The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
The Palms At Florence
Florence, SC · Medicare-certified · 163 beds
In good standing
For-profit
Data as of July 1, 2026
5 of 5 overall
The Palms At Florence has a 5-star overall rating, with strong quality and staffing scores and no fines in the last 24 months. Its reported nurse staffing is 3.95 hours per resident per day, slightly below the federal benchmark of 4.1, and the most recent inspection cited several care and medication-related issues.
Facility ratings
Health inspections
Staffing
3.9459 hrs/resident/day
Quality measures
Last inspection: April 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9459.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.20
- Nurse aides
- 2.27
- Weekend nursing
- 3.36
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 15%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.7%7%Improving
Residents with a fall causing major injury
2.4%1.8%Improving
Residents with pressure ulcers (bedsores)
9.5%1.6%Improving
Residents with a urinary tract infection
0%0.9%Worsening
Residents who lost too much weight
3.6%7.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%6.2%Improving
Residents whose ability to walk got worse
6.7%12.1%Worsening
Long-stay residents on antianxiety or sleep medication
26.8%28.3%Worsening
Short-stay residents newly given an antipsychotic
0%0.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.9%32%Worsening
Residents with depressive symptoms
6.2%5.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
97.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—87.4%—
Short-stay residents given the pneumonia vaccine
99.2%99.4%No change
What the inspectors found
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited December 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited December 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The nursing home failed to keep essential equipment working safely. Cited December 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,901 in total fines.
- $7,901
Federal fine
Oct 25, 2023
Operator & ownership
Recent ownership change · Nov 1, 2021
Now operated by The Palms at Florence, previously Commander Nursing Center.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 155.1 residents on an average day (95% of 163 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.