Ridgeway, SC

Ridgeway Manor Healthcare Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

117 Bellfield Road, Ridgeway, SC

(803) 337-2257

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-03-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.45

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

1.63

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.50

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

0.01

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

2.80

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.49%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 17.24% · Lower 95% interval 7.19%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	19.05%	53.69% 34.6 pts worse	Numerator 4 · Denominator 21
Discharge mobility score	33.33%	50.94% 17.6 pts worse	Numerator 7 · Denominator 21
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 1.95%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 123
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 123
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 7 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.0 0.2 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.6 · 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 1.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	90.5% 3.9 pts better	93.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.5% · Q3 91.2% · Q4 89.0% · 4Q avg 94.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	90.6% 5 pts better	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.0% 1.2 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 2.5% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	2.9% 2.4 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	5.2%	6.2% 1 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.4% · Q3 5.9% · Q4 1.4% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.5%	20.4% 3.1 pts worse	19.6% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 22.4% · Q3 24.3% · Q4 24.3% · 4Q avg 23.5%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	16.3% 0.2 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 17.0% · Q3 17.0% · Q4 16.7% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	1.8%	0.2% 1.6 pts worse	0.1% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 1.2% · Q4 1.2% · 4Q avg 1.8%
Percentage of long-stay residents whose ability to walk independently worsened	28.4%	14.9% 13.5 pts worse	16.3% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 28.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.0%	12.4% 2.6 pts worse	14.9% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 19.7% · Q3 18.0% · Q4 16.7% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	0.7% 0.8 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.9% · Q3 1.6% · Q4 1.7% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	1.6% 0.5 pts worse	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.1%	17.2% 6.1 pts better	19.8% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 6.8% · Q3 12.5% · Q4 9.7% · 4Q avg 11.1%
Percentage of long-stay residents with pressure ulcers	4.8%	5.8% 1 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.7% · Q3 1.9% · Q4 4.5% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	25.6%	79.8% 54.2 pts worse	81.7% 56.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 38.1% · Q4 21.4% · 4Q avg 25.6%
Percentage of short-stay residents who had an outpatient emergency department visit	20.5%	14.1% 6.4 pts worse	12.0% 8.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 24.2% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.7%	1.6% 2.1 pts worse	1.6% 2.1 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.2%	24.7% 2.5 pts better	23.9% 1.7 pts better	Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 24.2% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-05 · Fire 2025-03-05

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2023-06-29 · Fire 2023-06-29

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-01-13 · Fire 2022-01-13

7 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 2025-03-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-05

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-05

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-03-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-12-13

J · Immediate jeopardy 2025-03-05

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-10

J · Immediate jeopardy 2025-03-05

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 2025-04-10

J · Immediate jeopardy 2025-03-05

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-05

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 2025-04-10

E · Potential for more than minimal harm 2025-03-05

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-10

D · Potential for more than minimal harm 2024-05-24

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-06-28

E · Potential for more than minimal harm 2023-06-29

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-08-18

E · Potential for more than minimal harm 2023-06-29

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-08-18