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Life Care Center of Hilton Head

120 Lamotte Drive, Hilton Head Island, SC 29926 · Beaufort County · (843) 681-6006

88 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1982

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425147 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 17, 2025, inspectors cited 5 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

Of 15 health citations since February 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated July 17, 2025.

Nurses and nurse aides worked 3.69 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.

56.3% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to Life Care Centers of America, an affiliated group of 194 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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
1F
Potential for minimal harm
0A
0B
0C
July 17, 2025Standard inspection, Complaint inspection · 5 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of the facility policy, record review, and interviews, the facility failed to ensure Resident (R)26 was free from sexual abuse by R56. Due to both residents' cognitive status and diagnoses, the survey team utilized The Reasonable Person Approach when addressing this noncompliance. On 07/15/2025 at 8:38 PM, the State Agency determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations had caused or was likely to cause serious harm, psychosocial harm, serious impairment or death. On 07/15/2025 at 8:38 PM, the Administrator was notified that the failure to protect Resident (R)26 from sexual abuse by R56 constituted Immediate Jeopardy (IJ) at F600. On 07/15/2025 at 8:38 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 07/09/2025. [...]
  2. F
    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, widespread · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on observation, record review, interview and manufacturer labelling, the facility failed to ensure that medications were securely stored on 1 of 4 medication carts observed during medication pass and further failed to ensure that expired and outdated medications were removed from 4 of 4 medications carts and 2 of 2 treatments carts.
  3. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of facility policy, observation, interview, and record review, the facility failed to ensure residents were provided showers or baths for 5 out of 5 residents and nail care for 1 of 5 residents reviewed for activities of daily living.
  4. 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) August 12, 2025
    Inspectors wroteBased on review of facility policy, record review, and interviews, the facility failed to ensure an allegation of abuse was reported in a timely manner. Specifically, the facility was notified of an allegation of sexual abuse on 07/09/25 and did not report the allegation of abuse to the State Agency until 07/16/25.
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of facility policy, observation, record review, and interview, the facility failed to ensure that a nutritional supplement was accurately measured as to volume as specified in physician orders for 1 of 5 residents observed during medication pass administration.
June 6, 2024Standard inspection · 6 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) July 6, 2024
    Inspectors wroteBased on review of facility policy, record review, and interview, the facility failed to accurately document Resident (R)510's advance directives, for 1 of 2 residents. Specifically, R510 had orders and signed documentation requesting Do Not Resuscitate (DNR), however R510's Care Plan documented Full Code.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to revise Resident (R)4's Care Plan to reflect refusal of Activities of Daily Living (ADL) care in a timely manner, for 1 of 3 residents reviewed for Care Plans related to ADL Care.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observations, interview, record review, and review of facility policy, the facility failed to offer/provide Resident (R)4, a dependent resident, with Activities of Daily Living (ADL) care related to facial hair, for 1 of 3 residents reviewed for ADL care.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure that medications were properly stored and secured for Resident (R)15, for 1 of 1 residents reviewed.
  5. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on National Pressure Injury Advisory Panel, record review, interview, and observation, the facility failed to failed to provide physician supervision of a pressure ulcer for Resident (R)49's right foot, for 1 of 4 residents reviewed for pressure ulcers.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024
    Inspectors wroteBased on review of the facility policy, observation, and interview, the facility failed to follow infection control standards during wound care of Resident (R)49, for 1 of 4 residents reviewed for pressure ulcers.
February 16, 2022Standard inspection · 4 citations
  1. D
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2022
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure accurate resuscitation code status documentation was maintained in both the electronic medical record (EMR) and paper medical record for one resident (Resident (R) 98) of 24 sampled residents.
  2. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2022
    Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure one Certified Nursing Assistant (CNA)9 was provided needed competency training for oxygen administration and maintenance. As a result, CNA9 failed to recognize that an oxygen canister required for care of a resident (Resident (R)9) was empty and needed to be replaced. This failure had the potential to cause physical and/or psychosocial harm to residents requiring oxygen therapy administration.
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2022
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure one of five residents (Resident (R) 30) reviewed for unnecessary medications had a documented rationale for declining pharmacy recommendations.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2022
    Inspectors wroteBased on observation, interview, policy review, and review of Center for Disease Control and Prevention (CDC) guidance, the facility failed to ensure: 1. one of one resident (Resident) R99 reviewed for new admissions was placed under quarantine. R99 was unvaccinated for COVID-19. and 2. a catheter bag was kept off the floor for one of one resident (Resident (R) 19) in a total sample of 24 residents. The failure to quarantine an unvaccinated new admission increased the risk of transmission of COVID-19 to other residents. The failure to keep a catheter bag off the floor increased the risk for R19 developing a urinary tract infection.

