Cycle 1
Health 2025-08-26 · Fire 2025-08-26
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Summerville, SC
Presbyterian Communities Of South Carolina-Summerv
5-star overall rating with 4-star inspections with 2 recent health deficiencies
201 W 9th North Street, Summerville, SC
(843) 873-2550
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
48
Certified beds
Average residents
44
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Communities Of South Carolina
Operator or chain grouping
Approved since
2009-01-15
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
0.84
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.82
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.01
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.67
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.81
CMS adjusted total nurse staffing hours
Case-mix index
1.80
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,000
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9910
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.01
Baseline 20.09% · Performance 18.18% · Measure score 7.01 · Achievement 7.01 · Improvement 5.73
Healthcare-associated infections
6.01
Baseline 6.05% · Performance 6.04% · Measure score 6.01 · Achievement 6.01 · Improvement 0
Total nurse turnover
0
Baseline 57.69% · Performance 62.74% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.11
Baseline 4.48 hours · Performance 3.68 hours · Measure score 2.11 · Achievement 2.11 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 655 · Observed rate 7.63% · Lower 95% interval 7.72% |
| Discharge to community | 73.36% |
50.57%
22.8 pts better
|
Better than the National Rate · Eligible stays 649 · Observed rate 73.96% · Lower 95% interval 69.26% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.75% |
95.27%
4.5 pts better
|
Numerator 397 · Denominator 398 |
| Falls with major injury | 1.51% |
0.77%
0.7 pts worse
|
Numerator 6 · Denominator 398 |
| Discharge self-care score | 82.47% |
53.69%
28.8 pts better
|
Numerator 240 · Denominator 291 |
| Discharge mobility score | 87.63% |
50.94%
36.7 pts better
|
Numerator 255 · Denominator 291 |
| Pressure ulcers or injuries, new or worsened | 0.5% |
2.29%
1.8 pts better
|
Numerator 2 · Denominator 398 · Adjusted rate 0.66% |
| Healthcare-associated infections requiring hospitalization | 6.04% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 389 · Observed rate 4.37% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 0.43% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 233 |
| Staff flu vaccination coverage | 35.44% |
42%
6.6 pts worse
|
Numerator 118 · Denominator 333 |
| Discharge function score | 85.91% |
56.45%
29.5 pts better
|
Numerator 250 · Denominator 291 |
| Transfer of health information to provider | 99.6% |
95.95%
3.6 pts better
|
Numerator 248 · Denominator 249 |
| Transfer of health information to patient | 98.58% |
96.28%
2.3 pts better
|
Numerator 139 · Denominator 141 |
| Resident COVID-19 vaccinations up to date | 18.1% |
25.2%
7.1 pts worse
|
Numerator 38 · Denominator 210 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
79.8%
19.9 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.6% · Q3 99.6% · Q4 99.6% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
14.1%
1.7 pts better
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 9.5% · Expected 8.5% · 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 0.5% · Q2 1.0% · Q3 1.0% · 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 | 98.5% |
78.0%
20.5 pts better
|
79.7%
18.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
24.7%
2.5 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 19.9% · Expected 17.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-06 · Fire 2024-09-06
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-04-19 · Fire 2023-04-19
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-09-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-26
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 2025-09-26
D · Potential for more than minimal harm
2025-08-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
Penalties and ownership
What sits behind the stars
Ownership
Presbyterian Communities Of South Carolina
5% Or Greater Direct Ownership Interest · Organization
Caddell, Casey
Operational/Managerial Control · Individual
Fant, Luther
Operational/Managerial Control · Individual
Fant, Luther
Corporate Officer · Individual
Johnson, Kevin
Corporate Officer · Individual
Stamper, Amanda
Operational/Managerial Control · Individual
Stamper, Amanda
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Hallmark Healthcare Center
Summerville, SC
2-star overall rating with 2-star inspections with 7 recent health deficiencies
#2
Oakbrook Health And Rehabilitation Center
Summerville, SC
1-star overall rating with 2-star inspections with $22,564 in total fines with 7 recent health deficiencies
#3
White Oak Manor - Charleston
Charleston, SC
4-star overall rating with 4-star inspections with $8,788 in total fines with 2 recent health deficiencies
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