ElderGrade
B

82/100

Above average

The Palms At Florence

4438 Pamplico Highway, Florence, SC 29505

CMS 5/5 stars #2 of 9 in Florence County (843) 669-3502
Certified beds
163
Occupancy
95%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $7,901 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 26/30 Staffing 18/30 Stability 15/15 Outcomes 15/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.09 total nurse hours per resident per day (national median 3.77)
  • 0.48 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 35% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $7,901 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.95 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.48 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.36 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 34.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 10 citations

Last standard health inspection: April 4, 2025 (1 year ago).

D Apr 4, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Apr 4, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Apr 4, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

G Oct 25, 2023 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to a resident

E Dec 2, 2021 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

E Dec 2, 2021 F0758

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the m...

No actual harm, potential for more than minimal harm

E Dec 2, 2021 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

D Dec 2, 2021 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COMMANDER, JOESEPH Individual W-2 MANAGING EMPLOYEE
STERN, SAMUEL Individual CORPORATE OFFICER
DASAY 2019 TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GAMTA 2020 TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
TROPPER, YAAKOV Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WEISS, HILLEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
COMMANDER OPERATOR HOLDCO, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about The Palms At Florence

What is the ElderGrade for The Palms At Florence? +

The Palms At Florence holds an ElderGrade of B (82 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Palms At Florence? +

Residents receive an average of 3.95 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Palms At Florence been cited for harming residents? +

Yes. 1 of the 10 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Palms At Florence accept Medicaid? +

Yes, The Palms At Florence is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.