1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Columbia, SC
4-star overall rating with 4-star inspections with 1 recent health deficiencies
100 Finley Road, Columbia, SC
(803) 691-5720
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
77
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-12-15
CMS approved date
Coverage
Medicare
Participation flags
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
RN hours / resident day
0.61
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.98
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.39
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
4.89
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,200
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0053
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.01
Baseline 20.07% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 2.66
Healthcare-associated infections
5.18
Baseline 5.06% · Performance 6.29% · Measure score 5.18 · Achievement 5.18 · Improvement 0
Total nurse turnover
4.79
Baseline 66.67% · Performance 44.55% · Measure score 4.79 · Achievement 4.68 · Improvement 4.79
Adjusted total nurse staffing
5.44
Baseline 4.36 hours · Performance 4.63 hours · Measure score 5.44 · Achievement 5.44 · Improvement 1.38
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.38% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 8.14% · Lower 95% interval 7.31% |
| Discharge to community | 57.73% |
50.57%
7.2 pts better
|
Better than the National Rate · Eligible stays 245 · Observed rate 49.39% · Lower 95% interval 51.3% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 142 · Denominator 142 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 142 |
| Discharge self-care score | 56% |
53.69%
2.3 pts better
|
Numerator 56 · Denominator 100 |
| Discharge mobility score | 54% |
50.94%
3.1 pts better
|
Numerator 54 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 4.93% |
2.29%
2.6 pts worse
|
Numerator 7 · Denominator 142 · Adjusted rate 4.37% |
| Healthcare-associated infections requiring hospitalization | 6.29% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 5.67% · Lower 95% interval 3.78% |
| Staff COVID-19 vaccination coverage | 1.67% |
8.2%
6.5 pts worse
|
Numerator 3 · Denominator 180 |
| Staff flu vaccination coverage | 94.58% |
42%
52.6 pts better
|
Numerator 192 · Denominator 203 |
| Discharge function score | 49% |
56.45%
7.5 pts worse
|
Numerator 49 · Denominator 100 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 128 · Denominator 128 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 19.44% |
25.2%
5.8 pts worse
|
Numerator 14 · Denominator 72 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.4 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
90.5%
6.3 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 95.8% · Q3 97.6% · Q4 97.8% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.0% |
90.6%
15.6 pts worse
|
95.5%
20.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.0%
0.3 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 4.9% · Q4 4.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
2.9%
0.4 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 2.9% · Q4 2.6% · 4Q avg 2.5% |
| 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 2.3% · Q2 2.6% · Q3 5.9% · Q4 8.6% · 4Q avg 4.7% |
| 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 · Q1 4.7% · Q2 5.3% · Q3 8.8% · Q4 14.3% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
16.3%
1.8 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 10.0% · Q4 14.3% · 4Q avg 14.5% · 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 | 23.8% |
14.9%
8.9 pts worse
|
16.3%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% |
12.4%
6.5 pts better
|
14.9%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.8% · Q3 9.4% · Q4 0.0% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.6%
0.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% |
17.2%
1.4 pts worse
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 12.4% · Q3 19.9% · Q4 21.4% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.8%
2.8 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.4% · Q3 2.7% · Q4 6.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
79.8%
13 pts better
|
81.7%
11.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 93.7% · Q3 95.6% · Q4 89.9% · 4Q avg 92.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
14.1%
1.5 pts better
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.3% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.6%
0.2 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 2.0% · Q4 2.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
78.0%
15.8 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
24.7%
3.2 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 22.6% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-31
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-01-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-01
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-02-01
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-02-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-02-01
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Nearby options
Columbia, SC
4-star overall rating with 4-star inspections with 1 recent health deficiencies
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2-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Columbia, SC
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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