Cycle 1
Health 2025-04-04 · Fire 2025-04-04
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Florence, SC
The Palms At Florence
4-star overall rating with 4-star inspections with $7,901 in total fines with 3 recent health deficiencies
4438 Pamplico Highway, Florence, SC
(843) 669-3502
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
163
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
1978-07-01
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
0.53
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.15
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
0.53
CMS adjusted RN staffing hours
Adjusted total hours
4.21
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,870
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9953
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.13
Baseline 26.29% · Performance 22.00% · Measure score 4.13 · Achievement 0 · Improvement 4.13
Healthcare-associated infections
4.73
Baseline 10.00% · Performance 7.38% · Measure score 4.73 · Achievement 1.52 · Improvement 4.73
Total nurse turnover
4.81
Baseline 55.90% · Performance 44.00% · Measure score 4.81 · Achievement 4.81 · Improvement 3.33
Adjusted total nurse staffing
3.26
Baseline 4.26 hours · Performance 4.01 hours · Measure score 3.26 · Achievement 3.26 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.3% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 220 · Observed rate 13.64% · Lower 95% interval 8.18% |
| Discharge to community | 50.26% |
50.57%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 163 · Observed rate 41.1% · Lower 95% interval 42.82% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.62% |
95.27%
4.4 pts better
|
Numerator 259 · Denominator 260 |
| Falls with major injury | 0.77% |
0.77%
About the same
|
Numerator 2 · Denominator 260 |
| Discharge self-care score | 71.15% |
53.69%
17.5 pts better
|
Numerator 111 · Denominator 156 |
| Discharge mobility score | 64.74% |
50.94%
13.8 pts better
|
Numerator 101 · Denominator 156 |
| Pressure ulcers or injuries, new or worsened | 3.08% |
2.29%
0.8 pts worse
|
Numerator 8 · Denominator 260 · Adjusted rate 3.14% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 137 · Observed rate 8.03% · Lower 95% interval 4.36% |
| Staff COVID-19 vaccination coverage | 1.67% |
8.2%
6.5 pts worse
|
Numerator 3 · Denominator 180 |
| Staff flu vaccination coverage | 86.74% |
42%
44.7 pts better
|
Numerator 157 · Denominator 181 |
| Discharge function score | 69.87% |
56.45%
13.4 pts better
|
Numerator 109 · Denominator 156 |
| Transfer of health information to provider | 97.24% |
95.95%
1.3 pts better
|
Numerator 176 · Denominator 181 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25.71% |
25.2%
0.5 pts better
|
Numerator 36 · Denominator 140 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.9
0.9 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
90.5%
7.3 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 96.9% · Q3 97.6% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
90.6%
5.6 pts better
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.0%
0.8 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.5% · Q3 2.4% · Q4 1.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.3% |
2.9%
2.4 pts worse
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.1% · Q3 6.2% · Q4 8.1% · 4Q avg 5.3% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
6.2%
3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.5% · Q3 3.6% · Q4 0.9% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.0% |
20.4%
5.6 pts worse
|
19.6%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 22.5% · Q3 26.8% · Q4 27.9% · 4Q avg 26.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.8% |
16.3%
0.5 pts worse
|
16.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 17.1% · Q3 13.3% · Q4 11.5% · 4Q avg 16.8% · 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 | 8.4% |
14.9%
6.5 pts better
|
16.3%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 6.9% · Q3 6.7% · Q4 9.2% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% |
12.4%
3.9 pts better
|
14.9%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.2% · Q3 9.1% · Q4 11.7% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.6%
0.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.6% · Q3 0.0% · Q4 1.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
17.2%
7.4 pts worse
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 26.6% · Q3 22.9% · Q4 30.7% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
5.8%
2.6 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.8% · Q3 9.5% · Q4 6.5% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
79.8%
18.9 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 99.0% · Q3 99.2% · Q4 98.6% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
14.1%
8.5 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 6.0% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.6%
1 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.4% |
78.0%
9.4 pts better
|
79.7%
7.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
24.7%
6.6 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 36.4% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-25 · Fire 2023-10-25
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-12-02 · Fire 2021-12-02
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-04
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-02
D · Potential for more than minimal harm
2025-04-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-02
D · Potential for more than minimal harm
2025-04-04
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-02
G · Actual harm
2023-10-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-20
E · Potential for more than minimal harm
2021-12-02
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-12-24
E · Potential for more than minimal harm
2021-12-02
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 2021-12-24
E · Potential for more than minimal harm
2021-12-02
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-12-24
D · Potential for more than minimal harm
2021-12-02
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 2021-12-24
D · Potential for more than minimal harm
2021-12-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-12-24
D · Potential for more than minimal harm
2021-12-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-12-24
Penalties and ownership
What sits behind the stars
$7,901
2023-10-25
Fine
Fine · fine $7,901
Fine
Ownership
Commander Operator Holdco, LLC
5% Or Greater Direct Ownership Interest · Organization
Commander, Joeseph
W-2 Managing Employee · Individual
Dasay 2019 Trust
5% Or Greater Indirect Ownership Interest · Organization
Gamta 2020 Trust
5% Or Greater Indirect Ownership Interest · Organization
Inzelbuch, Azriel
5% Or Greater Indirect Ownership Interest · Individual
Stern, Samuel
Corporate Officer · Individual
Tropper, Yaakov
5% Or Greater Indirect Ownership Interest · Individual
Weiss, Hillel
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Veteran Village
Florence, SC
4-star overall rating with 4-star inspections with $47,631 in total fines
#2
Southland Health Care Center
Florence, SC
3-star overall rating with 3-star inspections with $9,318 in total fines with 2 recent health deficiencies
#3
Heritage Home Of Florence Inc
Florence, SC
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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