Federal inspection record · CMS data as of October 1, 2026
The Palms At Florence
4438 Pamplico Highway, Florence, SC · (843) 669-3502
- Certified beds
- 163
- Residents per day
- 154
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1978
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Carolina homes
The Palms At Florence carries 57 inspection points. That is fewer than 20% of South Carolina's 186 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–15 pts
- 3★ 15–33 pts
- 2★ 33–57 pts
- 1★ over 57 pts
Bars show every rated home in South Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Pharmacy Service4D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Nutrition and Dietary1F
- F
Dispose of garbage and refuse properly.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2026-06-04
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2025-04-04
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-10-25
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
4 h 1 min
South Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$32,916 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-04 | Fine | $6,545 |
| 2026-06-04 | Fine | $18,470 |
| 2023-10-25 | Fine | $7,901 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 99.8% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 99.2% | 92.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 1.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.3 pts worse | 7.5% | 3.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.9% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts worse | 27.0% | 21.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.9 pts better | 8.5% | 15.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.3 pts better | 10.5% | 11.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better | 7.1% | 11.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 0.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10 pts worse | 26.2% | 16.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.5% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.2 pts better | 99.1% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.2 pts better | 7.5% | 13.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.8 pts better | 88.8% | 79.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts better | 24.0% | 24.3% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Commander Operator Holdco, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Commander, Joeseph | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Dasay 2019 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Gamta 2020 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Stern, Samuel | Corporate Officer · Individual | 0% | 64 facilities |
| Tropper, Yaakov | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Weiss, Hillel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
·
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