Home / South Carolina / Lake City
Dr Ronald E McNair Nursing & Rehabilitation Center
56 Genesis Drive, Lake City, SC 29560 · Williamsburg County · (843) 389-3685
88 certified beds, about 72 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425309 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 16, 2026, inspectors cited 4 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
None of its 12 health citations since October 2022 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 2.72 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
32.0% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
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.
210/22
611/24
401/26
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 12 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
3E
2F
Potential for minimal harm
0A
0B
0C
January 16, 2026Standard inspection · 4 citations
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, record review, facility policy review, and manufacturer guidelines review, the facility failed to ensure the medication administration error rate was less than 5 percent (%). The facility had 3 medication errors out of 27 opportunities, affecting 3 Residents, (R)44, R66, and R5, of 5 residents reviewed during the medication administration task, resulting in a medication error rate of 11.11%.Review of the facility's undated policy titled, Medication Handling and Administration Procedure, revealed, 1. Review E-MAR [Electronic Medication Administration Record]/MAR [Medication Administration Record]. 2. Check the E-Medication Administration Record (EMAR)/MAR for the medication due to be given. 3. Review the medication labels within the medication drawer for the appropriate medication. [...]
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure nail care was provided for 2 (Resident #7 and Resident #73) of 4 sampled residents reviewed for activities of daily living (ADLs). Review of the facility's undated policy titled ADL Policy indicated, The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, promote as much independent functionality as possible. Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming, and oral care. The policy continued, 2. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming and personal and oral hygiene.1. Review of R7's Resident Face Sheet revealed the facility admitted R7 on 07/01/23. [...]
- D 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.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure medications were secured in 1 of 3 medication carts when not attended by staff and failed to ensure proper disposal of medications during 2 of 5 observations during the medication administration task. Review of the facility's policy titled, Medications - Discarding and Destroying Medications, revised on 09/08/25, revealed, 9. Medications should be discarded in the sharps container by Nurses during medication pass as indicated. Review of the facility's undated policy titled, Medication Storage, revealed, a. All drugs and biologicals will be stored in locked compartments (i.e. [id est, that is], medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls. The policy continued, c. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to maintain infection control practices by failing to ensure the proper implementation of Enhanced Barrier Precautions (EBP) for 1 Resident (R)7 of 5 residents observed during the medication administration task. Review of the facility's undated policy titled, Enhanced Barrier Precautions, revealed, It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug resistant organisms. The policy revealed, b. We implement enhanced barrier precautions as indicated for residents with any of the following: i. Wounds (e.g. [...]
November 26, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and review of the facility policy, the facility failed to ensure that food items were correctly labeled and dated in the freezer and dry storage areas. This deficiency has the potential to increase the risk of foodborne illnesses.
- F Keep all essential equipment working safely.
Inspectors wroteBased on the facility policy, observations and interviews, the facility failed to ensure an excessive amount of lint was removed from the top of the lint basket and around the wiring in 1 of 3 clothes dryers.
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interviews, review of staff daily postings, registered nurse (RN) time sheets reviews, and the Payroll Based Journal (PBJ), the facility failed to ensure an RN was scheduled for 8 hours on weekends as reported on the PBJ for 3 out of 4 weekends reviewed.
- E 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.
Inspectors wroteBased on observations, record keeping, interviews, facility policy, manufacturer and pharmacy labeling, the facility failed to ensure that out-of-date medications were removed from active stock and medications were properly stored in 2 of 2 medication rooms and 3 of 6 medication carts. Findings Include: Review of the facility policy related to Medication Storage copyright 2024 states: 'It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer' recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security. and Refrigerated Products: .Temperatures are maintained within 36-40 degrees F (Fahrenheit). [...]
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on review of the facility policy and resident rights, record reviews, and interviews, the facility failed to ensure Resident (R)47 and R58 were afforded the right to participate in the planning process of their care and to ensure each resident was invited to the care plan conferences for 2 of 2 residents that expressed their desire to be included in the care planning process.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on resident observation, interview and record review, the facility failed to promote dignity related to facial hair for Resident (R)1, for 1 of 1 resident(s) reviewed for dignity.
