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Sprenger Healthcare of Bluffton

60 Okatie Village Drive, Bluffton, SC 29909 · Jasper County · (843) 548-2500

60 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 2019

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425415 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 26, 2025, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

Of 5 health citations since November 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.58 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

62.5% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to Sprenger Health Care Systems, an affiliated group of 12 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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
2E
0F
Potential for minimal harm
0A
0B
0C
September 26, 2025Standard inspection · 0 citations
October 11, 2024Standard inspection · 0 citations
November 19, 2022Standard inspection · 5 citations
  1. J
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) December 16, 2022
    Inspectors wroteBased on observations, interviews, record review, manufacturer's instructions, and facility policy review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to: - Ensure multi-use glucometers were cleaned and disinfected after each use by 2 of 3 nurses observed during medication pass, which had the potential to affect 10 residents with orders for blood glucose monitoring. - Ensure proper hand hygiene and glove use when obtaining blood for glucose monitoring by 1 of 3 nurses observed during medication pass. [...]
  2. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 25, 2022
    Inspectors wroteBased on observations, record review, interviews, document review, and facility policy review, the facility failed to have a medication error rate of 5% or less. The facility had 7 errors out of 28 observations for a medication error rate of 25%. This affected 3 out of 7 residents reviewed during the medication observation task.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 25, 2022
    Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure 2 (300 Hall and 100 Hall) of 4 medication carts were locked when required. This had the potential to affect 35 residents residing on the three main hallways in the facility.
  4. 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) November 25, 2022
    Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to provide assistance for a dependent resident with activities of daily living (ADLs) for 1 (Resident (R)261) of 13 residents reviewed for ADL care. Specifically, the facility failed to ensure R261 received showers and was shaved as needed.
  5. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2022
    Inspectors wroteBased on observations, record review, interviews, and facility policy review, it was determined that the facility failed to ensure no significant medication errors occurred for 1 (Resident (R)33) of 2 residents reviewed for insulin use. Specifically, the facility failed to ensure nursing staff were aware to prime the insulin pen-injector prior to use, which had the potential to cause the nurse to administer the wrong dose of insulin. This had the potential to affect five residents in the facility that received insulin through a pen-injector.

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)3.583.843.86
Registered nurses0.750.630.69
All nursing staff on weekends3.133.333.42
Nurse aides1.98
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)62.5%45.9%45.8%
Registered nurse turnover75.0%42.1%42.9%
Administrators who left0

CMS expects 3.38 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 3.76 on weekdays and 3.13 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.580.753.763.13 9.6%0 of 9058
Oct to Dec 20253.690.783.853.26 6.7%0 of 9254
Jul to Sep 20253.540.723.752.99 11.6%0 of 9255
Apr to Jun 20253.480.683.712.91 22.9%0 of 9154
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.

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.

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
4.311.913.9
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
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.83.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.612.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.55.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.115.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
42.924.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
24.813.912.0

Owners and operators

Legal business name: SPRENGER HEALTHCARE OF BLUFFTON INC. CMS links this home to Sprenger Health Care Systems, a group of 12 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Shcs Inc5% or greater direct ownership interestOrganization100%02/17/2016
Sprenger, Nicole5% or greater indirect ownership interestIndividual50%02/17/2016
Sprenger, Tracey5% or greater indirect ownership interestIndividual50%02/17/2016
Fox, EmilyCorporate officerIndividual12/31/2024
Kuhn, ShannonCorporate officerIndividual12/31/2024
Malanowki, BrandonCorporate officerIndividual12/31/2024
Cms & Co. Management Services, Inc.Operational/managerial controlOrganization02/17/2016
Castor, DavidOperational/managerial controlIndividual07/01/2022
Courtock, MelissaOperational/managerial controlIndividual12/02/2002
Dawson Thompson, NakeishaOperational/managerial controlIndividual02/13/2025
Epperly, RobertOperational/managerial controlIndividual01/20/2022
Fox, EmilyOperational/managerial controlIndividual12/31/2024
Gollinger, KristenOperational/managerial controlIndividual11/13/2000
Green, DwightOperational/managerial controlIndividual06/12/2024
Kuhn, ShannonOperational/managerial controlIndividual12/31/2024
Malanowki, BrandonOperational/managerial controlIndividual12/31/2024
Marino-Freetage, JaimeOperational/managerial controlIndividual03/01/2011
Micale, JacobOperational/managerial controlIndividual02/20/2023
Hutsenpiller, WendieIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/09/2025
Malanowski, KennethIndividual is an owner, partner or trustee of any ADP of the SNFIndividual09/09/2025
Citrin Cooperman and Company, LLPAdp of the SNFOrganization02/01/2025
Cms & Co. Management Services, Inc.Adp of the SNFOrganization09/09/2025
Delta Health Care Consultants, Inc.Adp of the SNFOrganization01/01/2008
HuntingtonAdp of the SNFOrganization03/31/2019
Wellspring Staffing, Inc.Adp of the SNFOrganization10/15/2021
Castor, DavidAdp of the SNFIndividual07/01/2022
Courtock, MelissaAdp of the SNFIndividual12/02/2002
Dawson Thompson, NakeishaAdp of the SNFIndividual02/13/2025
Epperly, RobertAdp of the SNFIndividual01/20/2022
Fox, EmilyAdp of the SNFIndividual12/31/2024
Gollinger, KristenAdp of the SNFIndividual11/13/2000
Green, DwightAdp of the SNFIndividual06/12/2024
Kuhn, ShannonAdp of the SNFIndividual12/31/2024
Malanowki, BrandonAdp of the SNFIndividual12/31/2024
Marino-Freetage, JaimeAdp of the SNFIndividual03/01/2011
Micale, JacobAdp of the SNFIndividual02/20/2023

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on November 19, 2022: "Ensure medication error rates are not 5 percent or greater."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 19, 2022: "Provide and implement an infection prevention and control program."
  3. 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 November 19, 2022: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 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 Sprenger Healthcare of Bluffton's Medicare star rating?
CMS rates Sprenger Healthcare of Bluffton 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sprenger Healthcare of Bluffton get at its last inspection?
0 health deficiencies at the standard inspection on September 26, 2025. The South Carolina average is 3.7.
Has Sprenger Healthcare of Bluffton been fined?
CMS lists no fines in the last three years.
Does Sprenger Healthcare of Bluffton 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 Sprenger Healthcare of Bluffton?
CMS lists 36 owners and managers, and links the home to Sprenger Health Care Systems. Legal business name: SPRENGER HEALTHCARE OF BLUFFTON INC.

Sources

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