7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Charleston, SC
1-star overall rating with 1-star inspections with $33,883 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2375 Baker Hosp Blvd, Charleston, SC
(843) 744-2750
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
152
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
1979-09-01
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
RN hours / resident day
0.35
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.90
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
2.83
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.59
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
2.59
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,367
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.45
Baseline 22.00% · Performance 20.54% · Measure score 2.45 · Achievement 1.93 · Improvement 2.45
Healthcare-associated infections
0
Baseline 5.04% · Performance 8.33% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 44.55% · Performance 62.50% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 2.56 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| 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 88 · Observed rate 12.5% · Lower 95% interval 7.22% |
| Discharge to community | 51.76% |
50.57%
1.2 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 33.87% · Lower 95% interval 38.53% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 102 · Denominator 102 |
| Falls with major injury | 0.98% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 102 |
| Discharge self-care score | 23.33% |
53.69%
30.4 pts worse
|
Numerator 14 · Denominator 60 |
| Discharge mobility score | 38.33% |
50.94%
12.6 pts worse
|
Numerator 23 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 11.76% |
2.29%
9.5 pts worse
|
Numerator 12 · Denominator 102 · Adjusted rate 8.07% |
| Healthcare-associated infections requiring hospitalization | 8.33% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 15% · Lower 95% interval 5.18% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 117 |
| Staff flu vaccination coverage | 90.83% |
42%
48.8 pts better
|
Numerator 109 · Denominator 120 |
| Discharge function score | 36.67% |
56.45%
19.8 pts worse
|
Numerator 22 · Denominator 60 |
| Transfer of health information to provider | 76.19% |
95.95%
19.8 pts worse
|
Numerator 32 · Denominator 42 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25.49% |
25.2%
0.3 pts better
|
Numerator 13 · Denominator 51 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.0
0.8 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% |
90.5%
18.8 pts worse
|
93.4%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 76.3% · Q3 81.0% · Q4 78.5% · 4Q avg 71.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.8% |
90.6%
19.8 pts worse
|
95.5%
24.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 70.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.0%
0.4 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.2% · Q3 3.6% · Q4 3.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
2.9%
0.9 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 3.3% · Q4 1.6% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 10.6% |
6.2%
4.4 pts worse
|
5.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 11.2% · Q3 6.2% · Q4 7.5% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
20.4%
3.5 pts better
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.1% · Q3 16.9% · Q4 17.5% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
16.3%
1.1 pts better
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 16.1% · Q3 15.1% · Q4 11.1% · 4Q avg 15.2% · 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 | 15.2% |
14.9%
0.3 pts worse
|
16.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q3 14.9% · Q4 7.6% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.0% |
12.4%
6.4 pts better
|
14.9%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 5.9% · Q3 4.8% · Q4 5.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.6%
0.4 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.8% · Q3 2.2% · Q4 0.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.7% |
17.2%
11.5 pts better
|
19.8%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 1.8% · Q3 2.5% · Q4 3.2% · 4Q avg 5.7% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
5.8%
2.9 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 7.4% · Q3 8.4% · Q4 9.3% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 29.5% |
79.8%
50.3 pts worse
|
81.7%
52.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 30.3% · Q3 26.7% · Q4 33.3% · 4Q avg 29.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
14.1%
4.2 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 12.3% · Expected 13.8% · 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 2.1% · Q2 4.4% · Q3 2.5% · 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 | 42.5% |
78.0%
35.5 pts worse
|
79.7%
37.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
24.7%
0.4 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 30.1% · Expected 29.5% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
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 2025-05-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-03-14
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-01
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-05-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-01
Health
Dispose of garbage and refuse properly.
Corrected 2025-05-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-01
Health
Post nurse staffing information every day.
Corrected 2025-05-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-12
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 2024-04-12
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 2024-04-12
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 2024-04-12
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-26
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-26
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-20
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-26
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 2023-05-26
Health
Dispose of garbage and refuse properly.
Corrected 2022-03-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-23
Penalties and ownership
Fine · fine $5,422
Fine
Fine · fine $5,423
Fine
Fine · fine $16,943
Fine
Fine · fine $6,095
Fine
Payment Denial · denial start 2023-07-26 · 86 days
86 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Charleston, SC
2-star overall rating with 1-star inspections with $46,164 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Charleston, SC
4-star overall rating with 3-star inspections with $12,740 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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