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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.
Oakbrook Health and Rehabilitation Center is an 88-bed skilled nursing and rehabilitation facility administered by Rusty Flathmann in Summerville, South Carolina. Owned and operated by Oakbrook Health Care LLC in Dorchester County, the facility accepts Medicare, Medicaid, and private pay. It serves short-term rehabilitation and long-term care residents with 110 days average stay. Occupancy stands at 87.1 percent, above South Carolina’s 82.1 percent average.
CMS rates the facility 1 star, 66 percent below South Carolina average, with health inspection and staffing sub-ratings trailing the state by over 60 percent. 10 total health citations have been recorded across four inspections since 2021, below South Carolina’s 13.7 average, though the severity profile is concerning: 1 critical citation and 2 serious citations are on record, with 2 serious citations placing the facility 567 percent above the 0.3 state average. The latest inspection in July 2025 produced a quality of care critical citation; correction status was not confirmed. A $20,000 civil money penalty was assessed on the same date, alongside two $4,000 penalties from February 2025, bringing the three-year total to $29,000. 3 of the 10 citations came from complaint investigations. Staffing is a structural weakness. Total nursing hours reach 3 hours and 4 minutes per resident per day, ranking 101st of 112 South Carolina skilled nursing facilities and 25 percent below the state average of 4 hours and 5 minutes. RN hours at 15 minutes per day are 61 percent below the state average, and weekend RN coverage at 5 minutes per day is 79 percent below South Carolina’s 24 minutes benchmark. Contractor staff account for around 32 percent of all hours, including the majority of CNA and LPN coverage. Long-stay quality measures are rated above average, with hospitalization rates 16 percent better than the state average and strong results on functional decline metrics. Self-care at discharge for short-stay residents at 30 percent is 44 percent below South Carolina’s 53.7 percent average.
Oakbrook Health and Rehabilitation Center serves Dorchester County families primarily in long-term care, where clinical outcome measures are above average. Families should discuss the July 2025 critical citation, weekend RN coverage, and contractor staffing levels with facility leadership before proceeding.
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 101st 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.
| 13m per day | ▼ 65% 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.
| 1h 8m per day | ▲ 11% 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.
| 1h 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.
| 2h 36m per day | ▼ 22% 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 | ▼ 62% 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.
| 3m per day | ▼ 86% State avg: 24m per day · National avg: 28m per day |
Higher than the South Carolina average: 82.1%Oakbrook Health and Rehabilitation Center is legally operated by Oakbrook Health Care Llc, and administrated by Rusty Flathmann.
Key information about the people who lead and staff this community.
South Carolina average 3.9
Last Health inspection on Jul 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.
7 of 10 citations resulted from standard inspections; and 3 of 10 resulted from complaint investigations.
In line with South Carolina averageSouth Carolina average: 1
567% worse 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.
64% 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.
6 total: 5 full-time employees and 1 contractor.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
70 total: 14 full-time employees and 56 contractors.
70
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
133 total: 35 full-time employees and 98 contractors.
133
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,472 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 98 | 133 | 13,210 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 14 | 56 | 70 | 7,677 | 92 | 100% | 8.5 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,121 | 73 | 79% | 6.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,053 | 66 | 72% | 7.7 |
| Mental Health Service Worker | 4 | 0 | 4 | 932 | 66 | 72% | 6.2 |
| Physical Therapy Aide | 0 | 5 | 5 | 870 | 71 | 77% | 6.5 |
| Registered Nurse | 5 | 1 | 6 | 837 | 66 | 72% | 9.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 827 | 89 | 97% | 7 |
| Qualified Social Worker | 0 | 5 | 5 | 522 | 66 | 72% | 6.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 506 | 68 | 74% | 7.2 |
| Administrator | 0 | 1 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 458 | 60 | 65% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 244 | 42 | 46% | 5.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 124 | 27 | 29% | 4.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 121 | 17 | 18% | 7.1 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
Includes penalties issued in 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)
13% lower than South Carolina averageSouth Carolina average: $34K
23% more fines than South Carolina averageSouth Carolina average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 15, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 11, 2025Last updated: Jan 2026
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.
7.9
9% better than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
27% 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
12.7%
In line with South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
8.3%
49% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
25% better than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
13% better than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.9%
30% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
8.2%
32% 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
13.4%
8% better than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
9% 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.
1.70
16% better than South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.94
In line with 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
96.7%
22% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
23% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
24% better than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
19% better than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
23% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
5% worse than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
30.0%
44% worse than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.0%
5% better 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.
39% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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 Oakbrook Health and Rehabilitation 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 #90 / 116Payroll — State benchmarkedThis home is ranked 90th 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
9732.9 miles from city center
Estimated distance in miles from Summerville's city center to Oakbrook Health and Rehabilitation Center's address, calculated via Google Maps.
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Oakbrook Health and Rehabilitation Center is located in SUMMERVILLE, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The legal owner and operator of Oakbrook Health and Rehabilitation Center is Oakbrook Health Care Llc.
According to SC state health department records, Oakbrook Health and Rehabilitation Center's license number is NCF-0998.
Oakbrook Health and Rehabilitation Center's occupancy is 87%.
The team at Oakbrook Health and Rehabilitation Center can be reached at [email protected].
Rusty Flathmann is the administrator of Oakbrook Health and Rehabilitation Center.
Oakbrook Health and Rehabilitation Center has 88 beds.
Yes — there are 7 photos of Oakbrook Health and Rehabilitation Center in the photo gallery on this page.
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