Total staff
123
Employees
96
Contractors
27
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Carolinian
Nursing Home, Independent Living & Assisted Living · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Carolinian
Nursing Home, Independent Living & Assisted Living · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Carolinian accepts Medicare, Medicaid, and private pay.
The Carolinian Retirement Community embodies a vision of faith-based care and assisted living in downtown Florence, South Carolina. Committed to providing compassionate assistance, the community offers professional caregivers who support residents with non-medical needs, personalized care, and meal services. With a focus on promoting independence and well-being, The Carolinian ensures access to advanced health services while fostering a vibrant environment for seniors to thrive.
Residents at The Carolinian Retirement Community enjoy a range of amenities designed to enhance their assisted living experience. The community offers comfort and convenience, from spacious 2-bedroom apartments to fully equipped kitchens. Additional services such as housekeeping, transportation, and onsite religious services contribute to a fulfilling lifestyle. At the same time, scheduled group outings and community dining opportunities foster social engagement and meaningful connections among residents.
Quality ratings
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 breakdown
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.
Total nursing care / resident
This home is ranked 31st out of 112 homes in South Carolina. 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 home is ranked 31st out of 112 homes in South Carolina. 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.
4h 18m per day
Rank #31 / 112Nurse hours — State benchmarkedThis home is ranked 31st out of 112 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 112 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Carolina avg
+8%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 3h 24m per day |
Types of Care at The Carolinian
Independent Living
Assisted Living
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
90%
Rank #29 / 115Occupancy rate — State benchmarkedThis home is ranked 29th out of 115 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 115. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
111 days
Occupancy rate
90%
Rank #29 / 115Occupancy rate — State benchmarkedThis home is ranked 29th out of 115 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 115. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
111 days
Walk Score: 62 / 100 Rank #3 / 33Walk Score — State benchmarkedThis home is ranked 3rd out of 33 homes in South Carolina. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Carolina SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.50:1
16% worse than South Carolina average
Avg staff/day
52
Average shift
8 hours
0% compared with South Carolina average
Total staff hours (quarter)
38,195
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
10.6%
4,051 contractor hours this quarter
Licensed Practical Nurse: 7
Respiratory Therapy Technician: 5
Physical Therapy Assistant: 5
Speech Language Pathologist: 4
Physical Therapy Aide: 3
Medical Director: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 17,993 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 19 | 7 | 26 | 8,219 | 92 | 100% | 9.8 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,899 | 77 | 84% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,516 | 92 | 100% | 8.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,491 | 75 | 82% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,276 | 64 | 70% | 8.6 |
| Registered Nurse | 3 | 0 | 3 | 950 | 81 | 88% | 8.9 |
| Physical Therapy Assistant | 0 | 5 | 5 | 764 | 75 | 82% | 6.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 653 | 64 | 70% | 6.7 |
| Qualified Social Worker | 0 | 1 | 1 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 436 | 71 | 77% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 428 | 57 | 62% | 7.5 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 325 | 73 | 79% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 182 | 37 | 40% | 4.9 |
| Medical Director | 0 | 1 | 1 | 30 | 28 | 30% | 1.1 |
55 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
9 Clinical Nurse Specialist
% of Days
84%
3 Other Dietary Services Staff
% of Days
100%
4 Speech Language Pathologist
% of Days
82%
3 Mental Health Service Worker
% of Days
70%
3 Registered Nurse
% of Days
88%
5 Physical Therapy Assistant
% of Days
82%
3 Physical Therapy Aide
% of Days
70%
1 Qualified Social Worker
% of Days
72%
1 Administrator
% of Days
68%
2 Nurse Aide in Training
% of Days
77%
1 Nurse Practitioner
% of Days
62%
5 Respiratory Therapy Technician
% of Days
79%
1 Occupational Therapy Aide
% of Days
40%
1 Medical Director
% of Days
30%
Penalties and fines
Includes penalties issued in 2023
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
$9K Rank #62 / 114Federal fines — State benchmarkedThis home is ranked 62nd out of 114 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 114 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
72% lower than South Carolina averageSouth Carolina average: $34K
Number of fines
1
59% fewer fines than South Carolina averageSouth Carolina average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$9K
South Carolina average
$34K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 9, 2023 · $9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 9, 2023
$9K
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
20% better than South Carolina averageSouth Carolina average: 8.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
12% better than South Carolina averageSouth Carolina average: 15.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
32% better than South Carolina averageSouth Carolina average: 13.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.0%
Percent of long-stay residents whose ability to move independently worsened
6.0%
63% better than South Carolina averageSouth Carolina average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
52% worse than South Carolina averageSouth Carolina average: 17.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
99% worse than South Carolina averageSouth Carolina average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.1%
Percent of long-stay high risk residents with pressure ulcers
9.1%
49% worse than South Carolina averageSouth Carolina average: 6.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
47% better than South Carolina averageSouth Carolina average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.3%
Percent of long-stay residents who lose too much weight
5.3%
13% better than South Carolina averageSouth Carolina average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.8%
Percent of long-stay residents who have depressive symptoms
3.8%
36% worse than South Carolina averageSouth Carolina average: 2.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.7%
Percent of long-stay residents who received an antipsychotic medication
4.7%
67% better than South Carolina averageSouth Carolina average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
9% better than South Carolina averageSouth Carolina average: 90.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
5% better than South Carolina averageSouth Carolina average: 90.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
9% better than South Carolina averageSouth Carolina average: 79.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
52% better than South Carolina averageSouth Carolina average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.9%
In line with 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.
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
40% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82
Medicare
27
32.9% of residents
Medicaid
33
40.2% of residents
Private pay or other
22
26.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for The Carolinian based on CMS SNF Cost Reports.
Occupancy Rate
90.0%
↑ 14.9pp vs 2022
Net Income
-$92.0K
↓ ~$817.3K vs 2022
Total Payroll
$4.9M
↑ ~$1.3M vs 2022
Profit Margin
-0.9%
↓ 10.8pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.9M
Operating loss
-$92.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$10.9M Rank #80 / 116Revenue — State benchmarkedThis home is ranked 80th out of 116 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$92.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #86 / 116Payroll — State benchmarkedThis home is ranked 86th out of 116 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #86 / 116Payroll — State benchmarkedThis home is ranked 86th out of 116 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.0M
What does this home offer?
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Carolinian
1.2 miles from city center
Estimated distance in miles from Florence's city center to The Carolinian's address, calculated via Google Maps.
— 0.65 miles to nearest hospital (Orachum Sittisuntorn, MD)
Calculate Travel Distance to The Carolinian
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Financial Assistance for
Nursing Home in South Carolina
The Carolinian is located in Florence, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
Frequently Asked Questions about The Carolinian
Is The Carolinian in a walkable area?
The Carolinian has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the phone number of The Carolinian?
(843) 665-9315 will put you in contact with the team at The Carolinian.
Is The Carolinian Medicare or Medicaid certified?
Yes — The Carolinian is a CMS-certified provider of Medicare and Medicaid.
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