Fines and payment denials

DatePenaltyAmount or length
July 17, 2025Fine $8,281

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.693.843.86
Registered nurses0.960.630.69
All nursing staff on weekends3.163.333.42
Nurse aides1.88
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)56.3%45.9%45.8%
Registered nurse turnover69.2%42.1%42.9%
Administrators who left1

CMS expects 3.43 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 3.90 on weekdays and 3.16 on weekends, 19% 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 3.27 in April to June 2025 to 3.69 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.690.963.903.16 0.0%0 of 9058
Oct to Dec 20253.680.933.893.13 0.0%0 of 9259
Jul to Sep 20253.881.034.143.22 0.0%0 of 9260
Apr to Jun 20253.270.793.382.99 0.0%0 of 9160
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Life Care Center of Hilton Head. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
10.711.913.9
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
1.51.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.93.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.412.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.75.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.915.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.824.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.813.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Life Care Center of Hilton Head's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.7% this home

No different from the national rate

US median of homes 51.5% · South Carolina: 53 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 135 eligible stays.

Potentially preventable readmissions

11.0% this home

No different from the national rate

US median of homes 10.7% · South Carolina: 0 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 140 eligible stays.

Infections that led to a hospital stay

5.8% this home

No different from the national rate

US median of homes 7.1% · South Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 68 eligible stays.

Self-care and mobility at discharge

93.5% this home

Median of homes: South Carolina57.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Falls with major injury

0.0% this home

Median of homes: South Carolina0.5% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 78 residents counted.

New or worsened pressure ulcers

6.3% this home

Median of homes: South Carolina2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 78 residents counted.

Medication list given at discharge

97.3% this home

Median of homes: South Carolina98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 37 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LIFE CARE CENTERS OF AMERICA, INC.. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Preston, ForrestIndirect ownership interestIndividual06/01/1997
Annunziata, JacyManaging control - governing bodyIndividual10/03/2020
Boyles, SheriManaging control - governing bodyIndividual04/05/2022
Solomon, JenniferManaging control - governing bodyIndividual05/01/2019
Fletcher, ToddCorporate directorIndividual05/01/2021
Lay, LisaCorporate directorIndividual04/24/2017
Preston, ForrestCorporate directorIndividual01/06/1976
Swanker, RichardCorporate directorIndividual01/01/2022
Ziegler, JamesCorporate directorIndividual09/18/2001
Cross, CindyCorporate officerIndividual06/01/1997
Fletcher, ToddCorporate officerIndividual11/02/2020
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/09/2018
Preston, ForrestCorporate officerIndividual01/06/1976
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Ziegler, JamesCorporate officerIndividual08/16/1999
Life Care Centers of America, Inc.Operational/managerial controlOrganization06/01/1997
Annunziata, JacyOperational/managerial controlIndividual10/03/2020
Boyles, SheriOperational/managerial controlIndividual04/05/2022
Cusano, MatthewOperational/managerial controlIndividual04/19/2016
Fletcher, ToddOperational/managerial controlIndividual05/01/2021
Lay, LisaOperational/managerial controlIndividual04/24/2017
Preston, AubreyOperational/managerial controlIndividual11/27/2024
Preston, ForrestOperational/managerial controlIndividual01/06/1976
Solomon, JenniferOperational/managerial controlIndividual05/01/2019
Swanker, RichardOperational/managerial controlIndividual01/01/2022
Ziegler, JamesOperational/managerial controlIndividual09/18/2001
Life Care Centers of America, Inc.Adp of the SNFOrganization08/31/2000
Boyles, SheriAdp of the SNFIndividual02/18/2025
Cusano, MatthewAdp of the SNFIndividual03/06/2025
Preston, ForrestAdp of the SNFIndividual08/31/2000

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 17, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. 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 July 17, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 17, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the South Carolina average of 3.33.
  6. 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 Life Care Center of Hilton Head's Medicare star rating?
CMS rates Life Care Center of Hilton Head 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Hilton Head get at its last inspection?
5 health deficiencies at the standard inspection on July 17, 2025. The South Carolina average is 3.7.
Has Life Care Center of Hilton Head been fined?
Yes. CMS lists 1 fine totaling $8,281 in the last three years.
Does Life Care Center of Hilton Head 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 Life Care Center of Hilton Head?
CMS lists 32 owners and managers, and links the home to Life Care Centers of America. Legal business name: LIFE CARE CENTERS OF AMERICA, INC..

Sources

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