3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Spartanburg, SC
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
110 Summit Hills Drive, Spartanburg, SC
(864) 591-2222
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
27
Certified beds
Average residents
20
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Living Communities
Operator or chain grouping
Approved since
2008-12-05
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 5 staffing / 3 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
0.76
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
2.14
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.91
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.90
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
5.17
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
5.49
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,318
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.90
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.29% · Performance 24.71% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.13
Baseline 6.68% · Performance 6.90% · Measure score 3.13 · Achievement 3.13 · Improvement 0
Total nurse turnover
0.74
Baseline 67.27% · Performance 62.00% · Measure score 0.74 · Achievement 0 · Improvement 0.74
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
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.81% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 10.12% · Lower 95% interval 7.47% |
| Discharge to community | 53.96% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 237 · Observed rate 49.79% · Lower 95% interval 47.56% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.68% |
95.27%
3.4 pts better
|
Numerator 149 · Denominator 151 |
| Falls with major injury | 3.31% |
0.77%
2.5 pts worse
|
Numerator 5 · Denominator 151 |
| Discharge self-care score | 52.46% |
53.69%
1.2 pts worse
|
Numerator 64 · Denominator 122 |
| Discharge mobility score | 57.38% |
50.94%
6.4 pts better
|
Numerator 70 · Denominator 122 |
| Pressure ulcers or injuries, new or worsened | 1.99% |
2.29%
0.3 pts better
|
Numerator 3 · Denominator 151 · Adjusted rate 2.42% |
| Healthcare-associated infections requiring hospitalization | 6.9% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 155 · Observed rate 5.16% · Lower 95% interval 4.06% |
| Staff COVID-19 vaccination coverage | 0.53% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 190 |
| Staff flu vaccination coverage | 10.36% |
42%
31.6 pts worse
|
Numerator 20 · Denominator 193 |
| Discharge function score | 63.11% |
56.45%
6.7 pts better
|
Numerator 77 · Denominator 122 |
| Transfer of health information to provider | 98.04% |
95.95%
2.1 pts better
|
Numerator 50 · Denominator 51 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 89 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 14.71% |
25.2%
10.5 pts worse
|
Numerator 10 · Denominator 68 |
Quality measures
| 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 95.7% · Q2 98.2% · Q3 98.2% · Q4 96.4% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.0% |
14.1%
9.9 pts worse
|
12.0%
12 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 21.8% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.6%
1.4 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
78.0%
18 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
24.7%
0.5 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.0% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-23
Inspection history
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-02-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-02-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-27
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Spartanburg, SC
4-star overall rating with 4-star inspections with $8,827 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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5-star overall rating with 5-star inspections with 1 recent health deficiencies
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
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