Cycle 1
Health 2024-10-10 · Fire 2024-10-10
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Columbia, SC
Wildewood Downs
4-star overall rating with 3-star inspections with $3,728 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1215 Wildewood Downs Circle, Columbia, SC
(803) 788-5115
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
32
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Living Communities
Operator or chain grouping
Approved since
2006-06-30
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 5 staffing / 3 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
1.31
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
3.18
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.54
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.36
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.79
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.05
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.33
CMS adjusted RN staffing hours
Adjusted total hours
5.62
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,128
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.94% · Performance 26.60% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.19
Baseline 7.01% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0
Total nurse turnover
7.13
Baseline 47.50% · Performance 34.54% · Measure score 7.13 · Achievement 7.13 · Improvement 5.22
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 | 9.93% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 269 · Observed rate 9.67% · Lower 95% interval 7.73% |
| Discharge to community | 56.55% |
50.57%
6 pts better
|
Better than the National Rate · Eligible stays 289 · Observed rate 48.79% · Lower 95% interval 51.5% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 175 · Denominator 175 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 175 |
| Discharge self-care score | 46.49% |
53.69%
7.2 pts worse
|
Numerator 53 · Denominator 114 |
| Discharge mobility score | 58.77% |
50.94%
7.8 pts better
|
Numerator 67 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 0.57% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 175 · Adjusted rate 0.43% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 8.06% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 74.47% |
8.2%
66.3 pts better
|
Numerator 70 · Denominator 94 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 63.16% |
56.45%
6.7 pts better
|
Numerator 72 · Denominator 114 |
| Transfer of health information to provider | 96.43% |
95.95%
0.5 pts better
|
Numerator 108 · Denominator 112 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 61 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 65.91% |
25.2%
40.7 pts better
|
Numerator 58 · Denominator 88 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
79.8%
2.7 pts worse
|
81.7%
4.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.3% · Q2 67.8% · Q3 71.3% · Q4 88.9% · 4Q avg 77.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.3% |
14.1%
2.2 pts worse
|
12.0%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 16.2% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.6%
0.5 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 1.6% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.3% |
78.0%
3.3 pts better
|
79.7%
1.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
24.7%
4.6 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 19.0% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-18 · Fire 2023-05-18
4 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-12-09 · Fire 2021-12-09
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
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
2024-10-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-15
E · Potential for more than minimal harm
2023-05-18
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-06-30
E · Potential for more than minimal harm
2023-05-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-30
E · Potential for more than minimal harm
2023-05-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-30
E · Potential for more than minimal harm
2021-12-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-01
E · Potential for more than minimal harm
2021-12-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-01-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-18
F · Potential for more than minimal harm
2024-10-10
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 2024-11-08
D · Potential for more than minimal harm
2024-10-10
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 2024-11-08
D · Potential for more than minimal harm
2024-10-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-08
F · Potential for more than minimal harm
2023-05-18
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 2023-07-07
F · Potential for more than minimal harm
2023-05-18
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 2023-06-09
F · Potential for more than minimal harm
2023-05-18
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-05-18
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-09
F · Potential for more than minimal harm
2021-12-09
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 2022-01-08
F · Potential for more than minimal harm
2021-12-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-01-08
E · Potential for more than minimal harm
2021-12-09
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 2022-01-08
D · Potential for more than minimal harm
2021-12-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-08
D · Potential for more than minimal harm
2021-12-09
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-01-08
D · Potential for more than minimal harm
2021-12-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-08
Penalties and ownership
What sits behind the stars
$3,728
2023-05-18
Fine
Fine · fine $3,728
Fine
Ownership
Thompson, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Thompson, Joshua
5% Or Greater Direct Ownership Interest · Individual
Maxwell Group, Inc.
Operational/Managerial Control · Organization
National Health Investors, Inc.
5% Or Greater Mortgage Interest · Organization
Thompson, Benjamin
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
PruittHealth- Blythewood
Columbia, SC
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
NHC Healthcare - Parklane
Columbia, SC
4-star overall rating with 4-star inspections with 1 recent health deficiencies
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