Cycle 1
Health 2025-02-27 · Fire 2025-02-27
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inman, SC
Rosecrest Rehabilitation and Healthcare Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies
200 Fortress Drive, Inman, SC
(864) 599-8600
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
Facility snapshot
Beds
75
Certified beds
Average residents
57
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-05-23
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
Hours and turnover
RN hours / resident day
0.51
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.29
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,218
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9903
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.19
Baseline 20.50% · Performance 19.96% · Measure score 3.19 · Achievement 3.19 · Improvement 1.07
Healthcare-associated infections
2.94
Baseline 6.45% · Performance 6.96% · Measure score 2.94 · Achievement 2.94 · Improvement 0
Total nurse turnover
1.21
Baseline 45.31% · Performance 58.75% · Measure score 1.21 · Achievement 1.21 · Improvement 0
Adjusted total nurse staffing
7.45
Baseline 4.36 hours · Performance 5.20 hours · Measure score 7.45 · Achievement 7.45 · Improvement 5.40
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.28% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 299 · Observed rate 8.7% · Lower 95% interval 7.42% |
| Discharge to community | 59.36% |
50.57%
8.8 pts better
|
Better than the National Rate · Eligible stays 285 · Observed rate 56.84% · Lower 95% interval 53.11% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 243 · Denominator 243 |
| Falls with major injury | 0.82% |
0.77%
About the same
|
Numerator 2 · Denominator 243 |
| Discharge self-care score | 52.87% |
53.69%
0.8 pts worse
|
Numerator 92 · Denominator 174 |
| Discharge mobility score | 60.92% |
50.94%
10 pts better
|
Numerator 106 · Denominator 174 |
| Pressure ulcers or injuries, new or worsened | 1.65% |
2.29%
0.6 pts better
|
Numerator 4 · Denominator 243 · Adjusted rate 1.53% |
| Healthcare-associated infections requiring hospitalization | 6.96% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 197 · Observed rate 5.58% · Lower 95% interval 4% |
| Staff COVID-19 vaccination coverage | 1.47% |
8.2%
6.7 pts worse
|
Numerator 2 · Denominator 136 |
| Staff flu vaccination coverage | 76.4% |
42%
34.4 pts better
|
Numerator 123 · Denominator 161 |
| Discharge function score | 63.22% |
56.45%
6.8 pts better
|
Numerator 110 · Denominator 174 |
| Transfer of health information to provider | 98.63% |
95.95%
2.7 pts better
|
Numerator 72 · Denominator 73 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 150 · Denominator 150 |
| Resident COVID-19 vaccinations up to date | 10.29% |
25.2%
14.9 pts worse
|
Numerator 14 · Denominator 136 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
90.5%
9.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.0%
0.2 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.9%
2.9 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
6.2%
6.2 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
20.4%
2.4 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.5% |
16.3%
7.2 pts worse
|
16.7%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.0% |
12.4%
11.6 pts worse
|
14.9%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.4% |
17.2%
19.2 pts worse
|
19.8%
16.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.4% |
| Percentage of long-stay residents with pressure ulcers | 10.0% |
5.8%
4.2 pts worse
|
5.1%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
79.8%
19.6 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.6% · Q3 99.0% · Q4 99.1% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
14.1%
4.8 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.6%
0.2 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 2.9% · Q3 2.3% · Q4 0.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
78.0%
20.6 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.0% |
24.7%
11.3 pts worse
|
23.9%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.0% · Observed 32.0% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-25 · Fire 2023-05-25
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-10-15 · Fire 2021-10-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-27
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 2025-02-28
D · Potential for more than minimal harm
2025-02-27
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 2025-02-28
D · Potential for more than minimal harm
2023-05-25
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 2023-06-06
D · Potential for more than minimal harm
2023-05-25
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-06-06
Penalties and ownership
What sits behind the stars
Ownership
Coleman, Charles
Corporate Officer · Individual
Coleman, Charles
W-2 Managing Employee · Individual
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#3
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