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.
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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
4 of 5 overall
The Palms At Florence has a 4 out of 5 star overall rating, with 4-star health inspection, staffing, and quality ratings. It reported no fines in the last 24 months, but nurse staffing was 4.01 hours per resident day, slightly below the 4.1-hour federal benchmark, and recent inspection citations included pressure ulcer care, PASARR screening, and psychotropic medication practices.
Facility ratings
Health inspections
Staffing
4.0134 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 4.0134.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.21
- Nurse aides
- 2.29
- Weekend nursing
- 3.35
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 27%
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
15.9%8.8%Improving
Residents with a fall causing major injury
5.5%1.8%Improving
Residents with pressure ulcers (bedsores)
9.8%4.1%Improving
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
5.5%6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%7.1%Worsening
Residents whose ability to walk got worse
6.9%12.1%Worsening
Long-stay residents on antianxiety or sleep medication
22.5%26.7%Worsening
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.6%26%Improving
Residents with depressive symptoms
5.1%10.7%Worsening
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
96.9%99.1%Improving
Short-stay residents given the seasonal flu vaccine
—87.4%—
Short-stay residents given the pneumonia vaccine
99%99.7%Improving
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.
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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.
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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.
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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.
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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
- Ownership
- For profit - Limited Liability company
- Occupancy
- 153.8 residents on an average day (94% of 163 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.