Cycle 1
Health 2025-03-06 · Fire 2025-03-06
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Marietta, SC
River Falls Post Acute
2-star overall rating with 3-star inspections with $8,824 in total fines with 7 recent health deficiencies
2906 Greer Hwy, Marietta, SC
(864) 836-6381
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
44
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1991-04-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 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
0.29
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.59
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
2.94
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.03
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,293
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.69% · Performance 21.31% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.71
Baseline 8.32% · Performance 6.92% · Measure score 3.71 · Achievement 3.06 · Improvement 3.71
Total nurse turnover
1.49
Baseline 62.22% · Performance 57.58% · Measure score 1.49 · Achievement 1.49 · Improvement 0.74
Adjusted total nurse staffing
0
Baseline 3.49 hours · Performance 2.87 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.11% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 69 · Observed rate 8.7% · Lower 95% interval 7% |
| Discharge to community | 62.13% |
50.57%
11.6 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 58.14% · Lower 95% interval 48.7% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 38 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 10 · Denominator 25 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 10 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 38 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.92% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 2.33% |
8.2%
5.9 pts worse
|
Numerator 1 · Denominator 43 |
| Staff flu vaccination coverage | 9.72% |
42%
32.3 pts worse
|
Numerator 7 · Denominator 72 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 13 · Denominator 25 |
| 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 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
90.5%
4.4 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 100.0% · Q3 97.1% · Q4 100.0% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.6%
9.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.3% |
3.0%
7.3 pts worse
|
3.3%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 14.3% · Q3 11.4% · Q4 8.8% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 57.8% |
2.9%
54.9 pts worse
|
11.4%
46.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 53.6% · Q3 74.1% · Q4 73.1% · 4Q avg 57.8% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
6.2%
2.1 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.3% · Q3 10.7% · Q4 3.4% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.8% |
20.4%
18.4 pts worse
|
19.6%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 35.5% · Q3 40.0% · Q4 32.3% · 4Q avg 38.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
16.3%
8.2 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.3% · Q3 4.8% · Q4 12.5% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.7% |
0.2%
0.5 pts worse
|
0.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.7% |
14.9%
12.2 pts better
|
16.3%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.2% |
12.4%
3.2 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 13.3% · Q3 11.1% · Q4 6.9% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
1.6%
1.5 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
17.2%
1.7 pts worse
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 17.8% · Q3 20.1% · Q4 14.2% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
5.8%
1.8 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.1% · Q3 4.0% · Q4 6.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.0% |
79.8%
2.8 pts worse
|
81.7%
4.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.3% · Q2 78.6% · Q3 89.4% · Q4 92.9% · 4Q avg 77.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
14.1%
2.1 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 15.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.6%
0.7 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.3% |
78.0%
2.3 pts better
|
79.7%
0.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
24.7%
4.9 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 28.9% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-05 · Fire 2023-07-05
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-07-30 · Fire 2021-07-30
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-06
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 2025-04-05
E · Potential for more than minimal harm
2025-03-06
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 2025-04-05
E · Potential for more than minimal harm
2025-03-06
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 2025-04-05
D · Potential for more than minimal harm
2025-03-06
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-03-06
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 2025-04-05
D · Potential for more than minimal harm
2025-03-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-03-06
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-04-05
G · Actual harm
2025-01-02
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 2025-01-30
D · Potential for more than minimal harm
2023-07-05
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-20
D · Potential for more than minimal harm
2021-07-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-08-20
Penalties and ownership
What sits behind the stars
$8,824
2025-01-02
Fine
Fine · fine $8,824
Fine
Ownership
Palmetto Community Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Apt, Frederick
Corporate Officer · Individual
Hancock, Mark
5% Or Greater Indirect Ownership Interest · Individual
Hekking, Brock
W-2 Managing Employee · Individual
Jergensen, Joshua
Corporate Officer · Individual
Mitchell, John
Corporate Officer · Individual
Murray, Jason
5% Or Greater Indirect Ownership Interest · Individual
Pacs Group, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Pacs Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Providence Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Wheeler, Kerry
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
The Arboretum At The Woodlands
Greenville, SC
5-star overall rating with 5-star inspections
#2
Heartland Health Care Center - Greenville East
Greenville, SC
5-star overall rating with 4-star inspections with $38,389 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Greenville Post Acute
Greenville, SC
2-star overall rating with 2-star inspections with $5,831 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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