Cycle 1
Health 2025-08-07 · Fire 2024-08-14
4 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Florence, SC
Presbyterian Communities Of South Carolina-Florenc
4-star overall rating with 3-star inspections with 4 recent health deficiencies
2350 W Lucas Street, Florence, SC
(843) 665-2222
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
21
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Communities Of South Carolina
Operator or chain grouping
Approved since
2015-12-30
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
5 facilities
Chain averages 5 overall / 4 health / 4 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
0.80
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.51
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.67
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.31
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.48
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
0.19
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,181
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.17% · Performance 22.82% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.58
Baseline 5.75% · Performance 7.66% · Measure score 0.58 · Achievement 0.58 · Improvement 0
Total nurse turnover
3.63
Baseline 47.92% · Performance 48.84% · Measure score 3.63 · Achievement 3.63 · Improvement 0
Adjusted total nurse staffing
2.89
Baseline 3.86 hours · Performance 3.90 hours · Measure score 2.89 · Achievement 2.89 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.8% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 258 · Observed rate 10.47% · Lower 95% interval 8.28% |
| Discharge to community | 69.38% |
50.57%
18.8 pts better
|
Better than the National Rate · Eligible stays 253 · Observed rate 62.06% · Lower 95% interval 62.41% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 209 · Denominator 209 |
| Falls with major injury | 1.91% |
0.77%
1.1 pts worse
|
Numerator 4 · Denominator 209 |
| Discharge self-care score | 74.63% |
53.69%
20.9 pts better
|
Numerator 100 · Denominator 134 |
| Discharge mobility score | 70.15% |
50.94%
19.2 pts better
|
Numerator 94 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 0.48% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 209 · Adjusted rate 0.46% |
| Healthcare-associated infections requiring hospitalization | 7.66% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 165 · Observed rate 7.88% · Lower 95% interval 5.27% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 93 |
| Staff flu vaccination coverage | 2% |
42%
40 pts worse
|
Numerator 2 · Denominator 100 |
| Discharge function score | 79.1% |
56.45%
22.6 pts better
|
Numerator 106 · Denominator 134 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 76 · Denominator 76 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 113 · Denominator 113 |
| Resident COVID-19 vaccinations up to date | 9% |
25.2%
16.2 pts worse
|
Numerator 9 · Denominator 100 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.0
0.9 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.7 · Expected 2.8 · 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 0.8 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
90.5%
9.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.6%
9.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.8% |
3.0%
8.8 pts worse
|
3.3%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.8% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
6.2%
6.2 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.0% |
20.4%
12.4 pts better
|
19.6%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.0% |
12.4%
7.4 pts better
|
14.9%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.6%
0.4 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.5% |
17.2%
9.7 pts better
|
19.8%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.8%
1.2 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
79.8%
20 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.1% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
14.1%
4.9 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.2% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.6%
1.3 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.0%
22 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.2% |
24.7%
6.5 pts worse
|
23.9%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.2% · Observed 30.6% · Expected 23.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-14 · Fire 2022-09-28
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-09-28 · Fire 2021-07-16
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-07
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 2025-09-05
F · Potential for more than minimal harm
2025-08-07
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-08-07
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 2025-08-14
D · Potential for more than minimal harm
2025-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-14
E · Potential for more than minimal harm
2024-08-14
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-14
D · Potential for more than minimal harm
2024-08-14
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 2024-09-14
F · Potential for more than minimal harm
2022-09-28
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 2022-10-25
F · Potential for more than minimal harm
2022-09-28
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-10-25
E · Potential for more than minimal harm
2022-09-28
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-10-25
D · Potential for more than minimal harm
2022-09-28
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 2022-10-25
Penalties and ownership
What sits behind the stars
Ownership
Presbyterian Communities Of South Carolina
5% Or Greater Direct Ownership Interest · Organization
Fant, Luther
Operational/Managerial Control · Individual
Fant, Luther
Corporate Officer · Individual
Johnson, Kevin
Operational/Managerial Control · Individual
Johnson, Kevin
Corporate Officer · Individual
Sanders, Rhonda
Operational/Managerial Control · Individual
Stamper, Amanda
Operational/Managerial Control · Individual
Stamper, Amanda
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Bethea Baptist Healthcare Center
Darlington, SC
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#2
Honorage Nursing Center
Florence, SC
5-star overall rating with 5-star inspections
#3
Faith Healthcare Center
Florence, SC
1-star overall rating with 2-star inspections with $12,740 in total fines with 10 recent health deficiencies
Jump out