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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 3rd out of 112 homes in South Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 28m per day | ▲ 131% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 25m per day | ▲ 40% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 45m per day | ▲ 69% State avg: 2h 13m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 51m per day | ▲ 75% State avg: 3h 20m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 14m per day | ▲ 184% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 12m per day | ▲ 201% State avg: 24m per day · National avg: 29m per day |
Higher than the South Carolina average: 82.1%Preston Health Center is legally operated by The Cypress Club Inc, and administrated by Monique Mcrae.
In South Carolina, the Department of Public Health, Bureau of Healthcare Quality conducts unannounced inspections to ensure care providers meet all health and safety codes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the South Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | SC Average | vs. SC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 12 | This facility has 50% fewer total deficiencies than a typical South Carolina nursing home (6 vs. SC avg 12).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 1.5 | 3 | This facility has 50% fewer deficiencies per year than a typical South Carolina nursing home (1.5 vs. SC avg 3).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
South Carolina average 3.9
Last Health inspection on Aug 2024
South Carolina average 13.7
South Carolina average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 came from combined inspections (standard and complaint).
100% better than South Carolina averageSouth Carolina average: 1
233% worse than South Carolina averageSouth Carolina average: 0.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% more staff per resident than South Carolina average
8% better than 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 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 17 LPN 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.
8.6 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,405 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 14,097 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,329 | 92 | 100% | 8.6 |
| Registered Nurse | 13 | 0 | 13 | 3,949 | 92 | 100% | 9.7 |
| Dietitian | 2 | 0 | 2 | 952 | 65 | 71% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 920 | 87 | 95% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 920 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 888 | 79 | 86% | 6.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 888 | 77 | 84% | 4.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 629 | 66 | 72% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 483 | 59 | 64% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 405 | 64 | 70% | 6.1 |
| Administrator | 0 | 1 | 1 | 400 | 50 | 54% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 191 | 40 | 43% | 4.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 110 | 13 | 14% | 8.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 7 | 8% | 2.9 |
| Feeding Assistant | 0 | 1 | 1 | 10 | 9 | 10% | 1.1 |
| Medical Director | 0 | 1 | 1 | 10 | 9 | 10% | 1.1 |
Includes penalties issued in 2024
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)
76% 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
Aug 29, 2024 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 29, 2024Last 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.
6.7
24% better than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.2
In line with South Carolina averageSouth Carolina average: 15.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
39% better than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
14.4%
11% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
53% worse than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
9% better than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.5%
26% better than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
3.6%
121% worse than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
3.8%
38% better than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
2.9%
6% worse than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
14.4%
In line with South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
7% better than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.81
60% better than South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.47
23% better than South Carolina averageSouth Carolina average: 1.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
22% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
33% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
26% better than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.1%
6% worse than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
23% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.0%
12% better than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
72.9%
44% better than South Carolina averageSouth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Preston Health Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #5 / 116Payroll — State benchmarkedThis home is ranked 5th out of 116 homes in South Carolina for payroll. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
3777.4 miles from city center
Estimated distance in miles from Hilton Head Island's city center to Preston Health Center's address, calculated via Google Maps.
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Preston Health Center is located in HILTON HEAD ISLAND, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.
| Preston Health Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hilton Head Island | 77
Facility
77
SC AVG
90
Rank
#179 / 309 | 87.5% | +7% | 7.43 | +33% | +86% | $8.0k | 5 | 2.5 | 1 | 41 | - | - | The Cypress Club Inc | $35.2M | $15.8M | 44.8% | 425325 | ||||
| TidePointe, a Vi Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hilton Head Island | 25
Facility
25
SC AVG
90
Rank
#299 / 309 | - | - | 5.57 | +120% | +39% | $0 | 6 | 3.0 | - | 26 | A |
6
Facility
6
SC AVG
32
Rank
#207 / 232 | Sandra Gilliam | $10.6M | $6.5M | 61.7% | 425351 | ||||
| Life Care Center of Hilton Head |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hilton Head Island | 88
Facility
88
SC AVG
90
Rank
#144 / 309 | 59.9% | -27% | 3.68 | +74% | -8% | $8.3k | 16 | 4.0 | 1 | 59 | - |
23
Facility
23
SC AVG
32
Rank
#152 / 232 | John Oehler | $7.4M | $4.5M | 60.2% | 425147 |
The legal owner and operator of Preston Health Center is The Cypress Club Inc.
According to SC state health department records, Preston Health Center's license number is NCF-1120.
Preston Health Center's occupancy is 88%.
The team at Preston Health Center can be reached at [email protected].
Monique Mcrae is the administrator of Preston Health Center.
Preston Health Center has 77 beds.
Preston Health Center is located at 87 BIRDSONG WAY.
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