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CMS overall rating
4/5
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 overall rating
4/5
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.
Palmettos of Garden City accepts Medicare, Medicaid, and private pay.
Overview of Palmettos of Garden City
Palmettos of Garden City offers nursing home, assisted living, memory care, and skilled nursing in Murrells Inlet, SC. Assisted living provides help with daily tasks while allowing a resident to maintain their own living space, while memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, so the community may be a good fit for a resident whose care needs could grow over time without requiring a move to another community.
The community has 90 beds. Total nurse staffing is 3 hours and 38 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care.
Restaurant-style dining and chef-prepared meals provide meals in a dining room setting, while the salon allows residents to receive grooming services on site. Landscaped courtyards offer outdoor space, and wellness programs provide structured activities; pets are also allowed for residents who have a companion animal. Teriann Cronin serves as the administrator.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 65th out of 116 nursing homes we track 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.
This facility
SC avg 4h 7m
↓ 12% · SC 4h 7mThis facility: 3h 38m per resident per day, 12% below the South Carolina average of 4h 7m (among South Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#65 / 116Nurse hours — State benchmarkedThis nursing home is ranked 65th out of 116 nursing homes we track in South Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 116 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 65th out of 116 nursing homes we track in South Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 116 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 38m
6 of 6 metrics below South Carolina average
Daily care time per resident, by role
SC average · US = national average
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. All 17 are the facility's own employees; no agency contractors work in this role.17 staff · 7.9-hour shifts
32m↓ 18% · SC 40mThis facility: 32m per resident per day, 18% below the South Carolina average of 40m (among South Carolina facilities reporting a recent figure).
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 43m
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. All 36 are the facility's own employees; no agency contractors work in this role.36 staff · 9.3-hour shifts
1h 5m↓ 1% · SC 1h 5mThis facility: 1h 5m per resident per day, 1% below the South Carolina average of 1h 5m (among South Carolina facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant 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. All 63 are the facility's own employees; no agency contractors work in this role.63 staff · 8.3-hour shifts
2h 1m↓ 15% · SC 2h 23mThis facility: 2h 1m per resident per day, 15% below the South Carolina average of 2h 23m (among South Carolina facilities reporting a recent figure).
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 26m
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.
5m↓ 7% · SC 5mThis facility: 5m per resident per day, 7% below the South Carolina average of 5m (among South Carolina facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends 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.RN + LPN + aide · Sat–Sun
3h 5m↓ 14% · SC 3h 34mThis facility: 3h 5m per resident per day, 14% below the South Carolina average of 3h 34m (among South Carolina facilities reporting a recent figure).
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 32m
RN, weekends 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.Sat–Sun
11m↓ 55% · SC 24mThis facility: 11m per resident per day, 55% below the South Carolina average of 24m (among South Carolina facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.151
148 employees · 3 contractors · 71 on an average day Staff per resident151 total staff / 134 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.13 : 1↓ 35% · SC 1.73This facility: 1.13 staff per resident, 35% below the South Carolina average of 1.73 (among South Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
151 staff ÷ 134 residents See full South Carolina ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.8.2 h↑ 4% · SC 7.9 hThis facility: 8.2 h, 4% above the South Carolina average of 7.9 h (among South Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
53,623 staff hours this quarter See full South Carolina ranking →
100%
of staff hours were worked by the facility's own employees
South Carolina average: 89.1% · Contractors this quarter: Other Physician (2), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.90Rank#81 / 132Bed count — State benchmarkedThis nursing home is ranked 81st out of 132 nursing homes we track in South Carolina for bed count. Shows this facility's certified or reported bed count compared to other South Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 81st out of 132 nursing homes we track in South Carolina for bed count. Shows this facility's certified or reported bed count compared to other South Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Smaller home
· May offer a more intimate, personalized care environment.
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
69days
About This Community
License Details
CountyHorry
License NumberCRC-1649
Business TypeLimited Liability Company (multiple member)
Ownership & Operating Entity
Palmettos of Garden City is legally operated by Palmettos Of Garden City LLC, and administered by Teriann Cronin.
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Memory & Specialized Care
1 service
Dedicated Alzheimer's Unit
Additional Services
7 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Safety Supervision
Special Diet Meals
TransportationListed as: Scheduled transportation for doctor appointments, shopping and outings
HousekeepingListed as: Weekly housekeeping and laundry services
Laundry & Linen
MaintenanceListed as: Daily trash and towel removal
Additional Policies & Features
Pets AllowedDogs only. Resident must be able to care for the pet.
