The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
The Preston Health Center
Hilton Head Island, SC · Medicare-certified · 62 beds
Needs attention
Non-profitChain member
5 of 5 overall
The Preston Health Center has a 5 out of 5 star overall rating, with 5-star scores for health inspections, staffing, and quality measures. It reports nurse staffing above the federal benchmark (6.64 vs 4.1 hours per resident per day), but it also had $8,018 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
6.6408 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $8,018recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.6408.
Staffing detail
- Registered nurses
- 1.46
- Licensed practical nurses
- 1.42
- Nurse aides
- 3.76
- Weekend nursing
- 5.85
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 13%
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
—13.5%—
Residents with a fall causing major injury
3.8%0%Improving
Residents with pressure ulcers (bedsores)
4.5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—6%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—12.5%—
Residents whose ability to walk got worse
—20.4%—
Long-stay residents on antianxiety or sleep medication
—20.3%—
Short-stay residents newly given an antipsychotic
0%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.9%33.6%Worsening
Residents with depressive symptoms
4.2%4%No change
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
—96.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.2%—
Short-stay residents given the pneumonia vaccine
98.2%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited November 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited November 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $8,018 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,018 in total fines.
- $8,018
Federal fine
Aug 29, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of LIFE CARE SERVICES · 45 homes · 4.1 stars avg
- Occupancy
- 40.8 residents on an average day (66% of 62 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 34 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.