The Palms at Florence

Assisted Living in USA

CMS overall rating Info 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 Palms at Florence

Assisted Living in USA

CMS overall rating Info 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.

Overview of The Palms at Florence

The Palms at Florence is a nursing and rehabilitation center located in Florence, SC. It offers skilled nursing, subacute rehabilitation, restorative care, pain management, and respite services. The facility provides a warm and welcoming environment with fine dining services and various amenities.
(843) 669-3502

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.
4/5
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.
4/5
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.
4/5
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.
4/5

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.
4h 8m per day
Rank #37 / 105Nurse hours — state benchmarkedThis home is ranked 37th out of 105 homes in South Carolina.Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 105 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +26% above state avg
Staff typeHours / dayvs 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. 32m per day ▼ 16% State avg: 38m per day · National avg: 41m 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. 1h 17m per day ▲ 26% State avg: 1h 1m per day · National avg: 52m 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. 2h 24m per day ▲ 8% State avg: 2h 13m per day · National avg: 2h 20m per day
Total Nursing (Weekend) 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. 3h 25m per day ■ Avg State avg: 3h 21m per day · National avg: 3h 26m 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. 3m per day ▼ 40% State avg: 5m per day · National avg: 4m per day
RN (Weekend) 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. 9m per day ▼ 63% State avg: 24m per day · National avg: 28m per day

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Similar occupancy to the state average
Occupancy rate 89.4% Rank #29 / 108Occupancy rate — state benchmarkedThis home is ranked 29th out of 108 homes in South Carolina.Shows this facility's occupancy rate versus the South Carolina average, with its statewide rank out of 108. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 104 days
Occupancy rate
89.4% Rank #29 / 108Occupancy rate — state benchmarkedThis home is ranked 29th out of 108 homes in South Carolina.Shows this facility's occupancy rate versus the South Carolina average, with its statewide rank out of 108. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
104 days

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.

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

50% of new residents, often for short stays.

Typical stay 16 days

Medicaid

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

Typical stay 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$17.7M
Operating loss
-$148.7K
Privately-owned community Operated by a business corporation.
Home revenue
$17.7M Rank #33 / 109Revenue — state benchmarkedThis home is ranked 33rd out of 109 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 %.
Operating loss
-$148.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #36 / 109Payroll — state benchmarkedThis home is ranked 36th out of 109 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.
$6.5M
36.7% of revenue Rank #80 / 109Payroll % — state benchmarkedThis home is ranked 80th out of 109 homes in South Carolina.Shows payroll as a percentage of revenue versus the South Carolina average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.3M
Total costs $17.8M
Bed community size
163-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

License Details

Facility TypeNursing Homes
StatusActive
License NumberNCF-1068
CMS Certification Number425119

Ownership & Operating Entity

The Palms at Florence is administrated by Boatwright, Melissa.

Owner NameCOMMANDER OPERATOR LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
Licensed Nurses/CNAs

Additional Services

3 services
Subacute Rehabilitation
Restorative Care
Pain Management

Contact Information

Amenities & Lifestyle

Private And Semi-Private Rooms
Cable And Wifi In Every Room
Fine Dining Services
An On-Staff Dietician
Guest Spaces And Meeting Rooms
On-Site Salon
An On-Staff Activities Director

Dining & Nutrition

Food DescriptionFine dining services are provided with an on-staff dietician.

Contact The Palms at Florence

Health Inspection History

Inspections
Total health inspections 3

State average N/A


Last Health inspection on Apr 2025

Total health citations
11 Rank #54 / 107Health citations — state benchmarkedThis home is ranked 54th out of 107 homes in South Carolina.Shows this facility's total health deficiency citations benchmarked to the South Carolina state average, with a ranking across all 107 SC SNFs. Lower citation counts earn a better rank.

State average N/A

Citations per inspection
3.67

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 11 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0 Rank #1 / 71Severe citations — state benchmarkedThis home is ranked 1st out of 71 homes in South Carolina.Shows citations where actual resident harm occurred, compared to the South Carolina average and ranked across 71 SNFs statewide. Even a single severe citation is significant — lower is always better.
In line with State average

State average: N/A


Serious Health citations More info 1
In line with State average

State average: N/A

0 critical citations More info State average: N/A

1 serious citation More info State average: N/A

10 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 04, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 04, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 04, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 25, 2023
Corrected

Compare Assisted Living around Usa The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.

