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Manna Post Acute

716 E Cedar Rock St., Pickens, SC 29671 · Pickens County · (864) 878-4739

130 certified beds, about 123 residents a day · For profit - Corporation · Medicare and Medicaid since 1972

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425084 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 5 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 16 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 3.45 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

22.0% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to PACS Group, an affiliated group of 275 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 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
0E
1F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 5 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) June 8, 2026
    Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to date, label, and/or cover food products stored in the kitchen. This failure had the potential to create an environment for food-borne illnesses which could affect 122 of 124 residents who consume food prepared from the facility's kitchen.
  2. 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) June 8, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure Resident (R)3's fingernails were kept clean and trimmed for 1 of 1 resident reviewed for activities of daily living out of 24 sampled residents.
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 8, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure Resident (R)93, who was admitted to the facility with a contracture, was provided with the services to prevent further decrease in range of motion/mobility for 1 out of 2 residents reviewed for contractures out of a total sample of 24 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) June 8, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to follow physician's order for oxygen administration and to have storage bags present in accordance with professional standards of practice, while administering oxygen to 2 residents (Resident (R)3 and R93) of 2 reviewed for respiratory care out of a total sample of 24 residents.
  5. 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) June 8, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to obtain a physician's order for isolation. Additionally, the facility did not ensure that appropriate isolation waste receptacles were available in the resident's room, and staff improperly disposed of isolation materials in the residents personal trash can for 1 of 1 resident, (Resident (R)28), reviewed for transmission based precautions out of a total of 24 sampled residents. These failures created a risk of contamination and increased the likelihood of transmitting infection to others.
May 1, 2025Standard inspection · 5 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to provide dignity for Resident (R)32 by having a Foley catheter, not in a privacy bag, exposed for the public to see who walk past his room on multiple occasions.
  2. D
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on review of the facility policy, observation and interview, the facility failed to provide privacy for nine (9) Resident (R) Council members (R8, R11, R100, R13, R80, R61, R35, R72, R38), who participated in a group interview with the surveyor. During the group interview in the facility's small dining room, two (2) staff persons passed through going to an outside smoking area and another two (2) staff persons passed on the opposite side going towards 200 hall.
  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) May 31, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to follow physician orders for fluid restriction for Resident (R) 42, for 1 of 1 resident reviewed for dehydration.
  4. 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) May 31, 2025
    Inspectors wroteBased on facility policy, observation, interview and record review, the facility failed to remove expired, discontinued medications and biologicals from the medication room, treatment cart and medication cart. Additionally, the facility failed to ensure narcotic refrigerated medications were stored in permanently affixed compartments for 2 of 2 units reviewed for medication storage.
  5. 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) May 31, 2025
    Inspectors wroteBased on review of the facility policy, Center for Disease Control (CDC) website, observation, interviews, and record review, the facility failed to ensure infection control was maintained for (Resident (R) 42 for 1 of 1 residents reviewed for infection control.
September 8, 2023Standard inspection · 6 citations
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to complete a thorough investigation of an accident resulting in a fracture for one (Resident (R) 83) of eight sampled resident reviewed for accidents. There was no evidence the facility interviewed all staff on duty at the time of the accident to help determine the cause of the accident. This lack of investigation had the potential to place other dependent residents at risk for injury.
  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) September 28, 2023
    Inspectors wroteBased on observation, record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure one (Resident (R) 18) of 30 sampled residents had an accurate Minimum Data Set (MDS) assessment. Failure to code the MDS correctly could potentially lead to inaccurate federal reimbursements and inaccurate assessment and care planning of the resident.
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview and record review, the facility failed to refer two (Resident (R) 50 and R2) of three sampled residents reviewed for Preadmission Screening and Resident Review (PASRR) for a Level II PASRR resident review after the resident received a new diagnosis of a mental illness and/or experienced a significant change in status assessment related to their mental illness. This had the potential to cause R50 and R2 to not receive necessary mental health services.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a person-centered comprehensive plan of care with measurable goals and plans related to the use of a wander guard alarm for one resident (Resident (R) R105) of 30 sampled residents reviewed for care plans.
  5. 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) September 28, 2023
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure one (Resident (R) 18) of two sampled residents reviewed for smoking was free of potential accidents while residing in the facility. Specifically, R18 did not receive a quarterly smoking assessment. This had the potential for increased risk of injury related to smoking for the resident.
  6. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview and record review, the facility failed to honor food preferences for one (Resident (R) 212) of 32 sampled residents reviewed for food preferences. R212 was served a food item that was recorded as a food dislike on her meal ticket.

Fire safety inspections

1 fire safety citation on file: 1 on May 21, 2026.

Every fire safety citation1 citation
  1. D
    Provide properly protected cooking facilities.
    K 324 · May 21, 2026 · 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)3.453.843.86
Registered nurses0.570.630.69
All nursing staff on weekends3.173.333.42
Nurse aides2.05
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)22.0%45.9%45.8%
Registered nurse turnover21.1%42.1%42.9%
Administrators who left0

CMS expects 3.80 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 3.56 on weekdays and 3.17 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.450.573.563.17 3.2%0 of 90123
Oct to Dec 20253.560.603.713.17 4.2%0 of 92125
Jul to Sep 20253.370.653.532.95 3.5%0 of 92124
Apr to Jun 20253.450.753.662.92 0.1%0 of 91121
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
9.311.913.9
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
0.31.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.612.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.55.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.815.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.024.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.313.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.81.8

Owners and operators

Legal business name: PICKENS SKILLED NURSING, LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Palmetto Community Healthcare, LLC5% or greater direct ownership interestOrganization100%06/29/2021
Dahlhausen, DanielContracted managing employeeIndividual09/01/2021
Griggs, ToddW-2 managing employeeIndividual06/01/2009
Apt, FrederickCorporate officerIndividual01/01/2024
Jergensen, JoshuaCorporate officerIndividual01/01/2024
Mitchell, JohnCorporate officerIndividual01/01/2024

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 5 problems in this area, most recently on May 21, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 8, 2023: "Ensure each resident receives an accurate assessment."
  3. 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 May 21, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 21, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the South Carolina average of 3.33.

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 Manna Post Acute's Medicare star rating?
CMS rates Manna Post Acute 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Manna Post Acute get at its last inspection?
5 health deficiencies at the standard inspection on May 21, 2026. The South Carolina average is 3.7.
Has Manna Post Acute been fined?
CMS lists no fines in the last three years.
Does Manna Post Acute 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 Manna Post Acute?
CMS lists 6 owners and managers, and links the home to PACS Group. Legal business name: PICKENS SKILLED NURSING, LLC.

Sources

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