Home / South Carolina / Hilton Head Island
The Preston Health Center
87 Bird Song Way, Hilton Head Island, SC 29926 · Beaufort County · (843) 689-7077
62 certified beds, about 42 residents a day · Non profit - Corporation · Medicare since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425325 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 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.
CMS lists 1 fine totaling $8,018 in the last three years; the largest was $8,018, and the latest is dated August 29, 2024.
Nurses and nurse aides worked 6.41 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 1.30 of those hours.
20.5% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
CMS links it to Life Care Services, an affiliated group of 43 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.
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.
December 11, 2025Standard inspection · 0 citations
August 29, 2024Standard inspection, Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, review of the facility investigation, interview, and facility policy review, the facility failed to ensure one (Resident (R)9) out of six residents reviewed for mechanical lift transfers out of a sample of 20 residents was safe when being transferred from a mechanical lift. This resulted in harm when R9 sustained a fractured clavicle when being transferred with a mechanical lift. This deficiency was cited as past non-compliance (PNC).
November 15, 2022Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policy, observation, and interview, the facility failed to ensure: 1) Accurate labeling and dating of foods, 2) Removal of expired foods from refrigeration and storage.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on review of facility policy, observation and interview, the facility failed to ensure proper disposal of refuse.
- 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.
Inspectors wroteBased on review of facility policy, observations, and interviews, the facility failed to ensure expired medications and biologicals were removed from 2 of 3 medication storage rooms. Findings Include: Review of the facility policy titled, Drug Storage, revealed no indication on the disposal of expired medications and biologicals. Multiple requests were made for policies regarding disposition of expired medication with no documentation provided by the facility during the survey. Observation of the Arbor Unit medication storage room on 11/14/22 at 3:16 PM revealed, three (3) [NAME] I.V. Starter Kits with an expiration date of 08/05/22. Also, one (1) of the [NAME] I.V. Starter Kits was opened and no longer sterile. Licensed Practical Nurse (LPN)1 confirmed the expired biologicals. [...]
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of the facility policy titled, In Service Training Program, Nurse Aide, document review and interview, the facility failed to ensure all nurse aide personnel has completed the required 12 hours of training per employment year based on hire date for 11 out of 32 Certified Nursing Assistants (CNAs).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 29, 2024 | Fine | $8,018 |
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.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 6.41 | 3.84 | 3.86 |
| Registered nurses | 1.30 | 0.63 | 0.69 |
| All nursing staff on weekends | 5.74 | 3.33 | 3.42 |
| Nurse aides | 3.55 | ||
| Licensed practical nurses | 1.55 | ||
| Nursing staff turnover (share who left in a year) | 20.5% | 45.9% | 45.8% |
| Registered nurse turnover | 6.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.62 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 6.67 on weekdays and 5.74 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.86 in April to June 2025 to 6.41 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 | 6.41 | 1.30 | 6.67 | 5.74 | 1.4% | 0 of 90 | 42 |
| Oct to Dec 2025 | 6.64 | 1.46 | 6.95 | 5.85 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 6.74 | 1.48 | 7.04 | 5.97 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 6.86 | 1.33 | 7.22 | 5.95 | 6.2% | 0 of 91 | 40 |
| 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.
Quality measures
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 | 18.3 | 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 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.2 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.8 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: THE CYPRESS CLUB INC. CMS links this home to Life Care Services, a group of 43 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Cypress Club Inc | 5% or greater direct ownership interest | Organization | 100% | 03/02/1992 |
| Braley, Jeffrey | Corporate director | Individual | 01/01/2025 | |
| Dolyniuk, Randy | Corporate director | Individual | 01/01/2025 | |
| Jenkins, Catherine | Corporate director | Individual | 03/24/2026 | |
| Ranehn, Robert | Corporate director | Individual | 01/01/2025 | |
| Andreasen, Michael | Corporate officer | Individual | 02/15/2025 | |
| Cypress of Hilton Head Island Associates Limited Partnership | Operational/managerial control | Organization | 05/15/1992 | |
| Life Care Services LLC | Operational/managerial control | Organization | 09/16/1994 | |
| Fink, Michael | Operational/managerial control | Individual | 10/07/2024 | |
| McRae, Monique | Operational/managerial control | Individual | 06/17/2019 | |
| Sanchez-Yriarte, Rafael | Operational/managerial control | Individual | 12/01/2023 | |
| Lcs Reliance LLC | Adp of the SNF | Organization | 01/01/2024 | |
| Life Care Services LLC | Adp of the SNF | Organization | 04/27/2025 | |
| McRae, Monique | Adp of the SNF | Individual | 04/27/2025 | |
| Sanchez-Yriarte, Rafael | Adp of the SNF | Individual | 04/27/2025 |
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.
- 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 November 15, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 August 29, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 15, 2022: "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."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on November 15, 2022: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."
Other nursing homes nearby
- Life Care Center of Hilton Head Hilton Head Island, 1.3 mi · 1 of 5 stars · 15 citations
- Broad Creek Care Center Hilton Head Island, 4.8 mi · 5 of 5 stars · 7 citations
- Fraser Health Center Hilton Head Island, 5.9 mi · 4 of 5 stars · 6 citations
- Sprenger Health Care of Port Royal Port Royal, 10.8 mi · 1 of 5 stars · 6 citations
- Resorts at Beaufort Beaufort, 12.4 mi · 3 of 5 stars · 22 citations
- NHC Healthcare - Bluffton Okatie, 12.7 mi · 4 of 5 stars · 10 citations
- Sprenger Healthcare of Bluffton Bluffton, 12.9 mi · 5 of 5 stars · 5 citations
- Tybee Island Trails of Journey LLC Tybee Island, 16.1 mi · 1 of 5 stars · 26 citations
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.
- Inspections and complaints: South Carolina Department of Public Health, Healthcare Quality, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Carolina Long Term Care Ombudsman Program, Department on Aging, 1-800-868-9095. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: SC Survey and Certification Public CMS-2567 Search, where South Carolina publishes its own records on licensed homes.
Common questions
- What is The Preston Health Center's Medicare star rating?
- CMS rates The Preston Health Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Preston Health Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 11, 2025. The South Carolina average is 3.7.
- Has The Preston Health Center been fined?
- Yes. CMS lists 1 fine totaling $8,018 in the last three years.
- Does The Preston Health Center accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns The Preston Health Center?
- CMS lists 15 owners and managers, and links the home to Life Care Services. Legal business name: THE CYPRESS CLUB INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.