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.
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 is a senior living community in Murrells Inlet, South Carolina, serving older adults throughout the South Strand area of Horry County with assisted living and skilled nursing services within a 90-bed capacity. Licensed as a Community Residential Care Facility (CRCF), the community is owned and operated by Palmettos of Garden City LLC and administered by Teriann Cronin. Medicare, Medicaid, and private-pay are also accepted, providing broader financial accessibility for families with varying coverage and long-term care planning needs.
Its occupancy rate of 85.5% exceeds the South Carolina average of 82.1%, indicating steady local demand and limited availability. Additionally, CMS quality ratings place the community slightly above the South Carolina average overall, with particularly strong performance in quality measures and health inspections. Staffing levels also align with statewide averages.
Since 2022, the community has received 15 health citations across three inspections, slightly above the South Carolina average of 13.7 citations. However, all cited deficiencies were categorized as moderate in severity, with no critical or serious citations recorded. This absence of higher-level deficiencies is notable when compared with the statewide average, which includes at least one critical citation. Moreover, a civil money penalty was issued in January 2025, substantially lower than the South Carolina average penalty amount, and no payment denials were identified.
Several quality-of-care indicators perform favorably compared with state averages. Notably, no residents were reported as experiencing depressive symptoms, influenza vaccination rates exceeded statewide averages, and measures related to weight loss and antipsychotic medication use, which is considerably favorable against South Carolina norms. However, families are encouraged to discuss fall rates involving major injury and declines in daily living activities, both of which were measured above state averages.
24-hour staffing support, chef-prepared meals, restaurant-style dining, landscaped courtyards, wellness programming, and an on-site salon are among the services offered in this pet-friendly community. Nursing staff includes registered nurses, licensed practical nurses, and certified nursing assistants, all employed directly by the community without the use of agency nursing contractors, which may help support greater continuity of care and staff familiarity with residents. Its location in Murrels Inlet also offers convenient access to coastal healthcare resources while maintaining proximity to the South Strand lifestyle.
Featuring a variety of payment acceptance, stable staffing structure, and quality measure performance within the local market, Palmettos of Garden City is a strong fit for older adults requiring skilled nursing services, rehabilitation support, or long-term assisted living care, particularly for those utilizing Medicare or Medicaid benefits.
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
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.
Hours per resident per day vs South Carolina averages
Total nursing care
This home is ranked 71st out of 118 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.
3h 41m
8% below state avg
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.
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.
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.
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.
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.
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.
All 6 underlying metrics fall below the state average
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.
Palmettos of Garden City is legally operated by Palmettos Of Garden City LLC, and administered by Teriann Cronin.
Key information about the people who lead and staff this community.
State average 3.9
Last Health inspection on Jan 2025
State average 13.7
State average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 15 citations resulted from standard inspections; and 6 of 15 came from combined inspections (standard and complaint).
100% better than State averageState average: 1
100% better than State averageState average: 0.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
40% fewer 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 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 36 LPN Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 63 CNA Staff are full-time employees. No contractors work on this role.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 24,058 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 36 | 0 | 36 | 11,829 | 92 | 100% | 9.3 |
| Registered Nurse | 17 | 0 | 17 | 5,054 | 92 | 100% | 7.9 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,888 | 74 | 80% | 7.4 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,685 | 66 | 72% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,403 | 85 | 92% | 7.4 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,230 | 64 | 70% | 7.2 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,052 | 63 | 68% | 7.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 923 | 65 | 71% | 7.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 786 | 64 | 70% | 7.2 |
| Dietitian | 1 | 0 | 1 | 512 | 57 | 62% | 9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 479 | 63 | 68% | 7.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 462 | 60 | 65% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 430 | 62 | 67% | 5.6 |
| Dental Services Staff | 1 | 0 | 1 | 396 | 54 | 59% | 7.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
| Other Physician | 0 | 2 | 2 | 3 | 3 | 3% | 1 |
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)
81% lower than South Carolina averageSouth Carolina average: $34K
59% fewer 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.
1 penalty in the past 3 years
Jan 9, 2025 · $6K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 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.
10.3
18% worse than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
7% worse than South Carolina averageSouth Carolina average: 15.5
Percent of long-stay residents whose need for help with daily activities has increased
18.4%
41% worse than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
15.5%
In line with South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
8% better than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
96% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.8%
28% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
1.5%
8% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
3.9%
37% better 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
12.9%
12% better than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.8%
7% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
9% better than South Carolina averageSouth Carolina average: 90.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
6% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
67% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
18% 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.
48% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
138Residents 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 Palmettos of Garden City from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #19 / 113Payroll costs — State benchmarkedThis home is ranked 19th out of 113 homes in South Carolina. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #55 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 55th out of 113 homes in South Carolina. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
9415 Hwy 17 Bypass, Murrells Inlet, SC 29576
Add your location
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 to lowest based on our ranking methodology.
