Charleston, SC

Riverside Health and Rehab

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

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 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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-04-15 · Fire 2025-04-15

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-03-15 · Fire 2024-03-15

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-03-04 · Fire 2022-03-04

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-15

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 2025-05-01

D · Potential for more than minimal harm 2025-04-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-01

D · Potential for more than minimal harm 2022-03-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-03-14

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-15

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 2025-05-01

E · Potential for more than minimal harm 2025-04-15

F688 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2025-04-15

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 2025-05-01

D · Potential for more than minimal harm 2025-04-15

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-15

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

C · Minimal harm 2025-04-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-05-01

J · Immediate jeopardy 2024-11-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

J · Immediate jeopardy 2024-11-19

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 2024-11-07

K · Immediate jeopardy 2024-03-15

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 2024-04-12

E · Potential for more than minimal harm 2024-03-15

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 2024-04-12

E · Potential for more than minimal harm 2024-03-15

F725 · Nursing and Physician Services Deficiencies

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

E · Potential for more than minimal harm 2024-03-15

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 2024-04-12

D · Potential for more than minimal harm 2024-03-15

F578 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-03-15

F623 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-03-15

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 2024-04-12

D · Potential for more than minimal harm 2024-03-15

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 2024-04-12

D · Potential for more than minimal harm 2024-03-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-12

E · Potential for more than minimal harm 2023-04-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-26

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-26

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-04-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-26

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 2023-05-26

F · Potential for more than minimal harm 2022-03-04

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-03-23

E · Potential for more than minimal harm 2022-03-04

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 2022-03-23

D · Potential for more than minimal harm 2022-03-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-03-23

D · Potential for more than minimal harm 2022-03-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-03-23

Penalties and ownership

What sits behind the stars

$5,422 2024-11-19

Fine

Fine · fine $5,422

Fine

$5,423 2024-11-19

Fine

Fine · fine $5,423

Fine

$16,943 2024-03-15

Fine

Fine · fine $16,943

Fine

$6,095 2023-04-26

Fine

Fine · fine $6,095

Fine

$0 2023-04-26

Payment Denial

Payment Denial · denial start 2023-07-26 · 86 days

86 day denial

Ownership

Thi Of South Carolina, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 18 facilities 2003-08-30
Castle, Patty

Corporate Officer · Individual

0% 2 facilities 2023-07-05
Castle, Patty

W-2 Managing Employee · Individual

0% 2 facilities 2023-07-05
Forman, Murray

5% Or Greater Indirect Ownership Interest · Individual

0% 42 facilities 2006-03-28
Hunt Valley Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 37 facilities 2006-03-28
Thi Of Baltimore, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 37 facilities 2003-08-30

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Fines
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#3

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Staffing
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Fines
$12,740

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