Cycle 1
Health 2025-06-05 · Fire 2025-06-05
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lexington, SC
Presbyterian Home Of South Carolina-Columbia
5-star overall rating with 4-star inspections with 3 recent health deficiencies
700 Davega Drive, Lexington, SC
(803) 796-8700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
22
Certified beds
Average residents
18
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Presbyterian Communities Of South Carolina
Operator or chain grouping
Approved since
2010-03-26
CMS approved date
Coverage
Medicare + Medicaid
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
1.73
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.13
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.90
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.77
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
5.20
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.16
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.72
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.64
CMS adjusted RN staffing hours
Adjusted total hours
5.61
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,170
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.61
Baseline 20.11% · Performance 20.22% · Measure score 2.61 · Achievement 2.61 · Improvement 0
Healthcare-associated infections
0
Baseline 7.12% · Performance 8.24% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.67
Baseline 74.19% · Performance 43.75% · Measure score 5.67 · Achievement 4.88 · Improvement 5.67
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.38% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 123 · Observed rate 13.82% · Lower 95% interval 8.89% |
| Discharge to community | 63.12% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 132 · Observed rate 59.85% · Lower 95% interval 55.26% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.86% |
95.27%
3.6 pts better
|
Numerator 87 · Denominator 88 |
| Falls with major injury | 1.14% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 88 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 40 · Denominator 70 |
| Discharge mobility score | 77.14% |
50.94%
26.2 pts better
|
Numerator 54 · Denominator 70 |
| Pressure ulcers or injuries, new or worsened | 4.55% |
2.29%
2.3 pts worse
|
Numerator 4 · Denominator 88 · Adjusted rate 4.72% |
| Healthcare-associated infections requiring hospitalization | 8.24% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 4.9% |
| Staff COVID-19 vaccination coverage | 0.39% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 259 |
| Staff flu vaccination coverage | 12.99% |
42%
29 pts worse
|
Numerator 23 · Denominator 177 |
| Discharge function score | 78.57% |
56.45%
22.1 pts better
|
Numerator 55 · Denominator 70 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 57 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 77.36% |
25.2%
52.2 pts better
|
Numerator 41 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 experiencing one or more falls with major injury | 0.0% |
3.0%
3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 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 with a catheter inserted and left in their bladder | 4.0% |
0.7%
3.3 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
1.6%
2.4 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 41.4% |
17.2%
24.2 pts worse
|
19.8%
21.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.4% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.8%
1.7 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
79.8%
20.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
14.1%
3.6 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.3% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% |
78.0%
19.5 pts better
|
79.7%
17.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.3% |
24.7%
4.6 pts worse
|
23.9%
5.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 24.7% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-09 · Fire 2024-05-09
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2022-02-10 · Fire 2022-02-10
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
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
2024-05-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-05
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 2025-07-04
D · Potential for more than minimal harm
2025-06-05
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-04
D · Potential for more than minimal harm
2025-06-05
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 2025-07-04
D · Potential for more than minimal harm
2024-05-09
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 2024-06-08
D · Potential for more than minimal harm
2024-05-09
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-06-08
D · Potential for more than minimal harm
2023-04-20
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-04-24
D · Potential for more than minimal harm
2022-02-10
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-03-15
D · Potential for more than minimal harm
2022-02-10
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 2022-03-15
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
Hughes, Meredith
Operational/Managerial Control · Individual
Johnson, Kevin
Operational/Managerial Control · Individual
Johnson, Kevin
Corporate Officer · Individual
Stamper, Amanda
Operational/Managerial Control · Individual
Stamper, Amanda
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
NHC Healthcare - Lexington
West Columbia, SC
3-star overall rating with 2-star inspections with 4 recent health deficiencies
#2
Millennium Post Acute Rehabilitation
West Columbia, SC
1-star overall rating with 2-star inspections with $4,271 in total fines with 11 recent health deficiencies
#3
St Andrews Operator, LLC
Columbia, SC
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $41,015 in total fines with 14 recent health deficiencies
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