Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Nurse staffing at Johns Island Post Acute works out to 2.85 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends. That matters because the home's record includes 22 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, plus two fines. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and its health inspection rating sits at one star. Annual turnover of 52.2% means more than half the nursing staff leaves within a year.
Magnolia Manor - Inman runs 2.90 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 9% below its own weekday level. Staff turnover sits at 62.2% versus 45.8% nationally, so the people providing that care are leaving faster than usual. Twenty-five deficiencies appear on the current record, six at harm or jeopardy level and five abuse-related, with six fines totaling $94,778. CMS has placed the home in its Special Focus Facility program, and the most recent inspection closed out in August 2025.
Achieve Rehabilitation and Nursing Center runs 181 beds in Anderson under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.94 nurse hours per resident day against a national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover of 62.7% means most of the people caring for your family member are new, and nearly two-thirds of the staff left last year. The inspection record shows 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $73,538 in fines and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious problems.
Heartland Health Care Center - Greenville East carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Ten deficiencies are on the current record, four of them at the harm or jeopardy level, and the home has paid one fine of $19,105. Staffing runs about 3.07 nurse hours per resident day, roughly 20 percent under the national average, and weekends are thinner still, about 20 percent below its own weekday levels, with turnover at 51.8 percent. The five-star quality measure score looks strong, but that number comes largely from resident assessments the home reports itself, so weigh it against the inspection findings.
Ridgeland Nursing Center runs on 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86, and weekend coverage drops about 14% below what it manages on weekdays. That thin bench shows in the turnover number: 71.1% of staff leave each year against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record backs that up, a 1-out-of-5 health inspection rating, 24 deficiencies on file including 2 at harm or jeopardy level and 4 tied to abuse. A recent May 2025 inspection at least means the picture is current. For-profit, LLC-owned, with quality measures scoring midrange while staffing sits at the bottom.
Rehab Center Of Cheraw runs 3.03 nurse hours per resident per day, roughly 22 percent under the national average, and weekends are thinner still, about 15 percent below its own weekday staffing. That gap matters because falls, infections, and medication errors don't wait for Monday. The home's record backs up the concern: 13 deficiencies, two serious enough to put residents in harm's way, one tied to abuse, and $64,075 in fines across four penalties. Staff turnover sits at 50.5 percent, above the 45.8 percent national figure, so the people providing care keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor performance.
Oak Hollow Of Sumter Rehabilitation Center runs 96 certified beds under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.30 hours per resident day against a national average of 3.86, roughly 15% lighter, and it thins further on weekends, dropping about 18% below the home's own weekday coverage. Turnover tells its own story: 66% of staff leave annually, well above the 45.8% national figure, so the people caring for your family member are often new to the building. Inspections have logged 29 deficiencies, four at harm or jeopardy level and one tied to abuse, with five fines totaling $63,303. The most recent inspection was May 2026.
The Physical Rehabilitation and Wellness Center of Spa carries 27 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, that's a heavy citation load, and it's the main reason its inspection rating sits at the bottom of CMS's scale. Staffing runs thin here too: 3.23 nurse hours per resident day, roughly 16 percent under the national average, with weekends about 9 percent lighter than weekdays and turnover at 60.8 percent against a national 45.8. A for-profit LLC with 120 beds, this home was last inspected on January 16, 2026. Quality measures score better than its staffing and inspection numbers, but the pattern of low hours, high turnover, and repeated deficiencies tells the story.
Sandpiper Post Acute runs on 3.05 nurse hours per resident day, roughly a fifth less than the national average, and staffing thins out further on weekends. More than half its nurses left over the past year, well above the typical rate. The inspection record is heavier: 47 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and five fines totaling about $85,000. Federal inspectors gave it one star for both staffing and health inspections, though its quality measure score came in at three. A Charleston County family weighing this 176-bed for-profit home should ask hard questions about who's on the floor at 2 a.m. and how abuse concerns were resolved.
Calhoun Convalescent Center runs on 3.16 nursing hours per resident per day, roughly 18 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. That thin coverage shows up in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and 28 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse. Ownership is for-profit corporate, and CMS gave it one star each for health inspections and staffing, with three fines totaling $63,106. The most recent inspection was February 24, 2026. Quality measures scored three stars, the one measure that isn't flagging problems.
Brushy Creek Post Acute in Greer runs below the national average on nurse staffing, 3.61 hours per resident day against 3.86, and drops about 13% further on weekends, so coverage thins exactly when families tend to visit. Turnover sits at 38.5%, better than the national 45.8%, but that's the one number here working in the home's favor. Its inspection record is the real concern: 16 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus a $30,665 fine and a one-star health inspection rating, with the most recent inspection in December 2025. A for-profit limited liability company owns the 144-bed building.
Carlyle Senior Care of Aiken runs 86 certified beds under for-profit LLC ownership, and its staffing is genuinely its strong point, 4.10 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 44.3%, slightly better than the national 45.8%. Where the picture darkens is inspections and care quality: both CMS ratings sit at 1 out of 5, with 11 deficiencies on the current record, including 2 at harm or jeopardy level and 3 tied to abuse. That's a lot of serious findings for a home this size, and it points to problems that adequate staffing hours alone haven't prevented.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
Life Care Center of Hilton Head runs about 3.69 nursing hours per resident day, roughly 5% under the national average, and weekend staffing drops around 14% below its own weekday level. Staff turnover sits at 56.3%, well above the 45.8% national figure, that's more than half the nursing staff leaving in a year. The current inspection record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its most recent inspection was July 17, 2025. Quality measure scores look strong, but the inspection history and staffing pattern tell a different story.
Mccormick Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.11 nurse hours per resident day, roughly 19 percent under the national average, with weekends about 11 percent thinner than weekdays. That thin coverage shows up in the inspection record, a one-star health inspection rating, 21 deficiencies including three at harm or jeopardy level and two tied to abuse, plus $77,101 in fines across two penalties. Staff turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, and the quality measure rating is strong at five stars, but those measures lean on resident assessments rather than day-to-day care capacity. The most recent inspection was May 2025, so the picture is current.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
Senior Care Of Marion runs 95 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in its inspection record: 15 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. Turnover runs at 54.7%, well above the 45.8% national average, which matters because it means the people caring for residents keep changing. CMS gave it 2 out of 5 stars on both health inspections and quality measures. A recent inspection in September 2025 didn't undo any of that, and two fines totaling $24,054 are on file. If you're considering this one, ask directly about staffing stability and how those abuse-related findings were resolved.