Amenities & Lifestyle
Cable Tv
Wi-Fi
Sun Room
Clubhouse
Porch
Beauty Salon
Garden
Courtyard
Library
Recreation Area
Porches and Verandas
Theater with Dvd Player
Manicures
Emergency Call System
Room Accommodations
Room Types
Private Room
In-Room Features
Individually Controlled Heating And Cooling In Each ApartmentIn-Unit Kitchenettes
Inspections
CMS Health Inspection History
Since 2023 · 3 years of data · Last health inspection Jan 2025
Total health inspections
2↓ 47% · SC 3.8This facility: 2, 47% below the SC average of 3.8 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
13Rank#69 / 116Health citations — State benchmarkedThis nursing home is ranked 69th out of 116 nursing homes we track in South Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 116 SC facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 69th out of 116 nursing homes we track in South Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 116 SC facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 1% · SC 12.9This facility: 13, 1% above the SC average of 12.9 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.5Rank#112 / 116Citations per inspection — State benchmarkedThis nursing home is ranked 112th out of 116 nursing homes we track in South Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 116 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 112th out of 116 nursing homes we track in South Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 116 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 91% · SC 3.4This facility: 6.5, 91% above the SC average of 3.4 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
13 of 13 citations corrected
Bar = mix of this home's 13 citations, not a state comparison
Moderate (D–F, no harm, more than minimal risk): 13 citations, corrected
Lighter shade = corrected
CriticalJ–L
0↓ 100% · SC 0.9This facility: 0, 100% below the SC average of 0.9 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
0↓ 100% · SC 0.3This facility: 0, 100% below the SC average of 0.3 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
13↑ 11% · SC 11.7This facility: 13, 11% above the SC average of 11.7 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
0↓ 100% · SC 0.1This facility: 0, 100% below the SC average of 0.1 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: Jan 09, 2025 · 4 citations, all corrected
Most cited category: Nutrition & Dietary, 4 of 13 citations · 5 categories in total
Citations history
Most recent first
Jan 09, 20254 citations
Pharmacy moderate citation
Corrected
Pharmacy moderate citation
Corrected
Pharmacy moderate citation
Corrected
Quality of Care moderate citation
Corrected
Apr 13, 20239 citations
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Top deficiency categories
Share of 13 citations
Nutrition & Dietary4 deficiencies (31%)
Resident Rights3 deficiencies (23%)
Pharmacy Services3 deficiencies (23%)
Quality of Life & Care2 deficiencies (15%)
Resident Assessment & Care Planning1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
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 Aug 2026
1 penalty in the past 3 years
Latest: Jan 9, 2025 · $4,147 civil money penalty
1 fine
Jan 9, 2025 · $4,147 civil money penalty
Aug 2023202420252026Aug 2026
Fine (size = amount)Payment denial (length = days)
Total fines
$4,147↓ 85% · SC $27KThis facility: $4,147, 85% below the South Carolina average of $27,117. Average among the 98 South Carolina facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank#53 / 119Federal fines — State benchmarkedThis nursing home is ranked 53rd out of 119 nursing homes we track in South Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 119 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Federal fines — State benchmarkedThis nursing home is ranked 53rd out of 119 nursing homes we track in South Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 119 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1↓ 52% · SC 2.1This facility: 1, 52% below the South Carolina average of 2.1. Average among the 98 South Carolina facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0SC avg 0.12South Carolina average: 0.12. Average among the 98 South Carolina facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Jan 9, 2025
Civil money penalty Fines imposed for noncompliance, which can be assessed per day or per instance of violation.$4,147
Fine amount comparison
This facility$4,147
South Carolina average$27,117
US average$67,417
Totals count every penalty on record; the history lists the past 3 years. South Carolina and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Carolina average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.4/ 5★★★★★Above averageShort-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.3/ 5★★★★★AverageHigh-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.6.7Score · lower is better↓ 14% · SC 7.8This facility: 6.7, 14% below the SC average of 7.8 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.12.9Score · lower is better↓ 8% · SC 14.1This facility: 12.9, 8% below the SC average of 14.1 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11 long-stay measures:7 better, 3 worse, 1 near SC average
3 short-stay measures:2 better, 1 worse
Long-stay residents
People who live at the home · 11 measures
