Cycle 1
Health 2025-06-12 · Fire 2025-06-12
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
West Columbia, SC
Still Hopes Episcopal Retirement Community
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1 Still Hopes Drive, West Columbia, SC
(803) 796-6490
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
22
Certified beds
Average residents
20
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2011-06-08
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
171
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
80.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0259
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.43% · Performance 15.79% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.50
Baseline 4.55% · Performance 5.59% · Measure score 7.50 · Achievement 7.50 · Improvement 0
Total nurse turnover
6.54
Baseline 44.74% · Performance 36.96% · Measure score 6.54 · Achievement 6.54 · Improvement 3.41
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 | 10.15% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 350 · Observed rate 8.86% · Lower 95% interval 8.01% |
| Discharge to community | 69.71% |
50.57%
19.1 pts better
|
Better than the National Rate · Eligible stays 373 · Observed rate 65.15% · Lower 95% interval 64.53% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.86% |
95.27%
5.4 pts worse
|
Numerator 186 · Denominator 207 |
| Falls with major injury | 0.97% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 207 |
| Discharge self-care score | 63.33% |
53.69%
9.6 pts better
|
Numerator 95 · Denominator 150 |
| Discharge mobility score | 62.67% |
50.94%
11.7 pts better
|
Numerator 94 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 0.97% |
2.29%
1.3 pts better
|
Numerator 2 · Denominator 207 · Adjusted rate 1.32% |
| Healthcare-associated infections requiring hospitalization | 5.59% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 216 · Observed rate 3.7% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 1.89% |
8.2%
6.3 pts worse
|
Numerator 1 · Denominator 53 |
| Staff flu vaccination coverage | 18.97% |
42%
23 pts worse
|
Numerator 11 · Denominator 58 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 100 · Denominator 150 |
| Transfer of health information to provider | 99.36% |
95.95%
3.4 pts better
|
Numerator 156 · Denominator 157 |
| Transfer of health information to patient | 96.67% |
96.28%
0.4 pts better
|
Numerator 29 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 28.18% |
25.2%
3 pts better
|
Numerator 31 · Denominator 110 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
79.8%
17.3 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 97.5% · Q3 97.1% · Q4 97.3% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.5% |
14.1%
2.6 pts better
|
12.0%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 10.9% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.6%
0.3 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 1.5% · Q4 1.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
78.0%
16.3 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% |
24.7%
8.2 pts better
|
23.9%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 14.7% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-17 · Fire 2024-04-17
1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-02-25 · Fire 2022-02-25
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-04-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-04-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-12
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 2025-07-12
D · Potential for more than minimal harm
2024-04-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-15
F · Potential for more than minimal harm
2022-02-25
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 2022-03-25
D · Potential for more than minimal harm
2022-02-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-25
Penalties and ownership
What sits behind the stars
Ownership
South Carolina Episcopal Home At "still Hopes"
5% Or Greater Direct Ownership Interest · Organization
Dieckmann, Marie
Corporate Director · Individual
Functional Pathways Of Tennessee LLC
Operational/Managerial Control · Organization
Geriatric Health And Wellness Ltd Co.
Operational/Managerial Control · Organization
Johnston, Phillip
Corporate Director · Individual
Robertson, Nikki
Operational/Managerial Control · Individual
Robertson, Nikki
Corporate Officer · Individual
Sanford, Danny
Operational/Managerial Control · Individual
Sanford, Danny
Corporate Director · Individual
Sanford, Danny
Corporate Officer · Individual
South Carolina Episcopal Home At "still Hopes"
Operational/Managerial Control · Organization
Stinnette, Wade
Corporate Director · Individual
Wenger, Joseph
Operational/Managerial Control · Individual
Wenger, Joseph
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Opus Post Acute Rehabilitation
West Columbia, SC
2-star overall rating with 2-star inspections with $12,043 in total fines with 5 recent health deficiencies
#2
Millennium Post Acute Rehabilitation
West Columbia, SC
1-star overall rating with 2-star inspections with $4,271 in total fines with 11 recent health deficiencies
#3
Midlands Health & Rehabilitation Center
Columbia, SC
2-star overall rating with 2-star inspections with $51,803 in total fines with 7 recent health deficiencies
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