Total health inspections
4
South Carolina average 3.9
Last Health inspection on Jul 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Kershawhealth Karesh Long Term Care and Rehab
Nursing Home · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Kershawhealth Karesh Long Term Care and Rehab
Nursing Home · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Kershawhealth Karesh Long Term Care and Rehab accepts Medicare, Medicaid, and private pay.
Overview of Kershawhealth Karesh Long Term Care and Rehab
Kershawhealth Karesh Long Term Care and Rehab provides long-term care, short-stay rehabilitation, memory care, and respite care in Camden, South Carolina. Kershaw Health, a county governmental health system, operates the 132-bed skilled nursing and rehabilitation community, which has served Kershaw County for more than 50 years. The facility moved to a purpose-built location on Lindsay Lane in February 2023 and accepts Medicare, Medicaid, and private pay.
The facility holds a 3-star overall CMS rating. Staffing is the standout strength: total nursing hours average 4 hours and 35 minutes per resident per day, which is 12% above the South Carolina average of 4 hours and 5 minutes, placing it 21st out of 112 SNFs statewide. Weekend staffing also performs well, averaging 3 hours and 42 minutes per day, which exceeds the state average of 3 hours and 18 minutes. Health Inspection and Quality Measure ratings both trail the state average, which accounts for the overall 3-star standing rather than a staffing shortfall.
The facility’s occupancy rate is 77.1%, below the South Carolina average of 82.1%, and the facility typically has availability. The average length of stay of 154 days reflects a mix of long-term residents and post-acute cases.
Rehabilitation services, including physical, occupational, and speech therapy, are offered alongside a programming calendar that includes horticulture, arts and crafts, group outings, and religious and cultural observances.
The community is best suited for residents who need consistent, high-contact nursing support within a county health system setting, particularly those prioritizing staffing depth for long-term care or post-acute rehabilitation in Kershaw County.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 21st out of 112 homes in South Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 21st out of 112 homes in South Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 35m per day
Rank #21 / 112Nurse hours — State benchmarkedThis home is ranked 21st out of 112 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 112 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Carolina avg
+12%
Standout metric
Weekend Total Nursing is +12% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 42m per day | ▲ 12% State avg: 3h 18m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
77.1%
Rank #87 / 121Occupancy rate — State benchmarkedThis home is ranked 87th out of 121 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
154 days
132-bed community Rank #37 / 309Bed count — State benchmarkedThis home is ranked 37th out of 309 homes in South Carolina. Shows this facility's certified or reported bed count compared to other South Carolina SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeHl- Nursing Home
StatusActive
CountyKershaw
License NumberNCF-0313
CMS Certification Number425080
Kershawhealth Karesh Long Term Care and Rehab is legally operated by Kershaw Health, and administrated by Michael Scott Neal.
Owner NameKershaw Health
Institutional Nursing Home
132 units
Total beds
132 units
Staffing
Key information about the people who lead and staff this community.
Administrator Email[email protected]
Rehabilitation Services
24-Hour Staffing
Email
[email protected]
Salon & Barber Shop
Activities
Laundry Services
Virtual Visit Assistance
Patient
Family
& Caregiver Education
Home Evaluations
Specific Programs24/7 Nursing Care, Physical, Occupational, & Speech Therapy, Beauty Salon, Recreational and Leisure Activities, Group Outings, Horticulture, Arts and crafts, Religious and cultural celebrations, Social hour and current events
Operating Hours24/7
Health Inspection History
Inspections
Total health citations
5
Rank #11 / 113Health citations — State benchmarkedThis home is ranked 11th out of 113 homes in South Carolina. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 113 SC SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Carolina average 13.7
Citations per inspection
1.25
Rank #3 / 113Citations per inspection — State benchmarkedThis home is ranked 3rd out of 113 homes in South Carolina. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 113 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Carolina average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 5 citations resulted from standard inspections; and 2 of 5 resulted from complaint investigations.
Breakdown of citation severity (last 6 years)
Critical health citations
1
In line with South Carolina averageSouth Carolina average: 1
Serious health citations
1
233% worse than South Carolina averageSouth Carolina average: 0.3
Citations history (last 6 years)
Pharmacy critical citation
Jul 21, 2025
Infection Control moderate citation
Jul 19, 2024
Corrected
Infection Control moderate citation
Jul 19, 2024
Corrected
Pharmacy serious citation
Sep 25, 2023
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
168
Employees
152
Contractors
16
Staff to resident ratio
1.31:1
29% worse than South Carolina average
Avg staff/day
77
Average shift
7.6 hours
0% compared with South Carolina average
Total staff hours (quarter)
54,022
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 32 RN Staff are full-time employees. No contractors work on this role.
32
All 32 RN Staff are full-time employees. No contractors work on this role.
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
78 total: 77 full-time employees and 1 contractor.
78
78 total: 77 full-time employees and 1 contractor.
