Deficiency Index

Sandpiper Post Acute

Mount Pleasant, South Carolina · CCN 425146

20 surveys since 2011. The first finding at harm level was recorded in 2018.

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

Citations on record
142
Surveys
20
Harm or worse
10
Immediate jeopardy
7
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file13/20

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

The facility

Certified beds
176
Ownership
For profit - Limited Liability company
Chain
PACS GROUP
County
Charleston
Medicare-certified since
1981

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Jun 30, 2026

132 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 day3.053.42
Registered-nurse hours per resident day0.29—
Annual nurse turnover53.9%43.8%

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

Enforcement

Fines
$97,992 across 5 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ48.0%K12.0%L—
Actual harmG—H—I—
No harm, potential for more than minimalD3468.0%E510.0%F510.0%
No harm, potential for minimalA—B—C12.0%
CMS’s current file: 50 of the 142 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

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

  • Immediate jeopardy, patternF600Jun 30, 2026

    Based on record review, interview, and facility policy review, the facility failed to protect 3 of 3 residents (Resident (R)2, R51 and R159) from physical abuse, out of a sample of 33 residents. Specifically, the facility enabled R68 to physically abuse R2, R51, and R159 by not properly supervising R68.On 06/29/26, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On 06/29/26 at 9:30 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 01/25/26. […]

  • Immediate jeopardy, isolatedF689Apr 18, 2024

    Based on observation, interview, record review, and review of facility policy, the facility failed to assess, supervise, and provide proper safety protocols for residents that smoke, for 2 of 6 residents (Resident (R)123 and R101) reviewed for accidents/hazards. On 04/16/24 at 5:17 PM, the Administrator was notified that the failure to conduct smoking assessments, ensure residents were adequately supervised during smoking, ensuring safety protocols, and providing a safe environment for residents that smoke constituted Immediate Jeopardy (IJ) at F689. On 04/16/24 at 5:17 PM, the survey team provided the Administrator with a copy of the Center of Medicare and Medicaid (CMS) IJ Template and informed the facility IJ existed as of 04/10/24 at 4:33 PM. […]

  • Immediate jeopardy, isolatedF656Jan 5, 2024

    Based on review of the facility policy, interviews and record review, the facility failed to develop a comprehensive person-centered care plan related to Resident (R)1's usage of bedrails. On [DATE] at 3:25 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On [DATE] at 3:25 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of [DATE]. The IJ was related to 42 CFR 483.21 - Comprehensive Resident Centered Care Plan. On [DATE] at 6:32 PM, the facility provided an acceptable IJ Removal Plan. […]

  • Immediate jeopardy, isolatedF700Jan 5, 2024

    Based on review of facility policy, interviews and record review, the facility failed to ensure Resident (R)1 was properly assessed for the usage of bedrails to prevent entrapment, educated on the risks and benefits of bed rails with R1 and/or his Resident Representative, and to ensure consents were in place prior to the use of bedrails. On [DATE] at 3:23 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On [DATE] at 3:27 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of [DATE]. […]

  • Immediate jeopardy, isolatedF689Aug 16, 2023

    Based on review of facility policy, record review and interviews the facility failed to ensure adequate supervision was provided to prevent accidents/hazards for 1 of 3 residents. Specifically, on 08/10/23, Resident (R)1 had a successful elopement from the facility. On 08/15/23 at 6:06 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

Read 29 findings in full →The most serious and the most recent: 29 of 142 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 30, 2026Standard and complaint3 findings · 1 harm
  • Apr 10, 2025Standard16 findings
  • Jan 28, 2025Complaint1 finding
  • Apr 18, 2024Standard and complaint20 findings · 1 harm
  • Jan 5, 2024Complaint3 findings · 2 harm
  • Aug 16, 2023Complaint1 finding · 1 harm
  • May 19, 2023Standard and complaint14 findings
  • Sep 1, 2021Standard14 findings · 3 harm
Show the 12 earlier surveys
  • Aug 23, 2020Infection control1 finding
  • Nov 22, 2019Standard5 findings
  • Sep 25, 2018Complaint1 finding
  • Aug 24, 2018Standard11 findings
  • Apr 24, 2018Complaint6 findings · 2 harm
  • May 19, 2017Standard13 findings
  • Jul 27, 2016Standard6 findings
  • Apr 1, 2015Standard12 findings
  • Nov 25, 2013—7 findings
  • Sep 19, 2012—3 findings
  • Oct 24, 2011—1 finding
  • Jul 13, 2011—4 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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