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Brightwater Skilled Nursing Center

171 Brightwater Drive, Myrtle Beach, SC 29579 · Horry County · (843) 903-8300

67 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425395 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 5, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 10 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.58 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.

33.7% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to Senior Living Communities, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
2F
Potential for minimal harm
0A
0B
0C
August 5, 2026Standard inspection · 0 citations
December 2, 2025Complaint inspection · 2 citations
  1. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 26, 2025
    Inspectors wroteBased on review of the facility policy, observation, and interviews, the facility failed to have a full-time Administrator to oversee the day-to-day operations of the facility.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide a timely Five-Day Follow-up report for 1 of 7 reportable incident, as required by regulation.
April 30, 2025Standard inspection · 6 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observations, record review and interview, the facility failed to assist or offer residents hand hygiene before and/or after meals for 9 of 10 residents, Resident (R)8, R13, R15, R20, R26, R41, R44, R45, and R149.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on record review, interview and review of the facility policy, the facility failed to accurately code the Minimum Data Set (MDS) for Resident (R)13, section K related to swallowing for 1 of 3 residents reviewed for Nutrition.
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to follow aspiration risk precautions for Resident (R)13 and R45 for 2 of 3 residents reviewed for Nutrition.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to have a physician's order for the use of oxygen, for 1 of 1 resident reviewed for respiratory care, Resident (R)39.
  5. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on the manufacturer's recommendation, observation and interview, the facility failed to ensure a medication administration error rate of less than 5 percent. The medication administration error rate was 7.14 percent for 2 out of 28 opportunities for error.
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on the manufacturer's recommendation, observation and interview, the facility failed to ensure a medication administration error rate of less than 5 percent. The medication administration error rate was 7.14 percent for 2 out of 28 opportunities for error.
September 13, 2023Standard inspection, Complaint inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 18, 2023
    Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to keep the kitchen's two convection ovens, stove top, two drawers and two plastic containers with food preparation and service equipment stored in them, and food preparation and service pans clean and/or dry. This failure had the potential to affect all 47 residents who consumed food prepared from the facility's kitchen.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 18, 2023
    Inspectors wroteBased on interviews, document review, and facility policy review, the facility failed to ensure that one Resident(R)196) of two residents sampled for abuse and neglect, out of a total of 14 sampled residents, was free from abuse from a staff member. Specifically, R196 had requested certified nurse aide (CNA)1 to stop brushing her hair due to how it hurt, and CNA1 did not stop. Failure to respect a resident's right to refuse care due to pain, has the potential for further residents to be abused during cares.

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeSouth CarolinaUnited States
All nursing staff (RN, LPN and aides)5.583.843.86
Registered nurses1.190.630.69
All nursing staff on weekends5.053.333.42
Nurse aides3.06
Licensed practical nurses1.33
Nursing staff turnover (share who left in a year)33.7%45.9%45.8%
Registered nurse turnover28.6%42.1%42.9%
Administrators who left1

CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.79 on weekdays and 5.05 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.38 in April to June 2025 to 5.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.581.195.795.05 0.0%0 of 9051
Oct to Dec 20255.621.125.864.97 0.3%0 of 9249
Jul to Sep 20255.430.975.714.72 0.3%0 of 9251
Apr to Jun 20255.381.035.674.65 0.1%0 of 9152
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
South Carolina, Jan to Mar 20263.620.533.813.137.2%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for South Carolina

JobMedianMiddle halfEmployed
South Carolina, all employers
CNAs (nursing assistants)$17.90$16.81 to $19.0821,760
LPNs and LVNs$29.72$27.59 to $34.249,400
Registered nurses$39.60$37.17 to $46.7549,750
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeSouth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.611.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.75.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.715.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
33.224.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.613.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.61.81.8

Owners and operators

Legal business name: BRIGHTWATER RETIREMENT, LLC. CMS links this home to Senior Living Communities, a group of 9 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Thompson, DonaldManaging control - governing bodyIndividual07/20/2009
Thompson, DonaldCorporate directorIndividual07/20/2009
Thompson, BenjaminCorporate officerIndividual07/01/2022
Maxwell Group, Inc.Operational/managerial controlOrganization11/14/2007
Thompson, BenjaminOperational/managerial controlIndividual07/01/2022
Maxwell Group, Inc.Adp of the SNFOrganization01/30/2025
Arledge, MatthewAdp of the SNFIndividual03/05/2025
Bradford, TimothyAdp of the SNFIndividual03/07/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on December 2, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 30, 2025: "Provide enough food/fluids to maintain a resident's health."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 30, 2025: "Ensure medication error rates are not 5 percent or greater."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 2, 2025: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

South Carolina contacts for a concern about a nursing home

These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Brightwater Skilled Nursing Center's Medicare star rating?
CMS rates Brightwater Skilled Nursing Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brightwater Skilled Nursing Center get at its last inspection?
0 health deficiencies at the standard inspection on August 5, 2026. The South Carolina average is 3.7.
Has Brightwater Skilled Nursing Center been fined?
CMS lists no fines in the last three years.
Does Brightwater Skilled Nursing Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brightwater Skilled Nursing Center?
CMS lists 8 owners and managers, and links the home to Senior Living Communities. Legal business name: BRIGHTWATER RETIREMENT, LLC.

Sources

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