Orangeburg, SC

The Oaks Post Acute

1-star overall rating with 1-star inspections with $122,296 in total fines with 9 recent health deficiencies

151 Lovely Drive, Orangeburg, SC

(803) 534-1212

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

117

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1978-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

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

0.34

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

1.73

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

2.74

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,660

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

11.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.85

Baseline 22.38% · Performance 21.12% · Measure score 1.85 · Achievement 0.67 · Improvement 1.85

Healthcare-associated infections

Baseline 6.63% · Performance 9.84% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

1.51

Baseline 3.50 hours · Performance 3.51 hours · Measure score 1.51 · Achievement 1.51 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	15.1%	10.72% 4.4 pts worse	No Different than the National Rate · Eligible stays 134 · Observed rate 21.64% · Lower 95% interval 10.68%
Discharge to community	43.06%	50.57% 7.5 pts worse	Worse than the National Rate · Eligible stays 133 · Observed rate 35.34% · Lower 95% interval 35.49%
Medicare spending per beneficiary	1.21	1.02 0.2 pts worse
Drug regimen review with follow-up	94.03%	95.27% 1.2 pts worse	Numerator 63 · Denominator 67
Falls with major injury	1.49%	0.77% 0.7 pts worse	Numerator 1 · Denominator 67
Discharge self-care score	58.54%	53.69% 4.9 pts better	Numerator 24 · Denominator 41
Discharge mobility score	53.66%	50.94% 2.7 pts better	Numerator 22 · Denominator 41
Pressure ulcers or injuries, new or worsened	2.99%	2.29% 0.7 pts worse	Numerator 2 · Denominator 67 · Adjusted rate 2.27%
Healthcare-associated infections requiring hospitalization	9.84%	7.12% 2.7 pts worse	No Different than the National Rate · Eligible stays 79 · Observed rate 13.92% · Lower 95% interval 5.85%
Staff COVID-19 vaccination coverage	2%	8.2% 6.2 pts worse	Numerator 3 · Denominator 150
Staff flu vaccination coverage	22.63%	42% 19.4 pts worse	Numerator 31 · Denominator 137
Discharge function score	53.66%	56.45% 2.8 pts worse	Numerator 22 · Denominator 41
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 27 · Denominator 27
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 22 · Denominator 22
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	2.0 1.3 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	1.9 1.1 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	26.9%	90.5% 63.6 pts worse	93.4% 66.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 30.8% · Q3 25.0% · Q4 21.2% · 4Q avg 26.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	62.7%	90.6% 27.9 pts worse	95.5% 32.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 62.7%
Percentage of long-stay residents experiencing one or more falls with major injury	5.6%	3.0% 2.6 pts worse	3.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.7% · Q3 5.0% · Q4 3.8% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	2.9% 1.6 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.3% · Q4 1.0% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight	6.6%	6.2% 0.4 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 6.9% · Q3 12.8% · Q4 5.4% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.2%	20.4% 3.2 pts better	19.6% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 17.4% · Q3 16.9% · Q4 17.7% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication	9.4%	16.3% 6.9 pts better	16.7% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 10.1% · Q3 9.1% · Q4 11.6% · 4Q avg 9.4% · 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	6.7%	14.9% 8.2 pts better	16.3% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q3 4.0% · Q4 10.1% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.1%	12.4% 1.3 pts better	14.9% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.6% · Q3 12.3% · Q4 12.4% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.7% 0.5 pts better	1.0% 0.8 pts better	Long 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 long-stay residents with a urinary tract infection	2.0%	1.6% 0.4 pts worse	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 5.1% · Q3 0.0% · Q4 1.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.1%	17.2% 3.1 pts better	19.8% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 17.5% · Q3 10.9% · Q4 6.2% · 4Q avg 14.1%
Percentage of long-stay residents with pressure ulcers	6.3%	5.8% 0.5 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.2% · Q3 5.9% · Q4 8.2% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	26.5%	79.8% 53.3 pts worse	81.7% 55.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 23.1% · Q3 26.5% · Q4 27.4% · 4Q avg 26.5%
Percentage of short-stay residents who had an outpatient emergency department visit	10.7%	14.1% 3.4 pts better	12.0% 1.3 pts better	Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.4% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.6% 0.2 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	26.6%	78.0% 51.4 pts worse	79.7% 53.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 26.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.0%	24.7% 1.3 pts worse	23.9% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 29.9% · Expected 27.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-05 · Fire 2024-11-05

9 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-10-07 · Fire 2022-10-07

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-09-02 · Fire 2021-09-02

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-13

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Not marked corrected

D · Potential for more than minimal harm 2025-06-24

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-03-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-03-10

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 2025-04-04

J · Immediate jeopardy 2024-11-05

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-11-05

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-11-05

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 2024-12-02

D · Potential for more than minimal harm 2024-11-05

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 2024-12-02

D · Potential for more than minimal harm 2024-11-05

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 2024-12-02

D · Potential for more than minimal harm 2024-06-14

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-10

D · Potential for more than minimal harm 2024-06-14

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-07-10

E · Potential for more than minimal harm 2022-10-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-10-28

D · Potential for more than minimal harm 2022-10-07

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-10-28

D · Potential for more than minimal harm 2022-10-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-28

F · Potential for more than minimal harm 2021-09-02

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 2021-10-01