Palmettos of Garden City
Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Murrells Inlet, SC
CMS overall rating Info 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

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Murrells Inlet, SC
CMS overall rating Info 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.
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Palmettos of Garden City accepts Medicare, Medicaid, and private pay.

Overview of Palmettos of Garden City

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info 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 — compared to state averages

Total nursing care / resident Info 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 per day
Rank #72 / 121Nurse hours — State benchmarkedThis home is ranked 72nd out of 121 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 121 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 31m per day
LPN / LVN Info 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. 58m per day
Nurse Aide Info 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 54m per day
Weekend Total Nursing Info 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 51m per day
Physical Therapist Info 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. 4m per day
Weekend RN Info 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. 13m per day

Capacity and availability

Avg. Length of Stay Info 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.
89 days
Bed community size
90-bed community Rank #132 / 309Bed count — State benchmarkedThis home is ranked 132nd out of 309 homes in South Carolina. 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.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
86%
Rank #65 / 131Occupancy rate — State benchmarkedThis home is ranked 65th out of 131 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 131. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the South Carolina average: 82.1%
Occupied beds
77 / 90
Average occupied beds in South Carolina homes 90 beds

License Details

Facility TypeHl- Community Residential Care Facility
ExpirationJune 30, 2026 Expired
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.

Owner NamePalmettos Of Garden City LLC

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Emailteri.cronin@nhccare.com

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Additional Policies & Features

Pets Allowed

Amenities & Lifestyle

Restaurant-Style Dining Room
Landscaped Courtyards
Salon
Wellness Programs
Pet-Friendly Community

Contact Palmettos of Garden City

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A


Last Health inspection on Jan 2025

Total health citations
15 Rank #78 / 122Health citations — State benchmarkedThis home is ranked 78th out of 122 homes in South Carolina. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 122 SC facilities. Lower citation counts earn a better 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #101 / 122Citations per inspection — State benchmarkedThis home is ranked 101st out of 122 homes in South Carolina. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 122 facilities with citation data. Lower is better.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Pharmacy moderate citation Jan 09, 2025
Corrected

Pharmacy moderate citation Jan 09, 2025
Corrected

Pharmacy moderate citation Jan 09, 2025
Corrected

Quality of Care moderate citation Jan 09, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 151
Employees 148
Contractors 3
Staff to resident ratio 1.09 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 71
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 53,623

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 17 RN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 36 LPN Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 63 CNA Staff are full-time employees. No contractors work on this role. 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info 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
63 Certified Nursing Assistant
% of Days 100%
36 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
4 Mental Health Service Worker
% of Days 80%
5 Speech Language Pathologist
% of Days 72%
3 Other Dietary Services Staff
% of Days 92%
3 Physical Therapy Aide
% of Days 70%
3 Clinical Nurse Specialist
% of Days 68%
2 Respiratory Therapy Technician
% of Days 71%
2 Occupational Therapy Aide
% of Days 70%
1 Dietitian
% of Days 62%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 66%
2 Qualified Social Worker
% of Days 68%
1 Therapeutic Recreation Specialist
% of Days 65%
1 RN Director of Nursing
% of Days 61%
2 Physical Therapy Assistant
% of Days 67%
1 Dental Services Staff
% of Days 59%
1 Medical Director
% of Days 3%
2 Other Physician
% of Days 3%

Penalties and fines

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)

Total fines amount $6K Rank #57 / 123Federal fines — State benchmarkedThis home is ranked 57th out of 123 homes in South Carolina. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 123 facilities in the pool. Lower total dollars mean a better 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
81% lower than State average

State average: $34K

Number of fines 1
59% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $6K
State average $34K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 9, 2025 · $6K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 9, 2025
$6K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 State average

State average: 8.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.5
7% worse than State average

State average: 15.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.4%
41% worse than State average

State average: 13.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.5%
In line with State average

State average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.6%
8% better than State average

State average: 17.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.8%
96% worse than State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.8%
28% worse than State average

State average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
8% better than State average

State average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.9%
37% better than State average

State average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 2.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.9%
12% better than State average

State average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.8%
7% better than State average

State average: 90.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
9% better than State average

State average: 90.6%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.0%
6% better than State average

State average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
67% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.9%
18% better than State average

State average: 78.0%

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 138
Medicare
18
13% of residents
Medicaid
58
42% of residents
Private pay or other
62
44.9% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$15.6M
Net patient income Info 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."
$2.1M
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$15.6M Rank #36 / 125Revenue — State benchmarkedThis home is ranked 36th out of 125 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info 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."
$2.1M
Other income Info 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.
$99.6K
Payroll costs Info 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 #21 / 125Payroll — State benchmarkedThis home is ranked 21st out of 125 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.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.4M 60% of net patient revenue Info 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 #50 / 125Payroll % — State benchmarkedThis home is ranked 50th out of 125 homes in South Carolina. Shows payroll as a percentage of revenue versus the South Carolina average. Well-run South Carolina facilities typically land around 53–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info 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).
$4.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.6M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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.

Admissions
537 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 39%
Medicaid 12%
Discharges
517 total

Coverage residents most often leave under.

Medicare 46%
Private pay 42%
Medicaid 11%

Places of interest near Palmettos of Garden City

Address 9415 Hwy 17 Bypass, Murrells Inlet, SC 29576

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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.

When does Palmettos of Garden City's license expire?

According to SC state health department records, Palmettos of Garden City's license expires on June 30, 2026.

What is the occupancy rate at Palmettos of Garden City?

Palmettos of Garden City's occupancy is 86%.

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.

How many beds does Palmettos of Garden City have?

Palmettos of Garden City has 90 beds.

Are there photos of Palmettos of Garden City?

Yes — there are 2 photos of Palmettos of Garden City in the photo gallery on this page.

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