Cycle 1
Health 2026-01-14 · Fire 2026-01-14
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cheraw, SC
Rehab Center of Cheraw
0-star overall rating with 0-star inspections with Special Focus status with $64,075 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1150 State Road, Cheraw, SC
(843) 537-2060
Overall
0 / 5
CMS overall stars
Health inspections
0 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
1991-03-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
69 facilities
Chain averages 2 overall / 2 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
Hours and turnover
RN hours / resident day
0.33
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.77
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.11
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
3.12
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
79%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,666
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
1.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.46% · Performance 21.70% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.44% · Performance 10.19% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.79
Baseline 62.89% · Performance 60.47% · Measure score 0.79 · Achievement 0.79 · Improvement 0.14
Adjusted total nurse staffing
0
Baseline 3.27 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.36% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 19.12% · Lower 95% interval 8.74% |
| Discharge to community | 39.92% |
50.57%
10.6 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 27.45% · Lower 95% interval 29% |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 100 · Denominator 100 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 100 |
| Discharge self-care score | 34.43% |
53.69%
19.3 pts worse
|
Numerator 21 · Denominator 61 |
| Discharge mobility score | 34.43% |
50.94%
16.5 pts worse
|
Numerator 21 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 10% |
2.29%
7.7 pts worse
|
Numerator 10 · Denominator 100 · Adjusted rate 6.37% |
| Healthcare-associated infections requiring hospitalization | 10.19% |
7.12%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 22.22% · Lower 95% interval 5.58% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 76.4% |
42%
34.4 pts better
|
Numerator 68 · Denominator 89 |
| Discharge function score | 40.98% |
56.45%
15.5 pts worse
|
Numerator 25 · Denominator 61 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 18% |
25.2%
7.2 pts worse
|
Numerator 9 · Denominator 50 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
2.0
0.9 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
1.9
1.3 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% |
90.5%
2.2 pts better
|
93.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 93.3% · Q3 93.8% · Q4 95.7% · 4Q avg 92.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.8% |
90.6%
2.2 pts better
|
95.5%
2.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.0%
1.9 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.1% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
2.9%
2.6 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
6.2%
1.5 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.0% · Q3 4.7% · Q4 5.1% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.0% |
20.4%
1.4 pts better
|
19.6%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 19.3% · Q3 17.0% · Q4 19.8% · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
16.3%
2.2 pts better
|
16.7%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 22.0% · Q3 11.8% · Q4 6.3% · 4Q avg 14.1% · 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 | 12.3% |
14.9%
2.6 pts better
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
12.4%
0.2 pts better
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 14.3% · Q3 15.6% · Q4 14.5% · 4Q avg 12.2% · 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 | 0.6% |
1.6%
1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
17.2%
1.3 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 15.4% · Q3 18.1% · Q4 16.9% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
5.8%
1.3 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.0% · Q3 5.9% · Q4 5.7% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.6% |
79.8%
41.2 pts worse
|
81.7%
43.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 33.3% · Q3 44.0% · Q4 46.3% · 4Q avg 38.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
14.1%
3.9 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 13.6% · Expected 14.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.0% |
1.6%
3.4 pts worse
|
1.6%
3.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.9% · Q3 8.0% · Q4 7.4% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.1% |
78.0%
32.9 pts worse
|
79.7%
34.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.0% |
24.7%
12.3 pts worse
|
23.9%
13.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.0% · Observed 50.8% · Expected 32.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-05-06 · Fire 2025-05-06
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-10-09 · Fire 2024-10-09
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
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
2026-01-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-14
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2026-02-06
E · Potential for more than minimal harm
2026-01-14
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-14
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 2026-02-06
D · Potential for more than minimal harm
2026-01-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-14
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-14
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 2026-02-06
J · Immediate jeopardy
2025-05-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-25
D · Potential for more than minimal harm
2025-05-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-27
D · Potential for more than minimal harm
2024-10-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-06-03
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-04
J · Immediate jeopardy
2023-10-04
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 2023-10-05
D · Potential for more than minimal harm
2023-10-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-06-20
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 2023-07-18
Penalties and ownership
What sits behind the stars
$17,345
2025-05-06
Fine
Fine · fine $17,345
Fine
$4,349
2024-04-23
Fine
Fine · fine $4,349
Fine
$4,349
2024-04-23
Fine
Fine · fine $4,349
Fine
$38,032
2023-09-01
Fine
Fine · fine $38,032
Fine
$0
2023-09-01
Payment Denial
Payment Denial · denial start 2023-09-28 · 7 days
7 day denial
Ownership
Thi Of South Carolina, LLC
5% Or Greater Direct Ownership Interest · Organization
Forman, Murray
5% Or Greater Indirect Ownership Interest · Individual
Hunt Valley Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Thi Of Baltimore, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Villafranca, Grace
Corporate Officer · Individual
Villafranca, Grace
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Cheraw Healthcare
Cheraw, SC
2-star overall rating with 2-star inspections with $210,130 in total fines with 6 recent health deficiencies
#2
Wadesboro Health & Rehab Center
Wadesboro, NC
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
PruittHealth-Rockingham
Rockingham, NC
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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