Cycle 1
Health 2025-03-20 · Fire 2025-03-20
3 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
RockHill, SC
Westminster Health & Rehab Center
3-star overall rating with 3-star inspections with $16,997 in total fines with 3 recent health deficiencies
831 McDow Drive, RockHill, SC
(803) 328-5000
Overall
3 / 5
CMS overall stars
Health inspections
3 / 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
11
Certified beds
Average residents
6
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-04-04
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
2.90
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
1.65
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.55
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.90
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.78
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.67
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.31
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
3.10
CMS adjusted RN staffing hours
Adjusted total hours
5.93
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,958
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.93% · Performance 21.33% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.64
Baseline 4.92% · Performance 7.34% · Measure score 1.64 · Achievement 1.64 · Improvement 0
Total nurse turnover
1.19
Baseline 50.00% · Performance 58.82% · Measure score 1.19 · Achievement 1.19 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.68% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 112 · Observed rate 8.93% · Lower 95% interval 7.17% |
| Discharge to community | 59.77% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 121 · Observed rate 57.85% · Lower 95% interval 51.85% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 87.69% |
95.27%
7.6 pts worse
|
Numerator 57 · Denominator 65 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 65 |
| Discharge self-care score | 41.18% |
53.69%
12.5 pts worse
|
Numerator 21 · Denominator 51 |
| Discharge mobility score | 47.06% |
50.94%
3.9 pts worse
|
Numerator 24 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 3.08% |
2.29%
0.8 pts worse
|
Numerator 2 · Denominator 65 · Adjusted rate 4.36% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 6.06% · Lower 95% interval 3.77% |
| Staff COVID-19 vaccination coverage | 44.07% |
8.2%
35.9 pts better
|
Numerator 26 · Denominator 59 |
| Staff flu vaccination coverage | 77.59% |
42%
35.6 pts better
|
Numerator 45 · Denominator 58 |
| Discharge function score | 56.86% |
56.45%
0.4 pts better
|
Numerator 29 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 37 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 15 · Denominator 30 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
79.8%
13 pts better
|
81.7%
11.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 91.4% · Q3 91.5% · Q4 94.2% · 4Q avg 92.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
14.1%
5.1 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 7.4% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.6%
0.3 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
78.0%
15.2 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
24.7%
3.8 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 16.7% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-18 · Fire 2023-05-18
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-09-02 · Fire 2021-09-02
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-09-02
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-09-08
D · Potential for more than minimal harm
2021-09-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-09-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-20
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 2025-04-10
D · Potential for more than minimal harm
2025-03-20
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 2025-04-10
D · Potential for more than minimal harm
2025-03-20
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-04-10
J · Immediate jeopardy
2024-01-12
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 2024-01-13
J · Immediate jeopardy
2024-01-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-12
D · Potential for more than minimal harm
2023-05-18
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-07
D · Potential for more than minimal harm
2023-05-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-07
C · Minimal harm
2023-05-18
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-06-07
Penalties and ownership
What sits behind the stars
$8,498
2024-01-12
Fine
Fine · fine $8,498
Fine
$8,499
2024-01-12
Fine
Fine · fine $8,499
Fine
Ownership
Bright, James
Corporate Officer · Individual
Cope, Jacob
Corporate Officer · Individual
Emerson, Linda
Corporate Director · Individual
Hayes, Robert
Corporate Director · Individual
Heckard, Richard
Corporate Director · Individual
Huitt, Sigmon
Corporate Director · Individual
Johnson, Kevin
Operational/Managerial Control · Individual
Little, John
Corporate Director · Individual
Redmon, Glenda
W-2 Managing Employee · Individual
Richter, Donna
Corporate Director · Individual
Rinehart, John
Corporate Director · Individual
Rocquemore, Tanya
Corporate Director · Individual
Thomason, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Rock Hill Post Acute Care Center
Rock Hill, SC
5-star overall rating with 4-star inspections with 2 recent health deficiencies
#2
Magnolia Manor - Rock Hill
Rock Hill, SC
1-star overall rating with 1-star inspections with $128,214 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
White Oak Manor - Rock Hill
Rock Hill, SC
4-star overall rating with 3-star inspections with $7,446 in total fines with 3 recent health deficiencies
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