Filter by care type
The Palms at Florence
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.

Florence163 No - --
Job Haines Home
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

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Places of interest near The Palms at Florence

Address 5115.0 miles from city center Info Estimated distance in miles from FLORENCE's city center to The Palms at Florence's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 288
Employees 185
Contractors 103
Staff to resident ratio 1.96:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 88
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 64,753
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 67
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 158
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

9%

5,854 contractor hours this quarter

Certified Nursing Assistant: 52 Licensed Practical Nurse: 29 Qualified Social Worker: 5 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Physical Therapy Aide: 3 Physical Therapy Assistant: 3 Occupational Therapy Aide: 2 Medical Director: 1
Staff by category
Certified Nursing Assistant1065215832,00691100%8.2
Licensed Practical Nurse38296714,20391100%9.1
Clinical Nurse Specialist9093,9497582%8.2
Registered Nurse140143,26191100%8.9
Other Dietary Services Staff5052,0668290%7.3
Speech Language Pathologist0441,3196571%7.1
Nurse Aide in Training4041,0618998%7.3
RN Director of Nursing2021,0338492%7
Mental Health Service Worker3031,0296875%8.1
Physical Therapy Aide0339196875%7.2
Physical Therapy Assistant0337127785%5.6
Respiratory Therapy Technician0446047886%4.5
Dental Services Staff1015846571%9
Administrator1015046369%8
Nurse Practitioner1014886571%7.5
Qualified Social Worker0553836369%6.1
Occupational Therapy Aide0223124044%7.8
Dietitian1012924651%6.3
Medical Director011303640%0.8
158 Certified Nursing Assistant
% of Days 100%
67 Licensed Practical Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 82%
14 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 90%
4 Speech Language Pathologist
% of Days 71%
4 Nurse Aide in Training
% of Days 98%
2 RN Director of Nursing
% of Days 92%
3 Mental Health Service Worker
% of Days 75%
3 Physical Therapy Aide
% of Days 75%
3 Physical Therapy Assistant
% of Days 85%
4 Respiratory Therapy Technician
% of Days 86%
1 Dental Services Staff
% of Days 71%
1 Administrator
% of Days 69%
1 Nurse Practitioner
% of Days 71%
5 Qualified Social Worker
% of Days 69%
2 Occupational Therapy Aide
% of Days 44%
1 Dietitian
% of Days 51%
1 Medical Director
% of Days 40%

Facility Characteristics

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

Total residents 147
Medicare
27
18.4% of residents
Medicaid
102
69.4% of residents
Private pay or other
18
12.2% 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.

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. 7.2
17% better 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. 14.6
5% better than State average

State average: 15.5

Long-stay resident measures
Above average State avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.4%
28% better than State average

State average: 13.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.5%
35% better than 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 24.0%
41% worse 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 4.6%
56% 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 8.4%
37% worse than State average

State average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
62% better than State average

State average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
48% better than State average

State average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.1%
50% worse than State average

State average: 2.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.3%
26% worse than State average

State average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
8% better than State average

State average: 90.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2%
6% better than State average

State average: 90.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.12
54% worse than State average

State average: 2.03

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.02
47% better than State average

State average: 1.91

Short-stay resident measures
Above average State avg: 2.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
25% better than State average

State average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
39% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.4%
12% better than State average

State average: 78.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 31.3%
27% worse than State average

State average: 24.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.6%
60% better than State average

State average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.8%
In line with State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 71.2%
33% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.3%
In line with State average

State average: 50.6%

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 Jan 2026)

Total fines amount $8K
77% lower than State average

State average: $34K

Number of fines 1 Rank #1 / 69Federal fines — state benchmarkedThis home is ranked 1st out of 69 homes in South Carolina.Shows this facility's CMS fine count alongside the South Carolina average, and where it ranks among all 69 skilled nursing facilities in the state. Fewer fines mean a better rank.
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 $8K
State average $34K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 25, 2023
$8K

Last updated: Jan 2026

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