Walterboro, SC

Veterans Victory House

4-star overall rating with 4-star inspections with 1 recent health deficiencies

2461 Sidney Road, Walterboro, SC

(843) 538-3000

Compare this facility

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

220

Certified beds

Average residents

190

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

South Carolina Department Of Mental Health

Operator or chain grouping

Approved since

2007-10-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

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

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

0.66

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 1.01 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.22 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.85

CMS adjusted RN staffing hours

Adjusted total hours

4.45

CMS adjusted total nurse staffing hours

Case-mix index

1.07

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,125

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

Performance score

45.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9992

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

4.60

Baseline 48.90% · Performance 44.90% · Measure score 4.60 · Achievement 4.60 · Improvement 1.16

Adjusted total nurse staffing

4.58

Baseline 4.90 hours · Performance 4.38 hours · Measure score 4.58 · Achievement 4.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	5.41%	8.2% 2.8 pts worse	Numerator 17 · Denominator 314
Staff flu vaccination coverage	46.36%	42% 4.4 pts better	Numerator 159 · Denominator 343
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.9 0.6 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.9%	90.5% 9.4 pts better	93.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.5% · 4Q avg 99.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.6% 9.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.0% 0.4 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q3 2.7% · Q4 3.8% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.9% 2.9 pts better	11.4% 11.4 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 who lose too much weight	4.4%	6.2% 1.8 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 5.2% · Q3 4.0% · Q4 6.8% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.1%	20.4% 12.3 pts better	19.6% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.6% · Q3 9.3% · Q4 10.2% · 4Q avg 8.1%
Percentage of long-stay residents who received an antipsychotic medication	19.9%	16.3% 3.6 pts worse	16.7% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 20.5% · Q3 21.2% · Q4 17.5% · 4Q avg 19.9% · 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	10.2%	14.9% 4.7 pts better	16.3% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.4% · Q3 7.8% · Q4 10.3% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.0%	12.4% 7.6 pts worse	14.9% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 26.9% · Q3 13.9% · Q4 17.0% · 4Q avg 20.0% · 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 0.6% · Q2 0.0% · 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	1.2%	1.6% 0.4 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.1% · Q3 0.5% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.7%	17.2% 10.5 pts worse	19.8% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 35.4% · Q3 18.8% · Q4 23.3% · 4Q avg 27.7%
Percentage of long-stay residents with pressure ulcers	4.5%	5.8% 1.3 pts better	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.5% · Q3 4.8% · Q4 5.1% · 4Q avg 4.5% · 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 100.0% · Q2 97.8% · Q3 97.2% · Q4 100.0% · 4Q avg 98.7%
Percentage of short-stay residents who newly received an antipsychotic medication	7.9%	1.6% 6.3 pts worse	1.6% 6.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	78.0% 22 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-21 · Fire 2025-02-21

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-01-19 · Fire 2024-01-19

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-01-13 · Fire 2022-01-13

6 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

F · Potential for more than minimal harm 2025-02-21

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 2025-03-23

D · Potential for more than minimal harm 2024-01-19

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-16

G · Actual harm 2022-01-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-02-11

F · Potential for more than minimal harm 2022-01-13

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 2022-02-11

E · Potential for more than minimal harm 2022-01-13