Find a nursing home

Home / South Carolina / Spartanburg

Valley Falls Terrace

400 Locust Grove Road, Spartanburg, SC 29303 · Spartanburg County · (864) 503-0377

88 certified beds, about 85 residents a day · For profit - Individual · Medicare and Medicaid since 1973

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425096 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 7, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 12 health citations since May 2024 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 3.29 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.

45.8% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to Fundamental Healthcare, an affiliated group of 66 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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
3F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 0 citations
April 16, 2025Standard inspection · 5 citations
  1. 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) April 23, 2025
    Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for one of 24 sampled residents (Resident (R)6). R6's MDS was not accurately coded to indicate the continuation of Hospice services with a terminal diagnosis for two quarterly MDS assessments. The failure to accurately code/assess the resident's condition had the potential to affect the care planning for the resident to receive all required services.
  2. 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) April 21, 2025
    Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure the environment was free of accident hazards when water temperatures were not maintained at a safe temperature for four of four resident rooms (Rooms 100, 101, 114, and the room of Resident (R) 23) out of a total of 40 resident rooms and one of one shower room where water temperatures were measured. This failure had the potential to cause residents to incur a burn from the high water temperature.
  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 2, 2025
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to investigate the possible underlying issue for significant weight loss, follow nutritional interventions, and assess the resident before the use of a psychotropic drug for weight loss for one (Resident (R)70) of three sampled residents reviewed for nutritional status. This had the potential to cause further weight loss.
  4. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · 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, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure alternatives were attempted prior to the use of bed rails for three of three residents (Resident (R)5, R70, and R73) reviewed for side rails out of a total sample of 24. This failure had the potential to increase accidental entrapment or injury when an alternate assistive device may have been effective.
  5. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure psychotropic medication had target behaviors identified to enable medication efficacy monitoring for one of five residents (Resident (R) 29) reviewed for unnecessary medications from a total sample of 24. This failure had the potential to affect the ability for a physician to prescribe the lowest possible effective dose of psychoactive medication.
May 9, 2024Standard inspection · 7 citations
  1. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to post daily staffing for 2 days out of 4 months reviewed.
  2. F
    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, widespread · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on review of facility policy, observation, and interviews, the facility failed to remove expired medications and biologicals in 2 of 2 medication storage rooms, 1 of 2 treatment carts, and 1 of 4 medication carts.
  3. 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) May 20, 2024
    Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure foods that were stored in the freezer, refrigerators and dry food storage were properly sealed, labeled, dated with a use by date, and/or discarded after the manufacturer's expiration date. This failure had the potential to cause foodborne illnesses in all residents who received meal trays from the kitchen.
  4. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on interview, record review and review of facility policy, the facility failed to provide quarterly statements to the Responsible Party (RP) for 1 of 1 resident reviewed for personal funds, Resident (R)65.
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on record review, interview and the , the facility failed to accurately code the Minimum Data Set for 1 of 3 records reviewed for assessment, Resident (R)49.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2024
    Inspectors wroteBased on review of facility policy, record review, observations, and interviews, the facility failed to ensure a medication administration error rate of less than 5 percent. Specifically, insulin administered via an insulin pen was not primed before administration for Resident (R)18. The facility additionally failed to ensure R18 received the correct dose of insulin due to incorrect priming of the pen. Furthermore, the facility failed to ensure that oral tablets were administered according to directions. The medication administration error rate was 12 percent, for 3 of 25 opportunities for error.
  7. 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 30, 2024
    Inspectors wroteBased on observations, interviews, record review, review of Medline EvenCare G2 Blood Glucose Monitoring System User's Guide, and review of facility policy, the facility failed to ensure that Resident (R)18's glucometer was properly cleaned and sanitized. Additionally, the facility failed to ensure that staff wore gloves when breaking a tablet.

Fire safety inspections

3 fire safety citations on file: 3 on May 9, 2024.

Every fire safety citation3 citations
  1. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · May 9, 2024 · Corrected (the home has a date of correction)
  2. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · May 9, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 9, 2024 · 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)3.293.843.86
Registered nurses0.240.630.69
All nursing staff on weekends2.953.333.42
Nurse aides1.90
Licensed practical nurses1.15
Nursing staff turnover (share who left in a year)45.8%45.9%45.8%
Registered nurse turnover80.0%42.1%42.9%
Administrators who left0

CMS expects 3.68 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 3.42 on weekdays and 2.95 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 25.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.22 in April to June 2025 to 3.29 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.290.243.422.95 25.8%0 of 9085
Oct to Dec 20253.240.193.372.91 20.6%2 of 9285
Jul to Sep 20253.210.143.352.85 21.8%2 of 9284
Apr to Jun 20253.220.173.322.95 17.7%1 of 9180
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
8.711.913.9
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
0.33.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.112.714.1
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
21.415.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.624.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.113.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.81.8

Owners and operators

Legal business name: SPARTANBURG HEALTH CARE LLC. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Thi of South Carolina, LLC5% or greater direct ownership interestOrganization100%01/14/2015
Smith, LaceyW-2 managing employeeIndividual01/29/2024
Smith, LaceyCorporate officerIndividual01/29/2024

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 3 problems in this area, most recently on April 16, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 16, 2025: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 16, 2025: "Ensure each resident receives an accurate assessment."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on May 9, 2024: "Post nurse staffing information every day."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 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 Valley Falls Terrace's Medicare star rating?
CMS rates Valley Falls Terrace 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Valley Falls Terrace get at its last inspection?
0 health deficiencies at the standard inspection on May 7, 2026. The South Carolina average is 3.7.
Has Valley Falls Terrace been fined?
CMS lists no fines in the last three years.
Does Valley Falls Terrace 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 Valley Falls Terrace?
CMS lists 3 owners and managers, and links the home to Fundamental Healthcare. Legal business name: SPARTANBURG HEALTH CARE LLC.

Sources

Find a nursing home Read an inspection