SC average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased10.3%↓ 14% · SC 11.9This facility: 10.3, 14% below the SC average of 11.9 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened10.3%↓ 19% · SC 12.7This facility: 10.3, 19% below the SC average of 12.7 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder18.2%↑ 9% · SC 16.7This facility: 18.2, 9% above the SC average of 16.7 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection0.0%↓ 100% · SC 1.3This facility: 0.0, 100% below the SC average of 1.3 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury3.6%↑ 12% · SC 3.2This facility: 3.6, 12% above the SC average of 3.2 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers6.3%↑ 24% · SC 5.1This facility: 6.3, 24% above the SC average of 5.1 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight2.8%↓ 55% · SC 6.3This facility: 2.8, 55% below the SC average of 6.3 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms1.3%↓ 58% · SC 3.1This facility: 1.3, 58% below the SC average of 3.1 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication15.0%↓ 2% · SC 15.3This facility: 15.0, 2% below the SC average of 15.3 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine98.8%↑ 8% · SC 91.7This facility: 98.8, 8% above the SC average of 91.7 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine99.1%↑ 9% · SC 90.6This facility: 99.1, 9% above the SC average of 90.6 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
SC average
Physical & mental health
New antipsychotic medicationPercent of short-stay residents who newly received an antipsychotic medication1.6%↑ 11% · SC 1.5This facility: 1.6, 11% above the SC average of 1.5 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine91.7%↑ 13% · SC 81.5This facility: 91.7, 13% above the SC average of 81.5 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine91.9%↑ 18% · SC 78.0This facility: 91.9, 18% above the SC average of 78.0 (among SC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay29 days
Private pay
47% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay8 - 9 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents134
Medicare
17
12.7% of residents
Medicaid
55
41% of residents
Private pay or other
62
46.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financials
Money and staffing.
Palmettos of Garden City’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 104 South Carolina nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
18.8% operating margin
+5.7 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $3.6M after other income.
Does it invest in staff?
Spends less on payroll than most South Carolina homes
54.0% payroll share of revenue
SC average 60.8%Rank#72 / 104Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 72nd out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 72nd out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $3.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
148 beds · 104 South Carolina peers
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Carolina homes.
Revenue & profit
Profitable on care
Metric
FY 2024
vs prior year
Trend 2017 → 2024Trend
SC median
Compared with SC homesRank in SC
In short
Net patient revenueWhat the home earns from resident care, after discounts and bad debt.
$18.8M
+$3.2M
Trend20172024
SC median $11.8M
Rank in SCRank#16 / 104Net patient revenue — State benchmarkedThis nursing home is ranked 16th out of 104 nursing homes we track in South Carolina for net patient revenue. Shows this facility's net patient revenue compared to the South Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 16th out of 104 nursing homes we track in South Carolina for net patient revenue. Shows this facility's net patient revenue compared to the South Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Higher than 85% of homes
Above SC medianHigher net patient revenue than 85% of SC homes that filed a recent report. Revenue mostly follows how big a home is.
Operating expensesEverything it costs to run the home: staff, supplies, rent, admin.
$15.3M
+$1.7M
Trend20172024
SC median —
Rank in SCNot ranked
Within revenueOperating expenses are lower than net patient revenue, so resident care covers its costs.
Net patient incomeRevenue minus operating expenses. Negative means care loses money.
$3.5M
+$1.5M
Trend20172024
SC median —
Rank in SCNot ranked
Profit, growingResident care made money this year, more than in the prior report.
Operating marginNet patient income as a share of revenue. The clearest health signal.
18.8%
+5.7 pts
Trend20172024
SC median —
Rank in SCNot ranked
Healthy marginMore than 5% of revenue is left after operating expenses.
Other incomeMoney not from resident care: investments, grants, services.
$0.0M
—
Trend
—
SC median —
Rank in SCNot ranked
Adds to profitIncome from outside resident care, on top of the profit from care.
Net incomeThe bottom line after other income.
$3.6M
+$1.4M
Trend
—
SC median —
Rank in SCNot ranked
ProfitThe bottom line is above zero after other income.
Staffing spend
Spends less of revenue on staff than most South Carolina homes
Metric
FY 2024
vs prior year
Trend 2017 → 2024Trend
SC median
Compared with SC homesRank in SC
In short
Payroll costsSalaries and wage-related benefits, not counting contract labor.
