6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Greenville, SC
4-star overall rating with 3-star inspections with 6 recent health deficiencies
2 Griffith Road, Greenville, SC
(864) 990-1918
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1991-02-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.58
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.01
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,602
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9870
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.63
Baseline 24.73% · Performance 20.01% · Measure score 5.63 · Achievement 3.07 · Improvement 5.63
Healthcare-associated infections
2.59
Baseline 8.60% · Performance 7.49% · Measure score 2.59 · Achievement 1.16 · Improvement 2.59
Total nurse turnover
3.64
Baseline 48.28% · Performance 48.80% · Measure score 3.64 · Achievement 3.64 · Improvement 0
Adjusted total nurse staffing
1.06
Baseline 3.44 hours · Performance 3.38 hours · Measure score 1.06 · Achievement 1.06 · Improvement 0
SNF QRP
| 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 209 · Observed rate 11.96% · Lower 95% interval 8.24% |
| Discharge to community | 64.42% |
50.57%
13.9 pts better
|
Better than the National Rate · Eligible stays 188 · Observed rate 55.32% · Lower 95% interval 55.5% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 121 · Denominator 121 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 121 |
| Discharge self-care score | 69.23% |
53.69%
15.5 pts better
|
Numerator 63 · Denominator 91 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 49 · Denominator 91 |
| Pressure ulcers or injuries, new or worsened | 0.83% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 121 · Adjusted rate 0.59% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 9.09% · Lower 95% interval 4.54% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 45.16% |
42%
3.2 pts better
|
Numerator 84 · Denominator 186 |
| Discharge function score | 67.03% |
56.45%
10.6 pts better
|
Numerator 61 · Denominator 91 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 72 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 3.92% |
25.2%
21.3 pts worse
|
Numerator 2 · Denominator 51 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.0
0.3 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.8% |
90.5%
11.7 pts worse
|
93.4%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 77.6% · Q3 77.8% · Q4 72.3% · 4Q avg 78.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 51.1% |
90.6%
39.5 pts worse
|
95.5%
44.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 51.1% |
| 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 3.9% · Q2 3.5% · Q3 3.7% · Q4 6.0% · 4Q avg 4.3% · 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 | 4.1% |
6.2%
2.1 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 5.0% · Q4 9.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
20.4%
1.1 pts worse
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 18.5% · Q3 19.4% · Q4 22.2% · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
16.3%
13.7 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% · 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 | 6.3% |
14.9%
8.6 pts better
|
16.3%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.4% |
12.4%
5 pts better
|
14.9%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.8% · Q3 7.0% · Q4 5.1% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
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% · 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 | 18.3% |
17.2%
1.1 pts worse
|
19.8%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 21.9% · Q3 23.0% · Q4 24.5% · 4Q avg 18.3% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
5.8%
2.4 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.4% · Q3 3.8% · Q4 4.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 41.0% |
79.8%
38.8 pts worse
|
81.7%
40.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 43.9% · Q2 41.0% · Q3 40.9% · Q4 38.4% · 4Q avg 41.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
14.1%
0.2 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 14.8% · Expected 11.6% · 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 0.9% · Q2 1.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.8% |
78.0%
51.2 pts worse
|
79.7%
52.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.4% |
24.7%
9.3 pts better
|
23.9%
8.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 15.7% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-15
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-02
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-02
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-05-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-02
Health
Implement a program that monitors antibiotic use.
Corrected 2025-05-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-06-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-16
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 2023-06-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Contracted Managing Employee · Individual
Nearby options
Greenville, SC
4-star overall rating with 3-star inspections with $7,446 in total fines with 2 recent health deficiencies
Greenville, SC
2-star overall rating with 2-star inspections with $11,196 in total fines with 4 recent health deficiencies
Greenville, SC
4-star overall rating with 4-star inspections with 1 recent health deficiencies
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