2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Charleston, SC
4-star overall rating with 4-star inspections with $8,788 in total fines with 2 recent health deficiencies
9285 Medical Plaza Dr, Charleston, SC
(843) 797-8282
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
176
Certified beds
Average residents
161
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
White Oak Management
Operator or chain grouping
Approved since
1979-05-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.36
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.49
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
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,143
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.17% · Performance 25.14% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.42% · Performance 11.09% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.36
Baseline 66.05% · Performance 41.92% · Measure score 5.36 · Achievement 5.32 · Improvement 5.36
Adjusted total nurse staffing
3.17
Baseline 3.39 hours · Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · Improvement 1.97
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.99% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 222 · Observed rate 9.01% · Lower 95% interval 7.18% |
| Discharge to community | 64.84% |
50.57%
14.3 pts better
|
Better than the National Rate · Eligible stays 165 · Observed rate 60% · Lower 95% interval 57.69% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 161 · Denominator 161 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 161 |
| Discharge self-care score | 43.52% |
53.69%
10.2 pts worse
|
Numerator 47 · Denominator 108 |
| Discharge mobility score | 43.52% |
50.94%
7.4 pts worse
|
Numerator 47 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 8.07% |
2.29%
5.8 pts worse
|
Numerator 13 · Denominator 161 · Adjusted rate 6.99% |
| Healthcare-associated infections requiring hospitalization | 11.09% |
7.12%
4 pts worse
|
Worse than the National Rate · Eligible stays 138 · Observed rate 15.22% · Lower 95% interval 8.19% |
| Staff COVID-19 vaccination coverage | 2.91% |
8.2%
5.3 pts worse
|
Numerator 6 · Denominator 206 |
| Staff flu vaccination coverage | 32.76% |
42%
9.2 pts worse
|
Numerator 76 · Denominator 232 |
| Discharge function score | 50.93% |
56.45%
5.5 pts worse
|
Numerator 55 · Denominator 108 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 47 · Denominator 47 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 89 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 32.61% |
25.2%
7.4 pts better
|
Numerator 30 · Denominator 92 |
Quality measures
| 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 1.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.9
0.3 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.0% |
90.5%
9.5 pts worse
|
93.4%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.9% · Q2 79.6% · Q3 74.6% · Q4 90.2% · 4Q avg 81.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 64.1% |
90.6%
26.5 pts worse
|
95.5%
31.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.0%
0.2 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.2% · Q3 3.7% · Q4 3.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
2.9%
2.1 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 0.8% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
6.2%
0.5 pts better
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 7.4% · Q3 4.3% · Q4 5.1% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% |
20.4%
4.1 pts better
|
19.6%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 18.4% · Q3 17.1% · Q4 13.2% · 4Q avg 16.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9% |
16.3%
3.4 pts better
|
16.7%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 15.3% · Q3 11.7% · Q4 11.8% · 4Q avg 12.9% · 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 | 17.0% |
14.9%
2.1 pts worse
|
16.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 20.1% · Q3 22.9% · Q4 6.0% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.2% |
12.4%
5.8 pts worse
|
14.9%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 17.8% · Q3 25.2% · Q4 11.9% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
0.7%
1.2 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.0% · Q3 1.4% · Q4 1.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.6%
0.1 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.7% · Q3 0.8% · Q4 3.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.3% |
17.2%
2.9 pts better
|
19.8%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 14.5% · Q3 13.4% · Q4 8.3% · 4Q avg 14.3% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.8%
2.3 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.4% · Q3 6.0% · Q4 7.9% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6% |
79.8%
1.8 pts better
|
81.7%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.8% · Q2 77.6% · Q3 83.4% · Q4 88.3% · 4Q avg 81.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.7% |
14.1%
1.6 pts worse
|
12.0%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 14.7% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.6%
0.2 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.4% · Q3 0.0% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.2% |
78.0%
1.8 pts worse
|
79.7%
3.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.3% |
24.7%
5.6 pts worse
|
23.9%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 28.7% · Expected 22.6% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-05-20
Inspection history
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 2025-09-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-11-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-13
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-11-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-13
Penalties and ownership
Fine · fine $8,788
Fine
Nearby options
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2-star overall rating with 2-star inspections with 7 recent health deficiencies
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