$10.2M
+$0.8M
Trend20172024
SC median $7.4M
Rank in SCRank#17 / 104Payroll costs — State benchmarkedThis nursing home is ranked 17th out of 104 nursing homes we track in South Carolina for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 17th out of 104 nursing homes we track in South Carolina for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Higher than 84% of homes
Above SC medianHigher payroll than 84% of SC homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels.
Payroll share of revenuePayroll divided by revenue. Higher usually means more staff per resident.
54.0%
−6.0 pts
Trend20172024
SC median 57.6%
Rank in SCRank#72 / 104Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 72nd out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 72nd out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Higher than 31% of homes
6.8 pts under SC averageThe SC average is 60.8% of revenue. Within 3 points of it reads as near the average.
Charts, 2017–20242 charts · SC benchmark drawn as a dashed line
Revenue, expenses and incomeWhat the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenueOperating expensesNet patient income
Where revenue goesBoth lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the South Carolina payroll average.
% of net patient revenue
Payroll shareOperating marginSC payroll average
Year-by-year data, 2017–2024every reported year · latest first, scroll sideways
Metric
2017
2018
2019
2020
2021
2022
2023
2024
Net patient revenue
$13.1M
$12.9M
$13.3M
$12.8M
$14.1M
$14.1M
$15.6M
$18.8M
Operating expenses
$11.7M
$12.4M
$12.4M
$12.4M
$13.2M
$13.4M
$13.6M
$15.3M
Net patient income
$1.3M
$0.5M
$0.9M
$0.3M
$0.9M
$0.7M
$2.1M
$3.5M
Operating margin
10.2%
3.5%
6.5%
2.7%
6.3%
4.8%
13.1%
18.8%
Net income
$1.4M
$0.5M
$1.1M
$1.6M
$1.5M
$1.0M
$2.2M
$3.6M
Payroll costs
$6.2M
$6.6M
$6.9M
$6.9M
$8.6M
$8.9M
$9.4M
$10.2M
Payroll share of revenue
47.7%
50.9%
51.7%
54.0%
60.9%
62.9%
60.0%
54.0%
Beds
148
148
148
148
148
148
148
148
Gross revenue
$16.1M
$16.7M
$17.1M
$15.1M
$16.8M
$16.7M
$18.1M
$21.0M
Salaries
$5.1M
$5.4M
$5.7M
$5.7M
$7.1M
$7.4M
$7.9M
$8.6M
Wage-related costs
$1.1M
$1.2M
$1.2M
$1.3M
$1.5M
$1.5M
$1.5M
$1.6M
Contract labor
—
—
—
—
—
—
—
—
Other operating costs
$5.5M
$5.9M
$5.6M
$5.5M
$4.6M
$4.5M
$4.2M
$5.1M
Net patient revenue per day
$280
$270
$270
$308
$313
$319
$339
$379
Cost per day
$252
$261
$252
$299
$293
$304
$294
$308
Average length of stay
57.7 days
62.8 days
70.0 days
71.0 days
76.6 days
100.7 days
89.0 days
68.5 days
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Certification details
CMS Certification Number:425324
Owner Name:Palmettos Of Garden City LLC
Rural vs. Urban:Urban
County:Horry
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
770 total
Coverage residents most often arrive under.
Medicare43%
Private pay47%
Medicaid10%
Discharges
725 total
Coverage residents most often leave under.
Medicare32%
Private pay52%
Medicaid16%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Palmettos of Garden City
9415 Hwy 17 Bypass, Murrells Inlet, SC 29576
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Info below is compiled from CMS reports & the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Carolina average is: 60.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$5.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
56.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
425398
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SC nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about Palmettos of Garden City
What is the license number of Palmettos of Garden City?
According to SC state health department records, Palmettos of Garden City's license number is CRC-1649.
What is the occupancy rate at Palmettos of Garden City?
Palmettos of Garden City's occupancy is 91.7%.
Are pets allowed at Palmettos of Garden City?
Yes, Palmettos of Garden City allows residents to bring their pets.
Does Palmettos of Garden City operate as a for-profit or non-profit?
Palmettos of Garden City is registered as a for-profit in SC.
Who is the administrator of Palmettos of Garden City?
Teriann Cronin is the administrator of Palmettos of Garden City.
What is the overall rating for Palmettos of Garden City?
Palmettos of Garden City received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
151
148 employees · 3 contractors · 71 on an average day 
100% corrected 
