Cycle 1
Health 2024-10-11 · Fire 2024-10-11
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Sumter, SC
Sumter East Health & Rehabilitation Center
1-star overall rating with 1-star inspections with $33,097 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
880 Carolina Avenue, Sumter, SC
(803) 775-5394
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
176
Certified beds
Average residents
151
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-04-01
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
Hours and turnover
RN hours / resident day
0.29
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.06
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
3.09
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.68
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,753
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.02
Baseline 20.89% · Performance 20.96% · Measure score 1.02 · Achievement 1.02 · Improvement 0
Healthcare-associated infections
5.30
Baseline 7.78% · Performance 6.25% · Measure score 5.30 · Achievement 5.30 · Improvement 4.98
Total nurse turnover
3.04
Baseline 66.90% · Performance 52.03% · Measure score 3.04 · Achievement 2.85 · Improvement 3.04
Adjusted total nurse staffing
0.96
Baseline 3.85 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.68% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 110 · Observed rate 15.45% · Lower 95% interval 8.51% |
| Discharge to community | 34.49% |
50.57%
16.1 pts worse
|
Worse than the National Rate · Eligible stays 82 · Observed rate 23.17% · Lower 95% interval 24.71% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 140 · Denominator 140 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 140 |
| Discharge self-care score | 40.43% |
53.69%
13.3 pts worse
|
Numerator 38 · Denominator 94 |
| Discharge mobility score | 28.72% |
50.94%
22.2 pts worse
|
Numerator 27 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 5 · Denominator 140 · Adjusted rate 3.28% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 5.33% · Lower 95% interval 3.6% |
| Staff COVID-19 vaccination coverage | 92.48% |
8.2%
84.3 pts better
|
Numerator 123 · Denominator 133 |
| Staff flu vaccination coverage | 18.8% |
42%
23.2 pts worse
|
Numerator 25 · Denominator 133 |
| Discharge function score | 34.04% |
56.45%
22.4 pts worse
|
Numerator 32 · Denominator 94 |
| Transfer of health information to provider | 77.5% |
95.95%
18.5 pts worse
|
Numerator 31 · Denominator 40 |
| Transfer of health information to patient | 82% |
96.28%
14.3 pts worse
|
Numerator 41 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 1.45% |
25.2%
23.8 pts worse
|
Numerator 1 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.0
0.2 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.7 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.9
About the same
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 34.9% |
90.5%
55.6 pts worse
|
93.4%
58.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 40.0% · Q3 32.1% · Q4 26.5% · 4Q avg 34.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.0% |
90.6%
1.6 pts worse
|
95.5%
6.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.2% |
3.0%
2.8 pts better
|
3.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
2.9%
2.5 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
6.2%
1.5 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.6% · Q3 7.0% · Q4 10.3% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
20.4%
2.2 pts better
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 16.8% · Q3 20.9% · Q4 16.4% · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
16.3%
9 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 4.9% · Q3 8.2% · Q4 7.4% · 4Q avg 7.3% · 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 | 31.2% |
14.9%
16.3 pts worse
|
16.3%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q3 15.6% · Q4 30.7% · 4Q avg 31.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% |
12.4%
3.6 pts better
|
14.9%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 6.1% · Q3 7.6% · Q4 10.2% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.7%
0.1 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.6% · Q3 0.0% · Q4 0.9% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.6%
1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
17.2%
5 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 17.6% · Q3 20.9% · Q4 17.6% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.8%
1.7 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.8% · Q3 6.1% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 27.2% |
79.8%
52.6 pts worse
|
81.7%
54.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.2% · Q2 32.7% · Q3 11.3% · Q4 18.9% · 4Q avg 27.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
14.1%
0.1 pts better
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 14.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 0.0% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.2% |
78.0%
42.8 pts worse
|
79.7%
44.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.4% |
24.7%
9.7 pts worse
|
23.9%
10.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.4% · Observed 42.1% · Expected 29.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-20 · Fire 2022-10-20
12 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-10-27 · Fire 2021-10-27
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-10-11
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-10-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-31
D · Potential for more than minimal harm
2022-10-20
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-11-04
D · Potential for more than minimal harm
2022-10-20
K222 · Egress Deficiencies
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 2022-11-04
D · Potential for more than minimal harm
2022-10-20
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-11-04
F · Potential for more than minimal harm
2021-10-27
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-11-05
D · Potential for more than minimal harm
2021-10-27
K222 · Egress Deficiencies
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 2021-11-05
Inspection history
Recent health citations
G · Actual harm
2025-03-20
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-21
J · Immediate jeopardy
2024-10-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-30
F · Potential for more than minimal harm
2024-10-11
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-11-06
E · Potential for more than minimal harm
2024-10-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-06
D · Potential for more than minimal harm
2024-10-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-11-06
D · Potential for more than minimal harm
2024-10-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-06
D · Potential for more than minimal harm
2024-10-11
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 2024-11-06
D · Potential for more than minimal harm
2024-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-06
G · Actual harm
2023-09-29
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-28
E · Potential for more than minimal harm
2023-09-29
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-28
D · Potential for more than minimal harm
2023-07-21
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-05-02
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-06-01
D · Potential for more than minimal harm
2023-05-02
F690 · Quality of Life and Care Deficiencies
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 2023-06-01
E · Potential for more than minimal harm
2022-10-20
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 2022-11-20
E · Potential for more than minimal harm
2022-10-20
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-10-20
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F690 · Quality of Life and Care Deficiencies
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 2023-01-19
D · Potential for more than minimal harm
2022-10-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
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 2023-01-19
D · Potential for more than minimal harm
2022-10-20
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2022-11-20
D · Potential for more than minimal harm
2022-10-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-20
B · Minimal harm
2022-10-20
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-11-20
F · Potential for more than minimal harm
2021-10-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-20
Penalties and ownership
What sits behind the stars
$4,433
2025-03-20
Fine
Fine · fine $4,433
Fine
$8,018
2024-10-11
Fine
Fine · fine $8,018
Fine
$8,783
2024-10-11
Fine
Fine · fine $8,783
Fine
$7,901
2023-09-29
Fine
Fine · fine $7,901
Fine
$3,962
2023-07-21
Fine
Fine · fine $3,962
Fine
Ownership
Scsnf Investment Group LLC
5% Or Greater Direct Ownership Interest · Organization
Bhgsc Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Bokor, Michael
5% Or Greater Indirect Ownership Interest · Individual
Bokor, Michael
Operational/Managerial Control · Individual
Bokor, Michael
Corporate Officer · Individual
Carestrong LLC
5% Or Greater Indirect Ownership Interest · Organization
Greenwald, Michael
5% Or Greater Indirect Ownership Interest · Individual
Hatton, Bryan
Operational/Managerial Control · Individual
Maung, Peter
Operational/Managerial Control · Individual
Michael Allen Bokor Revocable Living Trust Agreement Dated May29, 2008
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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NHC Healthcare - Sumter
Sumter, SC
5-star overall rating with 5-star inspections
#2
Oak Hollow Of Sumter Rehabilitation Center
Sumter, SC
1-star overall rating with 1-star inspections with $63,303 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Pocotaligo River Health And Rehab
Manning, SC
2-star overall rating with 2-star inspections with $4,017 in total fines with 4 recent health deficiencies
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