The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Heartland Health Care Center-Union
Registered name: Union Post Acute
Union, SC · Medicare-certified · 88 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Heartland Health Care Center-Union has a 5 out of 5 star overall rating, with strong quality measures and a 4-star health inspection rating, but a low 2-star staffing rating and reported nurse staffing below the federal benchmark (3.09 vs 4.1 hours per resident per day). It had no fines in the last 24 months; recent inspection areas cited included food safety, self-administration of drugs, and care planning.
Facility ratings
Health inspections
Staffing
3.0908 hrs/resident/day
Quality measures
Last inspection: February 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0908.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.94
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 14%
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
12.5%14.9%Worsening
Residents with a fall causing major injury
0%1.4%Worsening
Residents with pressure ulcers (bedsores)
1.3%3.7%Worsening
Residents with a urinary tract infection
0%4.3%Worsening
Residents who lost too much weight
5.4%5.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%3.7%No change
Residents whose ability to walk got worse
3.7%0%Improving
Long-stay residents on antianxiety or sleep medication
19.6%25%Worsening
Short-stay residents newly given an antipsychotic
2.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.6%16.5%Improving
Residents with depressive symptoms
33.3%41.8%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
—100%—
Long-stay residents given the pneumonia vaccine
92.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—91.3%—
Short-stay residents given the pneumonia vaccine
100%99.4%Worsening
What the inspectors found
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — 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 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 9, 2024
Now operated by Union Post Acute, previously Promedica Skilled Nursing and Rehabilitation (union).
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 84.5 residents on an average day (96% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.