| The Village at Summerville | NH AL IL MC RC SNF | Summerville (Palmetto Park) | 48
Facility
48
SC AVG
90
Rank
#265 / 305 |
83.3%
Facility
83.3%
SC AVG
84.8
Rank
#73 / 94 | -2% | 4.14
Facility
4.14
SC AVG
4.00
Rank
#41 / 118 | +3% | +4% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 2
Facility
2
SC AVG
13.7
Rank
#2 / 119 | 2.0
Facility
2.0
SC AVG
3.4
Rank
#14 / 119 | - | 40 | - |
45
Facility
45
SC AVG
34
Rank
#58 / 221 | Presbyterian Communities Of South Carolina | $23.7MFiscal year ending 12/2023
Facility
$23.7MFiscal year ending 12/2023
SC AVG
$12.1M
Rank
#6 / 113 | $11.7MFiscal year ending 12/2023
Facility
$11.7MFiscal year ending 12/2023
SC AVG
$7.3M
Rank
#9 / 113 | 49.2%Fiscal year ending 12/2023
Facility
49.2%Fiscal year ending 12/2023
SC AVG
62.8%
Rank
#93 / 113 | 425389 | ||||
| Nhc Healthcare Anderson | NH HC HOS SNF | Anderson | 290
Facility
290
SC AVG
90
Rank
#2 / 305 |
96.0%
Facility
96.0%
SC AVG
84.8
Rank
#17 / 94 | +13% | 3.53
Facility
3.53
SC AVG
4.00
Rank
#81 / 118 | -13% | -12% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 6
Facility
6
SC AVG
13.7
Rank
#20 / 119 | 3.0
Facility
3.0
SC AVG
3.4
Rank
#54 / 119 | - | 278 | - | - | Bradley Moorhouse | $28.4MFiscal year ending 12/2023
Facility
$28.4MFiscal year ending 12/2023
SC AVG
$12.1M
Rank
#3 / 113 | $17.7MFiscal year ending 12/2023
Facility
$17.7MFiscal year ending 12/2023
SC AVG
$7.3M
Rank
#4 / 113 | 62.5%Fiscal year ending 12/2023
Facility
62.5%Fiscal year ending 12/2023
SC AVG
62.8%
Rank
#45 / 113 | 425052 | ||||
| Nhc Healthcare Clinton | NH HC HOS SNF | Clinton | 131
Facility
131
SC AVG
90
Rank
#52 / 305 |
96.6%
Facility
96.6%
SC AVG
84.8
Rank
#10 / 94 | +14% | 3.83
Facility
3.83
SC AVG
4.00
Rank
#60 / 118 | +20% | -4% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 5
Facility
5
SC AVG
13.7
Rank
#14 / 119 | 1.7
Facility
1.7
SC AVG
3.4
Rank
#11 / 119 | - | 127 | - | - | Charles Holder | $12.8MFiscal year ending 12/2023
Facility
$12.8MFiscal year ending 12/2023
SC AVG
$12.1M
Rank
#34 / 113 | $8.3MFiscal year ending 12/2023
Facility
$8.3MFiscal year ending 12/2023
SC AVG
$7.3M
Rank
#28 / 113 | 64.7%Fiscal year ending 12/2023
Facility
64.7%Fiscal year ending 12/2023
SC AVG
62.8%
Rank
#39 / 113 | 425071 | ||||
| Lakes at Litchfield Assisted Living | NH AL IL MC SNF | Pawleys Island | 79
Facility
79
SC AVG
90
Rank
#171 / 305 | - | - | 4.83
Facility
4.83
SC AVG
4.00
Rank
#20 / 118 | -57% | +21% | $5.2k
Facility
$5.2k
SC AVG
$34.8k
Rank
#59 / 120 | 9
Facility
9
SC AVG
13.7
Rank
#44 / 119 | 2.3
Facility
2.3
SC AVG
3.4
Rank
#29 / 119 | - | 14 | A+ | - | Litchfield Retirement LLC | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
SC AVG
$12.1M
Rank
#108 / 113 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
SC AVG
$7.3M
Rank
#77 / 113 | 141.7%Fiscal year ending 12/2023
Facility
141.7%Fiscal year ending 12/2023
SC AVG
62.8%
Rank
#2 / 113 | 425380 | ||||
| Palmettos of Garden City | NH AL MC SNF | Murrells Inlet | 90
Facility
90
SC AVG
90
Rank
#131 / 305 | - | - | 3.68
Facility
3.68
SC AVG
4.00
Rank
#71 / 118 | +21% | -8% | $4.1k
Facility
$4.1k
SC AVG
$34.8k
Rank
#55 / 120 | 15
Facility
15
SC AVG
13.7
Rank
#77 / 119 | 5.0
Facility
5.0
SC AVG
3.4
Rank
#99 / 119 | - | 138 | - | - | Alexander Sellars | $15.6MFiscal year ending 12/2023
Facility
$15.6MFiscal year ending 12/2023
SC AVG
$12.1M
Rank
#22 / 113 | $9.4MFiscal year ending 12/2023
Facility
$9.4MFiscal year ending 12/2023
SC AVG
$7.3M
Rank
#19 / 113 | 60%Fiscal year ending 12/2023
Facility
60%Fiscal year ending 12/2023
SC AVG
62.8%
Rank
#55 / 113 | 425324 |
According to SC state health department records, Palmettos of Garden City's license number is CRC-1649.
Palmettos of Garden City's occupancy is 85.5%.
Yes, Palmettos of Garden City allows residents to bring their pets.
Palmettos of Garden City is registered as a for-profit in SC.
Teriann Cronin is the administrator of Palmettos of Garden City.
Palmettos of Garden City has 90 beds.
Yes — there are 2 photos of Palmettos of Garden City in the photo gallery on this page.
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