Home / South Carolina / Florence
4438 Pamplico Highway, Florence, SC 29505 · Florence County · (843) 669-3502
163 certified beds, about 155 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425119 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 4, 2026, inspectors cited 7 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
Of 11 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated October 25, 2023.
Nurses and nurse aides worked 3.95 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
34.5% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
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.
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 11 health citations on file.
Inspectors wroteBased on review of the facility policy, record review, and interview, the facility failed to ensure that 1 of 1 resident (Resident (R)164) reviewed for death, received continued monitoring after a change in condition and initiation of an intervention.
Inspectors wroteBased on review of facility policy, observation and interview, the facility failed to ensure the daily nurse staffing information was posted in a prominent place readily accessible to residents and visitors.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure the cleanliness and proper placement of the grease trap on a non-porous surface. This failure had the potential to attract insects and pests to the facility.
Inspectors wroteBased on review of facility policy, record review and interview, the facility failed to ensure the physician for Resident (R)164 was notified related to a change in respiratory status for 1 of 1 resident reviewed for death.
Inspectors wroteBased on review of the facility policy, review of manufacturer's recommendation, record review, observation, and interview, the facility failed to ensure a medication administration error rate of less than 5 percent for 2 out of 26 opportunities for error. Specifically, the Lantus Pen was not primed according to the manufacturers recommendations for Resident (R)7 and additionally failed to ensure Resident (R)116 received a nasal spray as ordered.
Inspectors wroteBased on review of facility policy, the manufacturer's recommendation, observation and interview, the facility failed to ensure a Lantus Insulin Pen was primed correctly prior to administering insulin for Resident (R)7. Specifically, the nurse failed to ensure the needle was pointed upward to ensure the air was removed from the pen and the resident received the correct amount of insulin as ordered for 1 of 1 residents observed receiving insulin during medication pass.
Inspectors wroteBased on review of the facility policy, observation, and interview, the facility failed to store biologicals appropriately in 2 of 4 treatment carts.
Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure an accurate assessment for three of 31 residents reviewed in the sample (Resident (R) 12, R7, and R93). R12's assessment inaccurately documented received insulin, R7's assessment inaccurately documented he did not have a diagnosis of major mental illness defined by the Preadmission Screening and Resident Review (PASARR) program, and R93's assessment inaccurately documented she did not receive routine antipsychotic medication. These failures created a potential for lack of identification of current problems and resident needs, leading to an incomplete or ineffective plan of care.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to administer oxygen therapy per physician's orders for one (Resident (R) 49) of two residents reviewed for respiratory care out of a total sample of 31 residents. This had the potential for the resident to experience respiratory distress.
Inspectors wroteBased on observation, staff interview, record review, and facility policy, the facility failed to ensure a medication error rate of less than 5 percent (%). There were four errors observed out of 38 opportunities for three residents (Residents (R)78, R153, and R86) out of a total sample of 31 residents resulting in an error rate of 10.53%. These failures had the potential to cause adverse drug reactions and the residents needs being met.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to identify a wound and provide interventions for wound prevention for two of five sampled residents (Resident (R) 244 and R76) reviewed for pressure sores. This resulted in harm when R244 developed a necrotic wound on the heel. The failure led to a missed opportunity to prevent and treat a necrotic wound that developed after admission.
| Date | Penalty | Amount or length |
|---|---|---|
| October 25, 2023 | Fine | $7,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.95 | 3.84 | 3.86 |
| Registered nurses | 0.48 | 0.63 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.33 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 34.5% | 45.9% | 45.8% |
| Registered nurse turnover | 15.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.18 on weekdays and 3.36 on weekends, 20% 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 4.03 in April to June 2025 to 3.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.95 | 0.48 | 4.18 | 3.36 | 3.2% | 0 of 90 | 155 |
| Oct to Dec 2025 | 4.01 | 0.51 | 4.27 | 3.35 | 1.9% | 0 of 92 | 154 |
| Jul to Sep 2025 | 4.21 | 0.53 | 4.49 | 3.47 | 2.6% | 0 of 92 | 151 |
| Apr to Jun 2025 | 4.03 | 0.55 | 4.28 | 3.41 | 2.8% | 0 of 91 | 153 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Carolina, all employers | |||
| CNAs (nursing assistants) | $17.90 | $16.81 to $19.08 | 21,760 |
| LPNs and LVNs | $29.72 | $27.59 to $34.24 | 9,400 |
| Registered nurses | $39.60 | $37.17 to $46.75 | 49,750 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.6 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.4 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.5 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.5 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Palms at Florence's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.3% 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. 163 eligible stays.
11.3% 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. 220 eligible stays.
7.4% 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. 137 eligible stays.
73.9% 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. 176 residents counted.
0.7% 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. 281 residents counted.
4.8% 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. 281 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 17 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.
Legal business name: COMMANDER OPERATOR LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Commander Operator Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2021 |
| Dasay 2019 Trust | 5% or greater indirect ownership interest | Organization | 11/01/2021 | |
| Gamta 2020 Trust | 5% or greater indirect ownership interest | Organization | 11/01/2021 | |
| Tropper, Yaakov | 5% or greater indirect ownership interest | Individual | 11/01/2021 | |
| Weiss, Hillel | 5% or greater indirect ownership interest | Individual | 11/01/2021 | |
| Commander, Joeseph | W-2 managing employee | Individual | 11/01/2021 | |
| Stern, Samuel | Corporate officer | Individual | 11/01/2021 |
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.
Chosen from this home's own inspection record.
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