9 health deficiencies
Top issue: Infection Control (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Seneca, SC
2-star overall rating with 2-star inspections with $4,893 in total fines with 9 recent health deficiencies
140 Tokeena RD, Seneca, SC
(864) 882-1642
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
118
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-02-18
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.33
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
7,448
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.93% · Performance 25.40% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.18
Baseline 10.63% · Performance 6.30% · Measure score 7.18 · Achievement 5.12 · Improvement 7.18
Total nurse turnover
2.85
Baseline 58.20% · Performance 52.03% · Measure score 2.85 · Achievement 2.85 · Improvement 1.35
Adjusted total nurse staffing
1.86
Baseline 3.93 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.74% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 8.42% · Lower 95% interval 6.87% |
| Discharge to community | 36.55% |
50.57%
14 pts worse
|
Worse than the National Rate · Eligible stays 96 · Observed rate 28.13% · Lower 95% interval 27.51% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.32% |
95.27%
4 pts better
|
Numerator 145 · Denominator 146 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 146 |
| Discharge self-care score | 65.17% |
53.69%
11.5 pts better
|
Numerator 58 · Denominator 89 |
| Discharge mobility score | 39.33% |
50.94%
11.6 pts worse
|
Numerator 35 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 2.74% |
2.29%
0.5 pts worse
|
Numerator 4 · Denominator 146 · Adjusted rate 2.9% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 4.65% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 151 |
| Staff flu vaccination coverage | 39.74% |
42%
2.3 pts worse
|
Numerator 60 · Denominator 151 |
| Discharge function score | 49.44% |
56.45%
7 pts worse
|
Numerator 44 · Denominator 89 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 55 · Denominator 55 |
| Transfer of health information to patient | 95.08% |
96.28%
1.2 pts worse
|
Numerator 58 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 11.63% |
25.2%
13.6 pts worse
|
Numerator 10 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.0
0.5 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.9 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
90.5%
4.1 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 96.9% · Q3 93.7% · Q4 92.8% · 4Q avg 94.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
90.6%
7.5 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.0%
0.9 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.1% · Q3 2.1% · Q4 1.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
2.9%
0.5 pts worse
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 5.0% · Q4 3.9% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
6.2%
4.2 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.8% · Q3 6.2% · Q4 11.0% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.9% |
20.4%
9.5 pts worse
|
19.6%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 29.6% · Q3 24.4% · Q4 26.7% · 4Q avg 29.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.7% |
16.3%
7.6 pts better
|
16.7%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 9.7% · Q3 4.5% · Q4 10.3% · 4Q avg 8.7% · 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 | 35.5% |
14.9%
20.6 pts worse
|
16.3%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.7% |
12.4%
11.3 pts worse
|
14.9%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 26.3% · Q3 15.6% · Q4 24.7% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.7%
0.8 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.9% · Q3 2.5% · Q4 0.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.6%
1.1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
17.2%
3.7 pts worse
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 22.7% · Q3 23.3% · Q4 22.0% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.8%
1.5 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.4% · Q3 4.8% · Q4 4.4% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.5% |
79.8%
9.3 pts worse
|
81.7%
11.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 69.6% · Q3 64.4% · Q4 75.8% · 4Q avg 70.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.1% |
14.1%
2 pts worse
|
12.0%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 15.6% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.6%
0.7 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.6% |
78.0%
24.4 pts worse
|
79.7%
26.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.2% |
24.7%
11.5 pts worse
|
23.9%
12.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.2% · Observed 37.5% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Infection Control (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
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 2025-03-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-14
Health
Implement a program that monitors antibiotic use.
Corrected 2025-03-14
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-14
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-03-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-14
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-15
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-11-26
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-11-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-11-26
Penalties and ownership
Fine · fine $1,748
Fine
Fine · fine $3,145
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Seneca, SC
4-star overall rating with 3-star inspections with $9,318 in total fines with 4 fire-safety deficiencies in the latest cycle
SIX Mile, SC
3-star overall rating with 2-star inspections with $6,570 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Anderson, SC
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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