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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Medford Nursing Center is an 88-bed skilled nursing facility owned by Medford Nursing Center LLC in Darlington, South Carolina. Administered by Tyler A. Lofe and accepting Medicare, Medicaid, and private pay, the facility in Darlington County serves primarily long-term care residents, with an average stay of 215 days and nearly 78 percent of the current census on Medicaid. Occupancy is at 92 percent, ranking 18th of 121 South Carolina nursing homes, well above the state average.
CMS scores Medford Nursing Center 4 stars, with a health inspection sub-rating 81.8 percent above South Carolina average, placing the facility among the lowest-citation providers statewide. 3 total health citations across 2 inspections since 2023, compared to a South Carolina average of 13.7, rank the facility 5th of 113 statewide by total citations and 7th by citations per inspection. Zero critical or serious citations have been recorded, and all three citations were moderate and corrected, with no penalties assessed in the past three years. CNA hours at 2 hours and 48 minutes per resident per day are 26 percent above South Carolina average of 2 hours and 13 minutes, reflecting strong direct care staffing. Long-stay quality measures are rated below average overall, driven primarily by hospitalization and ED visit rates that significantly exceed state benchmarks. Long-stay residents are hospitalized at a rate of 4.60 per 1,000 resident days, 127 percent above South Carolina average of 2.03, and ED visits at 4.45 per 1,000 days are 133 percent above the state figure. These are the most significant data points for families evaluating long-stay placement and warrant inquiry with clinical leadership about acute event management and early intervention protocols. Several individual measures are favorable, including an incontinence rate 60 percent below the state average and no depressive symptoms recorded among long-stay residents. Short-stay return to home at 38.0 percent is 25 percent below South Carolina average of 50.6 percent.
Medford Nursing Center fits Darlington County families in a long-term care context who prioritize a facility with an exceptionally clean inspection record. Families should discuss the elevated hospitalization and ED visit rates with clinical staff before deciding.
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.
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.
This home is ranked 34th out of 112 homes in South Carolina for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 35m per day | ▼ 8% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 20% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ▲ 22% State avg: 2h 13m per day · National avg: 2h 20m per day |
|
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 20m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 67% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 31% State avg: 24m per day · National avg: 28m per day |
Higher than the South Carolina average: 82.1%Medford Nursing Center is legally operated by Medford Nursing Center Llc, and administrated by Tyler A Lofe.
Key information about the people who lead and staff this community.
South Carolina average 3.9
Last Health inspection on Feb 2025
South Carolina average 13.7
South Carolina average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
100% better than South Carolina averageSouth Carolina average: 1
100% better than South Carolina averageSouth Carolina average: 0.3
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
19% more staff per resident than South Carolina average
0% compared with South Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 73 CNA Staff are full-time employees. No contractors work on this role.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,287 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 73 | 0 | 73 | 20,135 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 28 | 0 | 28 | 6,175 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,338 | 70 | 76% | 8 |
| Registered Nurse | 7 | 0 | 7 | 1,662 | 92 | 100% | 8.4 |
| Qualified Social Worker | 0 | 5 | 5 | 698 | 84 | 91% | 5.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 506 | 62 | 67% | 8.2 |
| Nurse Aide in Training | 5 | 0 | 5 | 492 | 45 | 49% | 7.8 |
| Dietitian | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 455 | 67 | 73% | 6.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 454 | 73 | 79% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Occupational Therapy Aide | 1 | 1 | 2 | 239 | 35 | 38% | 6.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 217 | 67 | 73% | 3.2 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 208 | 58 | 63% | 3.4 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 199 | 38 | 41% | 5.2 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 73 | 11 | 12% | 6.6 |
| RN Director of Nursing | 1 | 0 | 1 | 22 | 3 | 3% | 7.3 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
In line with South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.2
34% better than South Carolina averageSouth Carolina average: 15.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.2%
30% better than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
14.6%
10% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.9%
60% better than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
54% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.1%
In line with South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
2.6%
55% worse than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
9.1%
47% worse than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
17.8%
23% worse than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
4.60
127% worse than South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.45
133% worse than South Carolina averageSouth Carolina average: 1.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
26% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
43% worse than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
28% better than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.1%
6% worse than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.7%
33% worse than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Carolina averageSouth Carolina average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
38.0%
25% worse than South Carolina averageSouth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Medford Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 116Payroll — State benchmarkedThis home is ranked 74th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
6388.8 miles from city center
Estimated distance in miles from Darlington's city center to Medford Nursing Center's address, calculated via Google Maps.
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Medford Nursing Center is located in DARLINGTON, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
Medford Nursing Center is in the USA neighborhood of DARLINGTON.
According to SC state health department records, Medford Nursing Center's license number is NCF-0891.
Medford Nursing Center's occupancy is 92%.
The team at Medford Nursing Center can be reached at [email protected].
Tyler A. Lofe is the administrator of Medford Nursing Center.
Medford Nursing Center has 88 beds.
Yes — there are 64 photos of Medford Nursing Center in the photo gallery on this page.
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