Cycle 1
Health 2025-01-08 · Fire 2025-01-08
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Beaufort, SC
Resorts at Beaufort
2-star overall rating with 2-star inspections with $10,868 in total fines with 11 recent health deficiencies
11 Todd Drive, Beaufort, SC
(843) 524-8911
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
170
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Rosenberg Family
Operator or chain grouping
Approved since
1975-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 2 health / 4 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
0.48
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.32
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
3.64
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
53%
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
10,294
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.85
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.03
Baseline 23.43% · Performance 21.81% · Measure score 2.03 · Achievement 0 · Improvement 2.03
Healthcare-associated infections
1.72
Baseline 10.11% · Performance 8.97% · Measure score 1.72 · Achievement 0 · Improvement 1.72
Total nurse turnover
1.1
Baseline 56.78% · Performance 59.18% · Measure score 1.1 · Achievement 1.1 · Improvement 0
Adjusted total nurse staffing
3.49
Baseline 3.71 hours · Performance 4.07 hours · Measure score 3.49 · Achievement 3.49 · Improvement 1.22
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.44% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 73 · Observed rate 24.66% · Lower 95% interval 10.79% |
| Discharge to community | 38.46% |
50.57%
12.1 pts worse
|
Worse than the National Rate · Eligible stays 39 · Observed rate 25.64% · Lower 95% interval 25.34% |
| Medicare spending per beneficiary | 1.32 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 97 · Denominator 97 |
| Falls with major injury | 1.03% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 97 |
| Discharge self-care score | 61.36% |
53.69%
7.7 pts better
|
Numerator 27 · Denominator 44 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 22 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 7.22% |
2.29%
4.9 pts worse
|
Numerator 7 · Denominator 97 · Adjusted rate 4.96% |
| Healthcare-associated infections requiring hospitalization | 8.97% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 16.67% · Lower 95% interval 5.81% |
| Staff COVID-19 vaccination coverage | 1.57% |
8.2%
6.6 pts worse
|
Numerator 2 · Denominator 127 |
| Staff flu vaccination coverage | 3.15% |
42%
38.9 pts worse
|
Numerator 4 · Denominator 127 |
| Discharge function score | 63.64% |
56.45%
7.2 pts better
|
Numerator 28 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 5 · Denominator 35 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
90.5%
7.6 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 98.1% · Q3 98.1% · Q4 99.1% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
90.6%
8.5 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.7% |
3.0%
3.7 pts worse
|
3.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.8% · Q3 6.7% · Q4 5.5% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
2.9%
5 pts worse
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.3% · Q3 3.2% · Q4 13.6% · 4Q avg 7.9% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
6.2%
1.4 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 1.1% · Q3 4.4% · Q4 7.7% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% |
20.4%
3.2 pts worse
|
19.6%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 27.3% · Q3 24.2% · Q4 16.0% · 4Q avg 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.7% |
16.3%
7.6 pts better
|
16.7%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.3% · Q3 11.3% · Q4 13.2% · 4Q avg 8.7% · 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 | 8.3% |
14.9%
6.6 pts better
|
16.3%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 7.3% · Q3 4.7% · Q4 13.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.3% |
12.4%
5.1 pts better
|
14.9%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 2.5% · Q3 2.4% · Q4 9.2% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.7%
0.5 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.6% · Q3 0.7% · Q4 0.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 11.7% |
17.2%
5.5 pts better
|
19.8%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 7.4% · Q3 16.0% · Q4 21.1% · 4Q avg 11.7% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.8%
1.3 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.4% · Q3 4.1% · Q4 3.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
79.8%
17.9 pts better
|
81.7%
16 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.0% · Q4 93.0% · 4Q avg 97.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.1% |
14.1%
5 pts worse
|
12.0%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 22.4% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.6%
1.1 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.6% · Q3 2.7% · Q4 3.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.7% |
78.0%
10.7 pts better
|
79.7%
9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 40.2% |
24.7%
15.5 pts worse
|
23.9%
16.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 40.2% · Observed 44.8% · Expected 26.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-09 · Fire 2023-02-09
6 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-05-07 · Fire 2021-05-07
1 health deficiencies
Top issue: Nutrition and Dietary (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
2025-08-20
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 2025-08-27
D · Potential for more than minimal harm
2025-08-20
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 2025-08-27
G · Actual harm
2025-05-16
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 2025-05-23
D · Potential for more than minimal harm
2025-05-16
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-16
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 2025-05-23
D · Potential for more than minimal harm
2025-01-08
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-01-28
D · Potential for more than minimal harm
2025-01-08
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-01-28
D · Potential for more than minimal harm
2025-01-08
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-28
D · Potential for more than minimal harm
2025-01-08
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 2025-01-28
D · Potential for more than minimal harm
2025-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-28
F · Potential for more than minimal harm
2023-02-09
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 2023-03-03
D · Potential for more than minimal harm
2023-02-09
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 2023-03-03
D · Potential for more than minimal harm
2023-02-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-02-09
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 2023-03-03
D · Potential for more than minimal harm
2023-02-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-02-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-03-03
F · Potential for more than minimal harm
2021-05-07
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 2021-06-06
Penalties and ownership
What sits behind the stars
$10,868
2025-05-16
Fine
Fine · fine $10,868
Fine
Ownership
Resorts At Beaufort 2 LLC
5% Or Greater Direct Ownership Interest · Organization
11 Todd LLC
5% Or Greater Security Interest · Organization
11 Todd LLC
5% Or Greater Mortgage Interest · Organization
Az 22 Tr
5% Or Greater Indirect Ownership Interest · Organization
Castor, David
Operational/Managerial Control · Individual
Ferguson, Sandra L
Operational/Managerial Control · Individual
Rosenberg, Avraham
5% Or Greater Indirect Ownership Interest · Individual
Rosenberg, Avraham
5% Or Greater Security Interest · Individual
Rosenberg, Avraham
5% Or Greater Mortgage Interest · Individual
Rosenberg, Jonathan
5% Or Greater Security Interest · Individual
Rosenberg, Jonathan
5% Or Greater Mortgage Interest · Individual
Rosenberg, Moshe
5% Or Greater Security Interest · Individual
Rosenberg, Moshe
5% Or Greater Mortgage Interest · Individual
Rosenberg, Zvi
5% Or Greater Indirect Ownership Interest · Individual
Rosenberg, Zvi
Operational/Managerial Control · Individual
Rosenberg, Zvi
Corporate Officer · Individual
Rosenberg, Zvi
5% Or Greater Security Interest · Individual
Za 22
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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5-star overall rating with 4-star inspections with 1 recent health deficiencies
#2
The Preston Health Center
Hilton Head Island, SC
5-star overall rating with 5-star inspections with $8,018 in total fines
#3
Life Care Center of Hilton Head
Hilton Head Island, SC
2-star overall rating with 1-star inspections with abuse icon flag with $8,281 in total fines with 5 recent health deficiencies
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