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Franke Health Care Center

1885 Rifle Range Road, Mount Pleasant, SC 29464 · Charleston County · (843) 856-4700

44 certified beds, about 41 residents a day · Non profit - Corporation · Medicare since 2000

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425374 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 8 health citations since March 2024 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 4.26 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

42.6% 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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
2F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 0 citations
April 17, 2025Standard inspection · 3 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) April 30, 2025
    Inspectors wroteBased on review of the facility policy, observations, and interviews, the facility failed to ensure foods were stored appropriately, and temperatures were monitor in the walk in cooler in one of one main kitchens.
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 3, 2025
    Inspectors wroteBased on the facility policy, observations and interviews, the facility failed to ensure one of two dumpsters were not leaking and further failed to ensure the grease trap was clean and free from spillage and an accumulation of old grease and fried food debris.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2025
    Inspectors wroteBased on review of the facility policy, observations, and interviews, the facility failed to ensure expired and outdated medications and biologicals were removed from storage and not currently in use in 2 of 2 medication carts, 2 of 2 treatment carts and 1 of 1 med storage rooms.
March 5, 2024Standard inspection · 5 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interviews, record reviews, and facility policy reviews, the facility failed to ensure that one out of one resident, (Resident 14), had a signed copy of their Power of Attorney form on Resident (R) 14 records. Additionally, the facility failed to assure an accurate code status for R20. Findings Include: Review of R14's electronic health record (EHR) revealed she was admitted on [DATE] with a diagnosis of Neurocognitive disorder with Lewy Bodies, Major Depressive Disorder, Anxiety Disorder Review of R14's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE] indicates R14's C1000 Cognitive Skills for Daily Decision-Making Score of 3: Severely Impaired - Never/rarely made decisions. Review of R14's EHR on [DATE] 03:10 PM, R14 has an advanced directive on file Do Not Resuscitate Form (DNR) signed by her daughter. [...]
  2. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to provide a notice of bed hold to the resident for one of three residents (Resident (R)27) reviewed for hospitalizations in a total sample of 15 residents. This failure increased the risk of residents not knowing their rights to request and the cost of a bed hold.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to develop an accurate baseline care plan for one of three residents (Resident (R)285) reviewed as new admissions out of a total of 15 sampled residents. This failure increased the risk for incomplete and/or inaccurate care being provided to the residents.
  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) March 28, 2024
    Inspectors wroteBased on review of the facility policy, observations, interviews, and record review, the facility failed to provide respiratory care in accordance with professional standards. The facility failed to ensure 2 of 2 residents received the proper respiratory care for R187 and R285. This failure has the potential to cause respiratory and other communicable infections/complications.
  5. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to assure that a medication belonging to Resident (R)22 was properly stored and secured in the room of R30 for 1 of 12 residents observed during initial tour.

Fire safety inspections

1 fire safety citation on file: 1 on March 5, 2024.

Every fire safety citation1 citation
  1. 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.
    K 222 · March 5, 2024 · Corrected (the home has a date of correction)

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)4.263.843.86
Registered nurses0.580.630.69
All nursing staff on weekends3.673.333.42
Nurse aides2.38
Licensed practical nurses1.29
Nursing staff turnover (share who left in a year)42.6%45.9%45.8%
Registered nurse turnover50.0%42.1%42.9%
Administrators who left0

CMS expects 3.46 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 4.49 on weekdays and 3.67 on weekends, 18% 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 3.87 in April to June 2025 to 4.26 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.260.584.493.67 0.0%0 of 9041
Oct to Dec 20253.990.574.123.67 3.5%0 of 9241
Jul to Sep 20254.060.704.153.83 0.0%0 of 9239
Apr to Jun 20253.870.493.943.69 0.0%0 of 9140
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.

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
5.811.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.81.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.23.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.41.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.95.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.115.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.024.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.613.912.0
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
0.31.81.8

Owners and operators

Legal business name: LUTHERAN HOMES OF SC, INC..

NameRoleTypeShareSince
Coleman, CharlesCorporate officerIndividual07/01/2023
Shepke, FrankCorporate officerIndividual02/02/2015
Lutheran Homes of Sc, Inc.Operational/managerial controlOrganization09/23/1994
Stoll, SandraOperational/managerial controlIndividual08/16/2004
Lutheran Homes of Sc, Inc.Adp of the SNFOrganization09/23/1994
Kleckley, JohnAdp of the SNFIndividual03/27/2015
Shepke, FrankAdp of the SNFIndividual02/02/2015
Stoll, SandraAdp of the SNFIndividual12/30/2025

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. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 17, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 17, 2025: "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."
  3. 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 March 5, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 5, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

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 Franke Health Care Center's Medicare star rating?
CMS rates Franke Health Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Franke Health Care Center get at its last inspection?
0 health deficiencies at the standard inspection on April 9, 2026. The South Carolina average is 3.7.
Has Franke Health Care Center been fined?
CMS lists no fines in the last three years.
Does Franke Health Care Center accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Franke Health Care Center?
CMS lists 8 owners and managers. Legal business name: LUTHERAN HOMES OF SC, INC..

Sources

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