Cycle 1
Health 2025-11-19 · Fire 2024-09-11
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Spartanburg, SC
Spartanburg Hospital for Restorative Care SNF
5-star overall rating with 5-star inspections with 1 recent health deficiencies
389 Serpentine Drive, Spartanburg, SC
(864) 560-3265
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
15
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-03-07
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.99
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
6.00
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.94
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
5.20
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
2.16
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
1.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
3.02
CMS adjusted RN staffing hours
Adjusted total hours
6.05
CMS adjusted total nurse staffing hours
Case-mix index
1.36
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
Value-based purchasing
Program rank
1,847
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0083
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.37
Baseline 17.67% · Performance 20.80% · Measure score 1.37 · Achievement 1.37 · Improvement 0
Healthcare-associated infections
10
Baseline 4.64% · Performance 4.97% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
4.71
Baseline 65.22% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 4.65
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.08% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 159 · Observed rate 11.32% · Lower 95% interval 7.51% |
| Discharge to community | 71.03% |
50.57%
20.5 pts better
|
Better than the National Rate · Eligible stays 154 · Observed rate 72.08% · Lower 95% interval 63.4% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.01% |
95.27%
3.7 pts better
|
Numerator 100 · Denominator 101 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 101 |
| Discharge self-care score | 59.04% |
53.69%
5.4 pts better
|
Numerator 49 · Denominator 83 |
| Discharge mobility score | 56.63% |
50.94%
5.7 pts better
|
Numerator 47 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0.99% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 101 · Adjusted rate 1.68% |
| Healthcare-associated infections requiring hospitalization | 4.97% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 0% · Lower 95% interval 2.28% |
| Staff COVID-19 vaccination coverage | 0.97% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 103 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 57.83% |
56.45%
1.4 pts better
|
Numerator 48 · Denominator 83 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 47 · Denominator 47 |
| Transfer of health information to patient | 85.19% |
96.28%
11.1 pts worse
|
Numerator 46 · Denominator 54 |
| Resident COVID-19 vaccinations up to date | 8.62% |
25.2%
16.6 pts worse
|
Numerator 5 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
79.8%
19 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.9% · Q3 98.4% · Q4 99.5% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.9% |
14.1%
7.2 pts better
|
12.0%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 5.7% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.6%
1.3 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
78.0%
21.5 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
24.7%
1.1 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 21.8% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-11 · Fire 2022-08-03
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-03 · Fire 2021-01-13
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
D · Potential for more than minimal harm
2025-11-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-25
Penalties and ownership
What sits behind the stars
Ownership
Spartanburg Regional Health Services District Inc
5% Or Greater Direct Ownership Interest · Organization
Apella Health Management Inc
Operational/Managerial Control · Organization
Davis, Bruce
Corporate Officer · Individual
Morrow, Charles
Corporate Officer · Individual
Stimac, Patricia
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Magnolia Manor - Spartanburg
Spartanburg, SC
2-star overall rating with 2-star inspections with $27,859 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
White Oak Manor - Spartanburg
Spartanburg, SC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
White Oak At North Grove Inc
Spartanburg, SC
2-star overall rating with 2-star inspections with $10,364 in total fines with 5 recent health deficiencies
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