Cycle 1
Health 2025-12-09 · Fire 2024-09-04
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
White Rock, SC
The Heritage At Lowman Rehab And Healthcare
2-star overall rating with 2-star inspections with $14,664 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
201 Fortress Drive, White Rock, SC
(803) 732-3000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
176
Certified beds
Average residents
129
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-03-01
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
0.54
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.15
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
4.53
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,904
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.61% · Performance 23.39% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.71% · Performance 9.30% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.24
Baseline 66.25% · Performance 46.62% · Measure score 4.24 · Achievement 4.17 · Improvement 4.24
Adjusted total nurse staffing
3.24
Baseline 3.95 hours · Performance 4 hours · Measure score 3.24 · Achievement 3.24 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.31% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 246 · Observed rate 10.98% · Lower 95% interval 8.46% |
| Discharge to community | 49.09% |
50.57%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 246 · Observed rate 44.31% · Lower 95% interval 43.16% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.26% |
95.27%
About the same
|
Numerator 201 · Denominator 211 |
| Falls with major injury | 0.47% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 211 |
| Discharge self-care score | 55.56% |
53.69%
1.9 pts better
|
Numerator 80 · Denominator 144 |
| Discharge mobility score | 51.39% |
50.94%
0.5 pts better
|
Numerator 74 · Denominator 144 |
| Pressure ulcers or injuries, new or worsened | 3.32% |
2.29%
1 pts worse
|
Numerator 7 · Denominator 211 · Adjusted rate 3.14% |
| Healthcare-associated infections requiring hospitalization | 9.3% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 162 · Observed rate 11.11% · Lower 95% interval 6.37% |
| Staff COVID-19 vaccination coverage | 9.73% |
8.2%
1.5 pts better
|
Numerator 22 · Denominator 226 |
| Staff flu vaccination coverage | 92.27% |
42%
50.3 pts better
|
Numerator 215 · Denominator 233 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 72 · Denominator 144 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 60 · Denominator 60 |
| Transfer of health information to patient | 99.18% |
96.28%
2.9 pts better
|
Numerator 121 · Denominator 122 |
| Resident COVID-19 vaccinations up to date | 19.01% |
25.2%
6.2 pts worse
|
Numerator 23 · Denominator 121 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.0
0.7 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.9
0.8 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 22.4% |
90.5%
68.1 pts worse
|
93.4%
71 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 16.4% · Q3 25.9% · Q4 22.2% · 4Q avg 22.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.3% |
90.6%
22.3 pts worse
|
95.5%
27.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 2.7% · Q4 3.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.2% |
2.9%
10.3 pts worse
|
11.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.7% · Q3 11.7% · Q4 10.5% · 4Q avg 13.2% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
6.2%
2.3 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 7.2% · Q4 3.1% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
20.4%
4.5 pts better
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 16.1% · Q3 17.3% · Q4 14.1% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.8% |
16.3%
7.5 pts worse
|
16.7%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 20.3% · Q3 25.7% · Q4 27.6% · 4Q avg 23.8% · 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 | 27.4% |
14.9%
12.5 pts worse
|
16.3%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 25.5% · Q3 23.7% · Q4 33.9% · 4Q avg 27.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
12.4%
3.5 pts worse
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 24.1% · Q3 8.0% · Q4 16.5% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.7%
0.4 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.2% · Q3 1.3% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
1.6%
2 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 1.8% · Q3 2.7% · Q4 4.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% |
17.2%
7 pts better
|
19.8%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.6% · Q3 15.0% · Q4 13.9% · 4Q avg 10.2% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
5.8%
2.5 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.0% · Q3 9.4% · Q4 9.5% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.1% |
79.8%
49.7 pts worse
|
81.7%
51.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.9% · Q2 33.2% · Q3 21.6% · Q4 14.9% · 4Q avg 30.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
14.1%
2.5 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.2% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.6%
0.8 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.6% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.2% |
78.0%
16.8 pts worse
|
79.7%
18.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
24.7%
4.8 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 28.4% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-04 · Fire 2022-07-19
15 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-07-19 · Fire 2021-01-27
4 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
2024-09-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-09
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 2026-01-07
E · Potential for more than minimal harm
2025-12-09
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 2026-01-07
D · Potential for more than minimal harm
2025-12-09
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-01-07
D · Potential for more than minimal harm
2025-12-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-07
D · Potential for more than minimal harm
2025-08-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-27
E · Potential for more than minimal harm
2024-09-04
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-09-30
E · Potential for more than minimal harm
2024-09-04
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 2024-10-03
E · Potential for more than minimal harm
2024-09-04
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
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 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-03
D · Potential for more than minimal harm
2024-09-04
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
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 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
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
D · Potential for more than minimal harm
2024-09-04
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-04
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-09-30
G · Actual harm
2024-05-14
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 2024-05-15
E · Potential for more than minimal harm
2023-11-03
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 2023-11-20
D · Potential for more than minimal harm
2023-11-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-20
E · Potential for more than minimal harm
2022-07-19
F803 · Nutrition and Dietary Deficiencies
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 2022-08-05
D · Potential for more than minimal harm
2022-07-19
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-05
Penalties and ownership
What sits behind the stars
$6,152
2024-09-04
Fine
Fine · fine $6,152
Fine
$8,512
2024-05-14
Fine
Fine · fine $8,512
Fine
Ownership
Lutheran Homes Of Sc, Inc.
5% Or Greater Direct Ownership Interest · Organization
Coleman, Charles
Operational/Managerial Control · Individual
Coleman, Charles
Corporate Officer · Individual
Knowles, Amanda
Operational/Managerial Control · Individual
Shepke, Frank
Corporate Officer · Individual
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#3
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