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Musc Health Chester Nursing Center

1 Medical Park Drive, Chester, SC 29706 · Chester County · (803) 581-9400

80 certified beds, about 54 residents a day · Non profit - Corporation · Medicare and Medicaid since 1968

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425061 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 5, 2025, inspectors cited 1 health deficiency (the South Carolina average is 3.7, the national average 9.2).

None of its 7 health citations since August 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 4.22 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

31.5% 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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
2F
Potential for minimal harm
0A
0B
0C
June 5, 2025Standard inspection · 1 citation
  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 23, 2025
    Inspectors wroteBased on review of the facility policy, observations, and interviews, the facility failed to properly store and label food items and ensure expired food was discarded in accordance with professional food safety standards in the walk-in freezer, refrigerators, and dry storage shelf. Failure to properly label and store food has the potential for widespread harm of food-borne illnesses.
April 11, 2024Standard inspection · 5 citations
  1. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure each Medicare resident and/or resident representative (RP) whose Medicare therapy services were terminated received a copy of form Centers for Medicare and Medicaid Services (CMS) 10123 Notice of Medicare Non-Coverage (NOMNC) and CMS -10055 Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) for two of three residents (Resident (R) 48, and R42) reviewed for beneficiary notices out of a total sample of 13 residents. This failure in not providing a copy of CMS 10055 and CMS form 10123 to the resident and/or resident representative could potentially impinge on the resident being able bill Medicare in appealing the non-covered services correctly and receive the Medicare Services Notice (MSN) for further instructions in the appeal process.
  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) April 12, 2024
    Inspectors wroteBased on review of the facility policies, record reviews, and interviews, the facility failed to update and revise the code status on comprehensive care plans for two residents of 13 sampled residents (Resident (R) 14 and R22).
  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) May 2, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dependent residents received showers/baths including the washing of hair for one of one resident reviewed for activities of daily living (ADLs), (Resident (R) 46) out of a total sample of 13. R46 was observed with uncombed and greasy hair; and facility documentation of showers/baths was incomplete.
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2024
    Inspectors wroteBased on record review and facility staff review, the facility failed to initiate a physician order for an indwelling urinary catheter change for one of one resident reviewed (Resident (R) 46) for catheters out of 13 sampled residents. This failure could have resulted in R46's indwelling urinary catheter not being changed every four weeks as per the urologist's recommendation.
  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) May 2, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to remove loose pills from one of three medication carts and failed to return discontinued medications to the pharmacy for two residents (Resident (R) 13 and R42).
August 10, 2022Standard inspection · 1 citation
  1. 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) September 10, 2022
    Inspectors wroteBased on observation and interview, the facility failed to maintain the dumpster area in a sanitary manner to prevent the harborage of pests 3 out of 3 days of the survey. A foul-smelling liquid leaked out of the dumpster onto the asphalt extending as far as approximately 15 feet across a parking lot; there were flies in this area during each observation. In addition, there was garbage on the asphalt near/along the edge of the dumpster all 3 days of the survey.

Fire safety inspections

3 fire safety citations on file: 2 on April 11, 2024, 1 on August 10, 2022.

Every fire safety citation3 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 11, 2024 · Corrected (the home has a date of correction)
  2. D
    Ensure proper usage of power strips and extension cords.
    K 920 · April 11, 2024 · Corrected (the home has a date of correction)
  3. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 10, 2022 · 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)4.223.843.86
Registered nurses0.690.630.69
All nursing staff on weekends3.813.333.42
Nurse aides2.53
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)31.5%45.9%45.8%
Registered nurse turnover33.3%42.1%42.9%
Administrators who left0

CMS expects 3.74 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 4.38 on weekdays and 3.81 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 3.83 in April to June 2025 to 4.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.220.694.383.81 0.0%0 of 9054
Oct to Dec 20254.030.624.133.79 0.0%0 of 9255
Jul to Sep 20253.930.714.103.48 0.0%0 of 9256
Apr to Jun 20253.830.714.013.38 0.1%0 of 9157
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
29.111.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.90.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
9.21.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.85.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.615.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.724.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.813.912.0
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
1.81.81.8

Owners and operators

Legal business name: MEDICAL UNIVERSITY HOSPITAL AUTHORITY.

NameRoleTypeShareSince
Medical University of South Carolina5% or greater direct ownership interestOrganization100%03/01/2019
Barnes, TerriCorporate directorIndividual01/01/2026
Battle, JamesCorporate directorIndividual01/01/2026
Brown, WilliamCorporate directorIndividual01/01/2026
Butehorn, HenryCorporate directorIndividual01/01/2026
Castles, CharlesCorporate directorIndividual01/01/2026
Christian, RichardCorporate directorIndividual01/01/2026
Davis, PaulCorporate directorIndividual01/01/2026
Johnson Williams, BarbaraCorporate directorIndividual01/01/2026
Lemon, JamesCorporate directorIndividual01/01/2026
Lischke, DouglasCorporate directorIndividual08/01/2024
Schulze, CharlesCorporate directorIndividual01/01/2026
Smith, GeorgeCorporate directorIndividual01/01/2026
Stavrinakis, MichaelCorporate directorIndividual01/01/2026
Stephenson, ThomasCorporate directorIndividual01/01/2026
Witherspoon, BarlettCorporate directorIndividual01/01/2026
Cawley, PatrickCorporate officerIndividual03/01/2019
Haubner, BrandonCorporate officerIndividual01/01/2024
Johnson, DonaldCorporate officerIndividual01/01/2026
Rae, KarynCorporate officerIndividual03/01/2019
Cawley, PatrickOperational/managerial controlIndividual03/01/2019
Gosney, DebraOperational/managerial controlIndividual01/01/2025
Haubner, BrandonOperational/managerial controlIndividual08/01/2023
Lewis, DanielOperational/managerial controlIndividual01/01/2025
Haubner, BrandonAdp of the SNFIndividual04/30/2025
Lewis, DanielAdp of the SNFIndividual07/31/2025

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 June 5, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  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 11, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 11, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 11, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."

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 Musc Health Chester Nursing Center's Medicare star rating?
CMS rates Musc Health Chester Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Musc Health Chester Nursing Center get at its last inspection?
1 health deficiency at the standard inspection on June 5, 2025. The South Carolina average is 3.7.
Has Musc Health Chester Nursing Center been fined?
CMS lists no fines in the last three years.
Does Musc Health Chester 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 Musc Health Chester Nursing Center?
CMS lists 26 owners and managers. Legal business name: MEDICAL UNIVERSITY HOSPITAL AUTHORITY.

Sources

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