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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 Palms at Florence provides skilled nursing, subacute rehabilitation, memory care, restorative care, pain management, and respite services in Florence, South Carolina. The 163-bed community is located at 4438 Pamplico Hwy and is privately operated by Commander Operator LLC. The facility accepts Medicare, Medicaid, and private pay.
The community holds a 4-star overall CMS rating, with all four sub-ratings above South Carolina averages. Health Inspection stands out, scoring 45.5% above the state benchmark and serving as the strongest of the four categories, a meaningful signal for families weighing long-term placement. Staffing follows at 35.6% above average. Nurse staffing averages 4 hours and 8 minutes per resident per day against a South Carolina average of 4 hours and 5 minutes, placing the facility 38th out of 112 state SNFs, competitive but not an outlier.
Occupancy is 82.1%, above the South Carolina average and ranks 36th out of 121 facilities statewide, suggesting steady local demand. Residents have access to amenities including fine dining with an on-staff dietician, an on-site salon, and a dedicated activities director.
The Palms at Florence is structured for residents seeking a full continuum of post-acute and long-term care in Florence County, with a particular fit for those prioritizing above-average inspection performance and consistent staffing in a Medicare- and Medicaid-accepting facility.
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 38th 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.
| 31m per day | ▼ 19% 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 13m per day | ▲ 19% 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.
| 2h 17m per day | ▲ 3% State avg: 2h 13m per day · National avg: 2h 20m 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.
| 3h 21m per day | ■ Avg State avg: 3h 21m 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.
| 3m per day | ▼ 45% 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.
| 9m per day | ▼ 61% State avg: 24m per day · National avg: 28m per day |
Higher than the South Carolina average: 82.1%The Palms at Florence is legally operated by Commander Operator Llc, and administrated by Melissa Boatwright.
Key information about the people who lead and staff this community.
South Carolina average 3.9
Last Health inspection on Apr 2025
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.
All 11 citations resulted from standard inspections.
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.
5% more 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 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
81 total: 50 full-time employees and 31 contractors.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
135 total: 97 full-time employees and 38 contractors.
135
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.
Total hours from contractors
5,936 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 97 | 38 | 135 | 31,210 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 50 | 31 | 81 | 16,084 | 92 | 100% | 9 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 3,442 | 74 | 80% | 7.8 |
| Registered Nurse | 15 | 0 | 15 | 3,309 | 92 | 100% | 8.3 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,364 | 80 | 87% | 7.5 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,358 | 68 | 74% | 7.2 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,256 | 67 | 73% | 8.1 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,178 | 74 | 80% | 9 |
| RN Director of Nursing | 2 | 0 | 2 | 1,082 | 85 | 92% | 6.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 1,050 | 82 | 89% | 7 |
| Physical Therapy Aide | 0 | 4 | 4 | 947 | 69 | 75% | 7.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 646 | 74 | 80% | 5.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 486 | 53 | 58% | 9.2 |
| Nurse Practitioner | 1 | 0 | 1 | 473 | 63 | 68% | 7.5 |
| Qualified Social Worker | 0 | 3 | 3 | 431 | 64 | 70% | 6.7 |
| Occupational Therapy Aide | 0 | 4 | 4 | 380 | 45 | 49% | 7 |
| Dietitian | 1 | 0 | 1 | 289 | 49 | 53% | 5.9 |
| Medical Director | 0 | 1 | 1 | 30 | 26 | 28% | 1.2 |
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)
77% 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
Oct 25, 2023 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 25, 2023Last 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.
7.2
17% better than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
5% better than 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
9.4%
28% better than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
10.5%
35% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.0%
41% worse than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
56% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.4%
37% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.6%
62% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
3.2%
48% better than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
4.1%
50% worse than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
18.3%
26% worse than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
8% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
6% better than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
3.12
54% worse than South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.02
47% 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
99.1%
25% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
39% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.4%
12% better than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.3%
27% worse than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.6%
60% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
71.2%
33% better than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.3%
In line with 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.
38% of new residents, usually for short-term rehab.
50% 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
147Residents meet regularly to discuss policies, care quality, 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 The Palms at Florence 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 #22 / 116Payroll — State benchmarkedThis home is ranked 22nd 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
5115.0 miles from city center
Estimated distance in miles from Florence's city center to The Palms at Florence's address, calculated via Google Maps.
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The Palms at Florence is located in FLORENCE, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The legal owner and operator of The Palms at Florence is Commander Operator Llc.
According to SC state health department records, The Palms at Florence's license number is NCF-1068.
The Palms at Florence's occupancy is 89%.
The team at The Palms at Florence can be reached at [email protected].
Melissa Boatwright is the administrator of The Palms at Florence.
The Palms at Florence has 163 beds.
Yes — there is 1 photo of The Palms at Florence in the photo gallery on this page.
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