October 12, 2022Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for 2 residents (Resident (R)23 and R1) of 19 residents reviewed for MDS. The facility failed to ensure significant weight loss was accurately documented for R23 and to ensure R1's diagnoses were accurate. These failures placed the residents at risk for unmet care needs.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy, record review, and interview, the facility failed to develop and implement a person-centered comprehensive plan of care for 2 residents (Resident (R) 23 and R1).
Fire safety inspections
4 fire safety citations on file: 4 on January 16, 2026.
Every fire safety citation4 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
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.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.72 | 3.84 | 3.86 |
| Registered nurses | 0.64 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.46 | 3.33 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 0.31 | ||
| Nursing staff turnover (share who left in a year) | 32.0% | 45.9% | 45.8% |
| Registered nurse turnover | 12.5% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 2.83 on weekdays and 2.46 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 2.92 in April to June 2025 to 2.72 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.72 | 0.64 | 2.83 | 2.46 | 0.0% | 0 of 90 | 72 |
| Oct to Dec 2025 | 2.76 | 0.66 | 2.89 | 2.43 | 0.0% | 0 of 92 | 71 |
| Jul to Sep 2025 | 2.78 | 0.66 | 2.89 | 2.52 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 2.92 | 0.57 | 3.03 | 2.66 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Carolina, all employers | |||
| CNAs (nursing assistants) | $17.90 | $16.81 to $19.08 | 21,760 |
| LPNs and LVNs | $29.72 | $27.59 to $34.24 | 9,400 |
| Registered nurses | $39.60 | $37.17 to $46.75 | 49,750 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.7 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.0 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.2 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.2 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.8 |
Owners and operators
Legal business name: RURAL BUSINESS INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Frierson, Sarah | Direct ownership interest | Individual | 10/01/2004 | |
| Frierson, Sarah | Managing control - governing body | Individual | 10/01/2005 | |
| Frierson, Sarah | Corporate officer | Individual | 10/01/2005 | |
| Healthcare Panascope Inc | Operational/managerial control | Organization | 11/01/2005 | |
| Frierson, Sarah | Operational/managerial control | Individual | 10/01/2005 | |
| Frierson, Sarah | Adp of the SNF | Individual | 10/01/2005 | |
| Graham, Toney | Adp of the SNF | Individual | 11/04/2025 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 16, 2026: "Ensure medication error rates are not 5 percent or greater."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 26, 2024: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 12, 2022: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 16, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.46 hours per resident per day, below the South Carolina average of 3.33.
Other nursing homes nearby
- Lake City Scranton Healthcare Center Scranton, 6.3 mi · 4 of 5 stars · 21 citations
- Carlyle Senior Care of Kingstree Kingstree, 12.5 mi · 3 of 5 stars · 9 citations
- The Palms at Florence Florence, 19.2 mi · 2 of 5 stars · 11 citations
- Veteran Village Florence, 23.9 mi · 4 of 5 stars · 6 citations
- Southland Health Care Center Florence, 24 mi · 4 of 5 stars · 3 citations
- Heritage Post Acute Florence, 24.2 mi · 2 of 5 stars · 10 citations
- Pocotaligo River Health and Rehab Manning, 24.9 mi · 2 of 5 stars · 12 citations
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.
- Inspections and complaints: South Carolina Department of Public Health, Healthcare Quality, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Carolina Long Term Care Ombudsman Program, Department on Aging, 1-800-868-9095. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: SC Survey and Certification Public CMS-2567 Search, where South Carolina publishes its own records on licensed homes.
Common questions
- What is Dr Ronald E McNair Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Dr Ronald E McNair Nursing & Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Dr Ronald E McNair Nursing & Rehabilitation Center get at its last inspection?
- 4 health deficiencies at the standard inspection on January 16, 2026. The South Carolina average is 3.7.
- Has Dr Ronald E McNair Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Dr Ronald E McNair Nursing & Rehabilitation 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 Dr Ronald E McNair Nursing & Rehabilitation Center?
- CMS lists 7 owners and managers. Legal business name: RURAL BUSINESS INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.