficiencies
Top issue: Environmental (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sumter, SC
Oak Hollow Of Sumter Rehabilitation Center
1-star overall rating with 1-star inspections with $63,303 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1761 Pinewood Road, Sumter, SC
(803) 340-0307
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-06-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.18
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.83
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
2.85
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.53
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.08
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
0.20
CMS adjusted RN staffing hours
Adjusted total hours
3.11
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
81%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,588
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
3.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 53.49% · Performance 91.07% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.67
Baseline 2.91 hours · Performance 3.24 hours · Measure score 0.67 · Achievement 0.59 · Improvement 0.67
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.55% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 15.91% · Lower 95% interval 7.73% |
| Discharge to community | 43.55% |
50.57%
7 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 32.26% · Lower 95% interval 26.1% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 28.17% |
8.2%
20 pts better
|
Numerator 20 · Denominator 71 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.0
0.5 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
90.5%
4.2 pts worse
|
93.4%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 87.0% · Q3 86.2% · Q4 96.4% · 4Q avg 86.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 32.7% |
90.6%
57.9 pts worse
|
95.5%
62.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 32.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.0%
1.4 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.3% · Q3 5.2% · Q4 5.5% · 4Q avg 4.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 2.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.2%
3.8 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.0% · Q3 5.9% · Q4 19.6% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.4% |
20.4%
9 pts better
|
19.6%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 9.1% · Q3 11.5% · Q4 20.8% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.1% |
16.3%
12.8 pts worse
|
16.7%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 23.3% · Q3 30.6% · Q4 30.6% · 4Q avg 29.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.2%
0.3 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 44.8% |
14.9%
29.9 pts worse
|
16.3%
28.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 44.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 36.8% |
12.4%
24.4 pts worse
|
14.9%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 47.4% · Q3 31.6% · Q4 25.0% · 4Q avg 36.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
0.7%
1.2 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.4% · Q4 4.1% · 4Q avg 1.9% · 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 | 26.7% |
17.2%
9.5 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 23.2% · Q3 28.4% · Q4 29.6% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.8%
0.1 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 5.0% · Q4 6.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.4% |
79.8%
43.4 pts worse
|
81.7%
45.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 36.4% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-08 · Fire 2023-11-08
15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-12-02 · Fire 2021-12-02
16 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-04-18
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-06-10
E · Potential for more than minimal harm
2025-04-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-04-18
K222 · Egress Deficiencies
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 2025-06-10
D · Potential for more than minimal harm
2025-04-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-04-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-10
D · Potential for more than minimal harm
2023-11-08
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-12-20
D · Potential for more than minimal harm
2023-11-08
K222 · Egress Deficiencies
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 2023-12-20
D · Potential for more than minimal harm
2023-11-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-20
D · Potential for more than minimal harm
2023-11-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-12
D · Potential for more than minimal harm
2023-11-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-18
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 2025-06-10
F · Potential for more than minimal harm
2025-04-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-18
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-18
F910 · Environmental Deficiencies
Health
Ensure resident rooms meet each resident's needs.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-18
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-15
G · Actual harm
2024-12-20
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-23
D · Potential for more than minimal harm
2024-12-20
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 2025-01-21
J · Immediate jeopardy
2024-04-24
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-20
J · Immediate jeopardy
2024-04-24
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 2024-06-10
F · Potential for more than minimal harm
2024-04-24
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-06-10
D · Potential for more than minimal harm
2024-04-24
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-06-20
F · Potential for more than minimal harm
2023-11-08
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-26
E · Potential for more than minimal harm
2023-11-08
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-01-26
E · Potential for more than minimal harm
2023-11-08
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-01-26
D · Potential for more than minimal harm
2023-11-08
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-26
D · Potential for more than minimal harm
2023-11-08
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 2024-01-26
D · Potential for more than minimal harm
2023-11-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-26
D · Potential for more than minimal harm
2023-11-08
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-01-26
D · Potential for more than minimal harm
2023-11-08
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 2024-01-26
D · Potential for more than minimal harm
2023-11-08
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-26
D · Potential for more than minimal harm
2023-10-26
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-01
D · Potential for more than minimal harm
2023-10-26
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-01
F · Potential for more than minimal harm
2023-06-21
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-06-21
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-03
F · Potential for more than minimal harm
2021-12-02
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-02-15
F · Potential for more than minimal harm
2021-12-02
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-02-15
F · Potential for more than minimal harm
2021-12-02
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-02-15
F · Potential for more than minimal harm
2021-12-02
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 2022-02-15
F · Potential for more than minimal harm
2021-12-02
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-02-15
E · Potential for more than minimal harm
2021-12-02
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-02-15
D · Potential for more than minimal harm
2021-12-02
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-02-15
D · Potential for more than minimal harm
2021-12-02
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-02-15
D · Potential for more than minimal harm
2021-12-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-02-15
D · Potential for more than minimal harm
2021-12-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-02-15
D · Potential for more than minimal harm
2021-12-02
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 2022-02-15
D · Potential for more than minimal harm
2021-12-02
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-02-15
Penalties and ownership
What sits behind the stars
$36,221
2024-12-20
Fine
Fine · fine $36,221
Fine
$2,389
2024-04-24
Fine
Fine · fine $2,389
Fine
$8,105
2024-04-24
Fine
Fine · fine $8,105
Fine
$8,105
2024-04-24
Fine
Fine · fine $8,105
Fine
$0
2024-04-24
Payment Denial
Payment Denial · denial start 2024-05-18 · 33 days
33 day denial
$8,483
2023-10-26
Fine
Fine · fine $8,483
Fine
Ownership
Kb Hud Master Tenant, LLC
5% Or Greater Mortgage Interest · Organization
Morrison, Brent
Operational/Managerial Control · Individual
Munford, Loreli
Operational/Managerial Control · Individual
Pollard, Traci
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
NHC Healthcare - Sumter
Sumter, SC
5-star overall rating with 5-star inspections
#2
Sumter East Health & Rehabilitation Center
Sumter, SC
1-star overall rating with 1-star inspections with $33,097 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Pocotaligo River Health And Rehab
Manning, SC
2-star overall rating with 2-star inspections with $4,017 in total fines with 4 recent health deficiencies
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