Cycle 1
Health 2025-03-28 · Fire 2025-03-28
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Gaffney, SC
Peachtree Centre
2-star overall rating with 3-star inspections with $7,901 in total fines with 2 recent health deficiencies
1434 N Limestone St, Gaffney, SC
(864) 487-2717
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
151
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ahava Healthcare
Operator or chain grouping
Approved since
1973-03-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 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
0.31
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.29
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
77%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,945
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9864
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.62
Baseline 28.10% · Performance 21.33% · Measure score 5.62 · Achievement 0 · Improvement 5.62
Healthcare-associated infections
5.92
Baseline 9.57% · Performance 6.63% · Measure score 5.92 · Achievement 4.02 · Improvement 5.92
Total nurse turnover
0.96
Baseline 53.00% · Performance 59.76% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.90 hours · Performance 3.22 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 100 · Observed rate 8% · Lower 95% interval 6% |
| Discharge to community | 53.95% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 74 · Observed rate 51.35% · Lower 95% interval 42.44% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.94% |
95.27%
3.7 pts better
|
Numerator 186 · Denominator 188 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 188 |
| Discharge self-care score | 21.24% |
53.69%
32.5 pts worse
|
Numerator 24 · Denominator 113 |
| Discharge mobility score | 14.16% |
50.94%
36.8 pts worse
|
Numerator 16 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 4.79% |
2.29%
2.5 pts worse
|
Numerator 9 · Denominator 188 · Adjusted rate 4.64% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 4.69% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 126 |
| Staff flu vaccination coverage | 5.19% |
42%
36.8 pts worse
|
Numerator 7 · Denominator 135 |
| Discharge function score | 19.47% |
56.45%
37 pts worse
|
Numerator 22 · Denominator 113 |
| Transfer of health information to provider | 98.28% |
95.95%
2.3 pts better
|
Numerator 114 · Denominator 116 |
| Transfer of health information to patient | 80% |
96.28%
16.3 pts worse
|
Numerator 16 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 8.26% |
25.2%
16.9 pts worse
|
Numerator 9 · Denominator 109 |
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 · Adjusted 1.8 · Observed 2.1 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.9
0.1 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
90.5%
7.8 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 97.3% · Q4 97.4% · 4Q avg 98.3% |
| 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 | 4.3% |
3.0%
1.3 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.0% · Q3 4.5% · Q4 6.1% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
2.9%
0.4 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 1.9% · Q4 5.6% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
6.2%
4.8 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 3.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.2% |
20.4%
7.8 pts worse
|
19.6%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 27.8% · Q3 28.7% · Q4 29.5% · 4Q avg 28.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.1% |
16.3%
11.8 pts worse
|
16.7%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 24.7% · Q3 30.0% · Q4 30.0% · 4Q avg 28.1% · 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 | 6.7% |
14.9%
8.2 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.9% · Q3 9.0% · Q4 3.1% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
12.4%
8.4 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.7% · Q3 4.0% · Q4 3.3% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.6%
0.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.7% |
17.2%
0.5 pts worse
|
19.8%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 18.2% · Q3 15.7% · Q4 24.1% · 4Q avg 17.7% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.8%
2.6 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.1% · Q3 2.7% · Q4 2.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.6% |
79.8%
3.8 pts better
|
81.7%
1.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.4% · Q2 81.7% · Q3 78.8% · Q4 83.3% · 4Q avg 83.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.9% |
14.1%
2.8 pts worse
|
12.0%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 16.8% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.6%
0.4 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 2.1% · Q4 2.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.4% |
78.0%
0.4 pts better
|
79.7%
1.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.2% |
24.7%
5.5 pts worse
|
23.9%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 26.9% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-29 · Fire 2023-12-29
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-12-03 · Fire 2021-12-03
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-28
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-23
F · Potential for more than minimal harm
2023-12-29
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 2024-01-18
E · Potential for more than minimal harm
2023-12-29
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-12-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-01-18
G · Actual harm
2023-05-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-11
G · Actual harm
2023-05-11
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 2022-11-11
Penalties and ownership
What sits behind the stars
$3,950
2023-05-11
Fine
Fine · fine $3,950
Fine
$3,951
2023-05-11
Fine
Fine · fine $3,951
Fine
Ownership
Mfi Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Niederman, Anshel
5% Or Greater Indirect Ownership Interest · Individual
Neuman, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Labin, Shiya
5% Or Greater Indirect Ownership Interest · Individual
Philipson Family Limited Liability Company, LLC
5% Or Greater Indirect Ownership Interest · Organization
Gallman, Amanda
Operational/Managerial Control · Individual
Haubner, Brandon
Operational/Managerial Control · Individual
Niederman, Anshel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Palmetto Patriots
Gaffney, SC
5-star overall rating with 5-star inspections with $30,147 in total fines
#2
Brookview Healthcare Center
Gaffney, SC
1-star overall rating with 1-star inspections with $42,599 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
White Oak Manor-Shelby
Shelby, NC
2-star overall rating with 2-star inspections with $42,637 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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