Cycle 1
Health 2025-12-11 · Fire 2025-12-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hilton Head Island, SC
The Preston Health Center
5-star overall rating with 5-star inspections with $8,018 in total fines
87 Bird Song Way, Hilton Head Island, SC
(843) 689-7077
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
62
Certified beds
Average residents
39
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-05-06
CMS approved date
Coverage
Medicare
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
1.48
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.83
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
6.74
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.92
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
5.97
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.21
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.62
CMS adjusted RN staffing hours
Adjusted total hours
7.38
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,786
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9916
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.32
Baseline 20.60% · Performance 20.36% · Measure score 2.32 · Achievement 2.32 · Improvement 0.17
Healthcare-associated infections
1.91
Baseline 7.34% · Performance 7.26% · Measure score 1.91 · Achievement 1.91 · Improvement 0
Total nurse turnover
1.20
Baseline 44.44% · Performance 58.76% · Measure score 1.20 · Achievement 1.20 · Improvement 0
Adjusted total nurse staffing
10
Baseline 6.20 hours · Performance 6.57 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 285 · Observed rate 9.47% · Lower 95% interval 8.61% |
| Discharge to community | 72.89% |
50.57%
22.3 pts better
|
Better than the National Rate · Eligible stays 272 · Observed rate 68.75% · Lower 95% interval 67.52% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 150 · Denominator 150 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 150 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 57 · Denominator 95 |
| Discharge mobility score | 65.26% |
50.94%
14.3 pts better
|
Numerator 62 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 0.67% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 150 · Adjusted rate 0.73% |
| Healthcare-associated infections requiring hospitalization | 7.26% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 144 · Observed rate 6.25% · Lower 95% interval 4.86% |
| Staff COVID-19 vaccination coverage | 19.83% |
8.2%
11.6 pts better
|
Numerator 24 · Denominator 121 |
| Staff flu vaccination coverage | 38.18% |
42%
3.8 pts worse
|
Numerator 42 · Denominator 110 |
| Discharge function score | 68.42% |
56.45%
12 pts better
|
Numerator 65 · Denominator 95 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 98.99% |
96.28%
2.7 pts better
|
Numerator 98 · Denominator 99 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 16 · Denominator 80 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
2.0
1.2 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
90.5%
9.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
90.6%
6.2 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.0%
1.1 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
2.9%
0.1 pts worse
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.2% · Q3 4.0% · Q4 0.0% · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
6.2%
0.6 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
20.4%
5.5 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
16.3%
2.5 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% · 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 | 15.7% |
14.9%
0.8 pts worse
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
12.4%
0.6 pts worse
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · 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 | 3.8% |
1.6%
2.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
17.2%
11.5 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.6% · Q2 15.9% · Q3 20.0% · Q4 12.8% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.8%
2.5 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.5% · Q3 4.4% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
79.8%
18.4 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 98.2% · Q3 99.1% · Q4 100.0% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
14.1%
3.3 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.2% · Expected 10.6% · 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 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
78.0%
20.2 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
24.7%
1.4 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 24.1% · Expected 22.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-29 · Fire 2024-08-29
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 2022-11-15 · Fire 2022-11-15
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2024-08-29
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 2024-07-01
F · Potential for more than minimal harm
2022-11-15
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 2022-12-15
F · Potential for more than minimal harm
2022-11-15
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-12-15
E · Potential for more than minimal harm
2022-11-15
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 2022-12-15
D · Potential for more than minimal harm
2022-11-15
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2022-12-15
Penalties and ownership
What sits behind the stars
$8,018
2024-08-29
Fine
Fine · fine $8,018
Fine
Ownership
The Cypress Club Inc
5% Or Greater Direct Ownership Interest · Organization
Andreasen, Michael
Corporate Officer · Individual
Braley, Jeffrey
Corporate Director · Individual
Cypress Of Hilton Head Island Associates Limited Partnership
Operational/Managerial Control · Organization
Dolyniuk, Randy
Corporate Director · Individual
Fink, Michael
Operational/Managerial Control · Individual
Life Care Services LLC
Operational/Managerial Control · Organization
Mcrae, Monique
Operational/Managerial Control · Individual
Puntereri, Marc
Corporate Director · Individual
Puntereri, Marc
Corporate Officer · Individual
Ranehn, Robert
Corporate Director · Individual
Sanchez-Yriarte, Rafael
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Life Care Center of Hilton Head
Hilton Head Island, SC
2-star overall rating with 1-star inspections with abuse icon flag with $8,281 in total fines with 5 recent health deficiencies
#2
Broad Creek Care Center
Hilton Head Island, SC
5-star overall rating with 5-star inspections
#3
Fraser Health Center
Hilton Head Island, SC
5-star overall rating with 3-star inspections with 4 recent health deficiencies
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