Deficiency Index

Heritage Post Acute

Florence, South Carolina · CCN 425154

15 surveys since 2012. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
81
Surveys
15
Harm or worse
2
Immediate jeopardy
2
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
132
Ownership
For profit - Limited Liability company
Chain
Independent
County
Florence
Medicare-certified since
1986

CMS ratings

Overall
2
Health inspection
3
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 52 for-profit facilities with 128 or more beds in South Carolina.

Last survey on record

Feb 7, 2026

275 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.493.42
Registered-nurse hours per resident day0.56—
Annual nurse turnover48.5%43.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD10100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 81 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6281×

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6861×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Heritage Post Acute, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Dec 9, 2021

    Based on observation, record reviews, interviews, and review of the facility's policy titled, Wander/elopement alarms, the facility neglected to provide adequate supervision for 1 of 1 resident reviewed for accidents related to wandering. Resident (R)1 had a successful elopement on 12/07/21 at 12:55 AM and was found by local police, one half mile away from the facility on [MEDICATION(S)] Street, in front of the South State Bank. R1 obtained no injuries. On 12/08/21 at 3:00 PM, the survey team provided an Immediate Jeopardy (IJ) template to the Administrator, notifying IJ existed at F600 due to the facility's neglect to adequately monitor R1, who has wandering behaviors, with an effective date of 12/07/21. […]

  • Immediate jeopardy, isolatedF689Dec 9, 2021

    Based on observation, record reviews, interviews, and review of the facility's policy titled, Wander/elopement alarms, the facility failed to provide adequate supervision for 1 of 1 resident reviewed for accidents related to wandering. Resident (R)1 had a successful elopement on 12/7/21 at 12:55 AM and was found by local police, one half mile away from the facility on [MEDICATION(S)] Street, in front of the South State Bank. R1 obtained no injuries. On December 8, 2021 at 3:00 PM, the survey team provided an Immediate Jeopardy (IJ) template to the Administrator, notifying IJ existed at F689 due to the facility's failure to adequately monitor R1, who has wandering behaviors, with an effective date of 12/7/21. […]

  • No harm, potential for more than minimal, isolatedF628Feb 7, 2026

    Based on interview, record review, and facility policy review, the facility failed to provide a discharge summary and supplemental oxygen at the time of discharge for 1 (Resident (R)137) of 4 sampled closed records reviewed.Findings include:Review of a facility policy titled Discharge Summary and Plan, revised on 10/2022, revealed, When a resident's discharge is anticipated, a discharge summary and post-discharge plan is developed to assist the resident with discharge. The policy specified, . 12. A copy of the following is provided to the resident and receiving facility and a copy will be filed in the resident's medical records: a. An evaluation of the resident's discharge needs; b. The post-discharge plan; and c. […]

  • No harm, potential for more than minimal, isolatedF656Feb 7, 2026

    Based on observation, interview, record review, and facility policy review, the facility failed to develop a comprehensive person-centered care plan for the use of enablers for 1 (Resident (R)76) of 24 sampled residents.Findings include:Review of a facility policy titled Care Planning, Comprehensive Person-Centered, revised on 03/2022, revealed A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The policy specified . 7. The comprehensive, person-entered care plan: a. includes measurable objectives and timeframes; b. […]

  • No harm, potential for more than minimal, isolatedF657Feb 7, 2026

    Based on observation, interview, record review, and facility policy review, the facility failed to update the care plan to reflect the resident's use of fall matts for 1 (Resident (R)7) of 24 sampled residents.Findings include:Review of the facility policy titled Care Planning, Comprehensive Person-Centered, revised on 03/2022, revealed, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The policy specified, . 11. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change.Review of R7's admission Record indicated the facility admitted R7 on 11/15/2024. […]

Read 20 findings in full →The most serious and the most recent: 20 of 81 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 7, 2026Standard and complaint6 findings
  • Oct 10, 2024Standard3 findings
  • Jan 6, 2023Standard1 finding
  • Dec 9, 2021Complaint2 findings · 2 harm
  • Nov 18, 2021Complaint1 finding
  • Jun 24, 2021Standard11 findings
  • Jun 16, 2020Infection control1 finding
  • Jan 16, 2020Standard and complaint6 findings
Show the 7 earlier surveys
  • Oct 11, 2018Standard10 findings
  • Jun 22, 2017Standard3 findings
  • Aug 11, 2016Standard6 findings
  • Apr 17, 2015Standard3 findings
  • Jan 24, 2015Complaint1 finding
  • Sep 27, 2013—16 findings
  • Aug 28, 2012—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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