78
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5.4%
2,931 contractor hours this quarter
Physical Therapy Aide: 5
Speech Language Pathologist: 4
Qualified Social Worker: 2
Certified Nursing Assistant: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 1 | 78 | 27,571 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 24 | 0 | 24 | 8,709 | 92 | 100% | 8.1 |
| Registered Nurse | 32 | 0 | 32 | 7,937 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,178 | 66 | 72% | 8.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,544 | 78 | 85% | 7.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 988 | 66 | 72% | 6.4 |
| Dental Services Staff | 2 | 0 | 2 | 836 | 62 | 67% | 7.8 |
| Physical Therapy Aide | 0 | 5 | 5 | 555 | 64 | 70% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 434 | 66 | 72% | 6.6 |
| Qualified Social Worker | 0 | 2 | 2 | 432 | 66 | 72% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 420 | 54 | 59% | 7.8 |
| Dietitian | 1 | 0 | 1 | 416 | 53 | 58% | 7.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 406 | 66 | 72% | 6.1 |
| Administrator | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 172 | 24 | 26% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 70 | 9 | 10% | 7.8 |
| Medical Director | 0 | 1 | 1 | 33 | 3 | 3% | 11 |
78 Certified Nursing Assistant
% of Days
100%
24 Licensed Practical Nurse
% of Days
100%
32 Registered Nurse
% of Days
100%
6 Clinical Nurse Specialist
% of Days
72%
4 Other Dietary Services Staff
% of Days
85%
4 Speech Language Pathologist
% of Days
72%
2 Dental Services Staff
% of Days
67%
5 Physical Therapy Aide
% of Days
70%
1 Occupational Therapy Aide
% of Days
66%
1 Respiratory Therapy Technician
% of Days
72%
2 Qualified Social Worker
% of Days
72%
1 Nurse Practitioner
% of Days
59%
1 Mental Health Service Worker
% of Days
59%
1 Dietitian
% of Days
58%
1 Physical Therapy Assistant
% of Days
72%
1 Administrator
% of Days
54%
2 Nurse Aide in Training
% of Days
26%
1 Occupational Therapy Assistant
% of Days
10%
1 Medical Director
% of Days
3%
Penalties and fines
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$42K Rank #100 / 114Federal fines — State benchmarkedThis home is ranked 100th out of 114 homes in South Carolina. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 114 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
26% higher than South Carolina averageSouth Carolina average: $34K
Number of fines
2
18% fewer fines than South Carolina averageSouth Carolina average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than South Carolina averageSouth Carolina average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$42K
South Carolina average
$34K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 21, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 21, 2025
$23K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2023
$19K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
6% worse than South Carolina averageSouth Carolina average: 8.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
6% worse than South Carolina averageSouth Carolina average: 15.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
In line with South Carolina averageSouth Carolina average: 13.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.7%
Percent of long-stay residents whose ability to move independently worsened
19.7%
21% worse than South Carolina averageSouth Carolina average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
In line with South Carolina averageSouth Carolina average: 17.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
39% worse than South Carolina averageSouth Carolina average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
10% better than South Carolina averageSouth Carolina average: 6.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
44% worse than South Carolina averageSouth Carolina average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.6%
Percent of long-stay residents who lose too much weight
4.6%
26% better than South Carolina averageSouth Carolina average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with South Carolina averageSouth Carolina average: 2.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
26% worse than South Carolina averageSouth Carolina average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than South Carolina averageSouth Carolina average: 90.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
6% better than South Carolina averageSouth Carolina average: 90.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
24% better than South Carolina averageSouth Carolina average: 79.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
31% worse than South Carolina averageSouth Carolina average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
16% better than South Carolina averageSouth Carolina average: 78.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
63% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
30% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
4 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128
Medicare
19
14.8% of residents
Medicaid
65
50.8% of residents
Private pay or other
44
34.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Kershawhealth Karesh Long Term Care and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
77.1%
↓ 8.8pp vs 2022
Net Income
-$1.6M
↓ ~$2.1M vs 2022
Total Payroll
$7.9M
↑ ~$2.0M vs 2022
Profit Margin
-12.9%
↓ 18.2pp vs 2022
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$12.2M
Operating deficit
-$1.6M
Governmental community
Operated by county authorities.
Home revenue
$12.2M Rank #66 / 116Revenue — State benchmarkedThis home is ranked 66th out of 116 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$1.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #38 / 116Payroll — State benchmarkedThis home is ranked 38th out of 116 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$7.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #38 / 116Payroll — State benchmarkedThis home is ranked 38th out of 116 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.7M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Kershawhealth Karesh Long Term Care and Rehab
8616.9 miles from city center
Estimated distance in miles from Camden's city center to Kershawhealth Karesh Long Term Care and Rehab's address, calculated via Google Maps.
Calculate Travel Distance to Kershawhealth Karesh Long Term Care and Rehab
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Financial Assistance for
Nursing Home in South Carolina
Kershawhealth Karesh Long Term Care and Rehab is located in CAMDEN, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
Frequently Asked Questions about Kershawhealth Karesh Long Term Care and Rehab
Who is the owner of Kershawhealth Karesh Long Term Care and Rehab?
The legal owner and operator of Kershawhealth Karesh Long Term Care and Rehab is Kershaw Health.
What is the license number of Kershawhealth Karesh Long Term Care and Rehab?
According to SC state health department records, Kershawhealth Karesh Long Term Care and Rehab's license number is NCF-0313.
What is the best email address for Kershawhealth Karesh Long Term Care and Rehab?
The team at Kershawhealth Karesh Long Term Care and Rehab can be reached at [email protected].
Who is the administrator of Kershawhealth Karesh Long Term Care and Rehab?
Michael Scott Neal is the administrator of Kershawhealth Karesh Long Term Care and Rehab.
How many beds does Kershawhealth Karesh Long Term Care and Rehab have?
Kershawhealth Karesh Long Term Care and Rehab has 132 beds.
Are there photos of Kershawhealth Karesh Long Term Care and Rehab?
Yes — there is 1 photo of Kershawhealth Karesh Long Term Care and Rehab in the photo gallery on this page.
What is the address of Kershawhealth Karesh Long Term Care and Rehab?
Kershawhealth Karesh Long Term Care and Rehab is located at 40 LINDSAY LN.
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