16 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Mount Pleasant, SC
1-star overall rating with 1-star inspections with $84,974 in total fines with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1049 Anna Knapp Boulevard, Mount Pleasant, SC
(843) 881-3210
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
176
Certified beds
Average residents
150
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1981-09-01
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
RN hours / resident day
0.37
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.74
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.13
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.77
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,692
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.75% · Performance 23.08% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.74% · Performance 8.62% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.41
Performance 45.67% · Measure score 4.41 · Achievement 4.41 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.72 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.76% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 136 · Observed rate 8.82% · Lower 95% interval 7.1% |
| Discharge to community | 50.81% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 110 · Observed rate 41.82% · Lower 95% interval 41.92% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.07% |
95.27%
3.8 pts better
|
Numerator 106 · Denominator 107 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 107 |
| Discharge self-care score | 46.88% |
53.69%
6.8 pts worse
|
Numerator 30 · Denominator 64 |
| Discharge mobility score | 26.56% |
50.94%
24.4 pts worse
|
Numerator 17 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 9.35% |
2.29%
7.1 pts worse
|
Numerator 10 · Denominator 107 · Adjusted rate 6.72% |
| Healthcare-associated infections requiring hospitalization | 8.62% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 12.35% · Lower 95% interval 5.77% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 124 |
| Staff flu vaccination coverage | 20.33% |
42%
21.7 pts worse
|
Numerator 37 · Denominator 182 |
| Discharge function score | 32.81% |
56.45%
23.6 pts worse
|
Numerator 21 · Denominator 64 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 92.59% |
96.28%
3.7 pts worse
|
Numerator 25 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 3.64% |
25.2%
21.6 pts worse
|
Numerator 2 · Denominator 55 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
1.9
1.3 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.7% |
90.5%
20.8 pts worse
|
93.4%
23.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.9% · Q2 59.0% · Q3 73.5% · Q4 89.5% · 4Q avg 69.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 65.6% |
90.6%
25 pts worse
|
95.5%
29.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 65.6% |
| 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 2.1% · Q2 2.8% · Q3 3.0% · Q4 2.4% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
2.9%
0.4 pts worse
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 1.8% · Q3 1.7% · Q4 0.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
6.2%
1.9 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.5% · Q3 8.9% · Q4 1.9% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% |
20.4%
5.7 pts worse
|
19.6%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 25.2% · Q3 26.3% · Q4 24.8% · 4Q avg 26.1% |
| 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 | 27.7% |
14.9%
12.8 pts worse
|
16.3%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 26.2% · Q3 22.5% · Q4 19.7% · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
12.4%
6.4 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.6% · Q3 21.2% · Q4 9.9% · 4Q avg 18.8% · 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 0.7% · Q2 0.0% · 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 | 1.5% |
1.6%
0.1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 0.0% · Q4 1.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
17.2%
5.5 pts worse
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 27.3% · Q3 22.9% · Q4 15.6% · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
5.8%
2.1 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.3% · Q3 8.6% · Q4 7.6% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
79.8%
0.4 pts worse
|
81.7%
2.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.2% · Q2 85.1% · Q3 79.6% · Q4 77.4% · 4Q avg 79.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.6% |
14.1%
3.5 pts worse
|
12.0%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.2% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
1.6%
2 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 5.2% · Q3 1.7% · Q4 2.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
78.0%
9 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
24.7%
2.8 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 23.2% · Expected 25.3% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-30
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-06-13
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-07-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-13
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-06-13
Inspection history
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 2025-05-02
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 2025-05-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-02
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-02
Health
Assess the resident when there is a significant change in condition
Corrected 2025-05-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-02
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-02
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 2025-05-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-02
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-02
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 2025-05-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-02
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-05-02
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-02-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-15
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 2024-05-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-15
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 2024-05-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-22
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-01-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-06-16
Health
Dispose of garbage and refuse properly.
Corrected 2023-06-16
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-06-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-06-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-16
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-06-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-16
Penalties and ownership
Fine · fine $7,882
Fine
Fine · fine $49,104
Fine
Fine · fine $3,801
Fine
Fine · fine $13,000
Fine
Fine · fine $11,187
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Mt Pleasant, SC
4-star overall rating with 3-star inspections with $7,901 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Mount Pleasant, SC
3-star overall rating with 3-star inspections with 3 recent health deficiencies
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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