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The Palms at Florence
Nursing Home, Respite Care & Skilled Nursing · Florence, 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.
The Palms at Florence

The Palms at Florence

Nursing Home, Respite Care & Skilled Nursing · Florence, 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.
4438 Pamplico Hwy, Florence, SC 29505-8502 View map Calculator: See prices in your area
The Palms at Florence accepts Medicare, Medicaid, and private pay.
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The Palms at Florence accepts Medicare, Medicaid, and private pay.

Overview of The Palms at Florence

Located on Pamplico Hwy in Florence, South Carolina, The Palms at Florence is a skilled nursing home operated by Commander Operator LLC, owned by Commander Operator Holdco, LLC, and administered by Melissa Boatwright. The community accepts Medicare, Medicaid, and private pay, giving families several ways to cover both short-term rehabilitation and longer-term nursing care.

With 163 beds, this is a larger nursing home. It runs close to full, with occupancy around 94%. That kind of steady occupancy often reflects consistent local demand and an established presence in the Florence care community. Clinically, the home covers a broad range of post-acute and long-term needs. It offers skilled nursing alongside subacute rehabilitation, restorative care, and pain management. Memory care and respite stays are also available for residents who need it for a shorter period.

Nursing support is a central part of daily life here. Total nursing care averages about 4 hours and 8 minutes per resident daily, and it’s split across registered nurses, licensed nurses, and nurse aides. That level of hands-on coverage matters most for residents recovering from a hospital stay or managing more complex medical needs.

Residents can choose from private and semi-private room options, and every room comes with cable and Wi-Fi. Dining is handled by an on-staff dietitian who oversees the fine dining program. An on-staff activities director leads recreation and programming for residents. Guest spaces and meeting rooms give visiting family a place to gather. The setting is built around consistent nursing care combined with daily comforts.

Facility Direct Line (843) 669-3502
Facility Direct Line (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.
▲ 75.8% Above SC avg. ▲ 75.8% Above SC avg.SC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 45.9% Above SC avg. ▲ 45.9% Above SC avg.SC average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 38.3% Above SC avg. ▲ 38.3% Above SC avg.SC average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 48.7% Above SC avg. ▲ 48.7% Above SC avg.SC average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs South Carolina averages

Rank #49 / 117Nurse hours — State benchmarkedThis home is ranked 49th out of 117 homes we track in South Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 117 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 49th out of 117 homes we track 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.

4h 6m

At state 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.
30m
−21% 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 15m
+22% 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 21m
+6% State avg: 2h 13m per day · National avg: 2h 20m 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.
3h 29m
+4% 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
−43% State avg: 5m per day · National avg: 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.
9m
−64% State avg: 24m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: LPN / LVN is +22% above South Carolina average

By The Numbers

Community insights.

Bed count Info A large-scale community that may provide a wide range of amenities, services, and structured programs. 163 Rank #19 / 304Bed count — State benchmarkedThis home is ranked 19th out of 304 homes we track in South Carolina for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited. Rank #18 / 92Occupancy rate — State benchmarkedThis home is ranked 18th out of 92 homes we track in South Carolina for occupancy. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
95% This home is often near full
Higher than the South Carolina average: 82.1%
Occupied beds
155 / 163
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.
104 days

About this community

License Details

Facility TypeHL- Nursing Home
StatusActive
CountyFlorence
License NumberNCF-1068
Business TypeLimited Liability
CMS Certification Number425119

Ownership & Operating Entity

The Palms at Florence is legally operated by Commander Operator LLC, and administered by Melissa Boatwright.

Owner NameCommander Operator LLC

Type Of Units

Institutional Nursing Home
163 units
Total beds
163 units

Staffing

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

Leadership

Administrator Emailmboatwright@wilsonseniorcare.com

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Additional Services

3 services
Subacute Rehabilitation
Restorative Care
Pain Management

Contact Information

Email yaakov@angeloakhc.com

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Wi-Fi
Cable Tv
Dining
Meeting Room
Salon
Activities

Contact The Palms at Florence

CMS Health Inspection History

Inspections Since 2021 · 5 years of data
Total health inspections 3

State average 3.9

Last Health inspection on Apr 2025

Total health citations
11 Rank #57 / 119Health citations — State benchmarkedThis home is ranked 57th out of 119 homes we track in South Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 119 SC facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 13.7

Citations per inspection
3.67 Rank #74 / 119Citations per inspection — State benchmarkedThis home is ranked 74th out of 119 homes we track in South Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 119 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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.

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than State average

State average: 1

Serious health citations
1
233% worse than State average

State average: 0.3

0 critical citations State average: 1
1 serious citation State average: 0.3
10 moderate citations State average: 12.3
0 minor citations State average: 0.1
Citations history (last 5 years)
Pharmacy moderate citation Apr 04, 2025
Corrected
Quality of Care moderate citation Apr 04, 2025
Corrected
Care Planning moderate citation Apr 04, 2025
Corrected
Quality of Care serious citation Oct 25, 2023
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 283
Employees 191
Contractors 92
Staff to resident ratio 1.93 : 1
5% more staff per resident than South Carolina average
South Carolina average ratio: 1.84 : 1 South Carolina average ratio: 1.84 : 1See full South Carolina ranking
Avg staff/day 88
Average shift 8.2 hours
0% compared with South Carolina average
South Carolina average: 7.9 hours South Carolina average shift: 7.9 hoursSee full South Carolina ranking
Total staff hours (quarter) 66,502

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 15 RN Staff are full-time employees. No contractors work on this role. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 81 total: 50 full-time employees and 31 contractors. 81
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 135 total: 97 full-time employees and 38 contractors. 135
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

8.9%

5,936 contractor hours this quarter

Certified Nursing Assistant: 38 Licensed Practical Nurse: 31 Speech Language Pathologist: 5 Occupational Therapy Aide: 4 Physical Therapy Aide: 4 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Qualified Social Worker: 3 Medical Director: 1

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 Assistant973813531,21092100%8.3
Licensed Practical Nurse50318116,08492100%9
Clinical Nurse Specialist9093,4427480%7.8
Registered Nurse150153,30992100%8.3
Other Dietary Services Staff5052,3648087%7.5
Speech Language Pathologist0551,3586874%7.2
Mental Health Service Worker4041,2566773%8.1
Nurse Aide in Training5051,1787480%9
RN Director of Nursing2021,0828592%6.9
Physical Therapy Assistant0331,0508289%7
Physical Therapy Aide0449476975%7.3
Respiratory Therapy Technician0336467480%5.1
Administrator1014886166%8
Dental Services Staff1014865358%9.2
Nurse Practitioner1014736368%7.5
Qualified Social Worker0334316470%6.7
Occupational Therapy Aide0443804549%7
Dietitian1012894953%5.9
Medical Director011302628%1.2
135 Certified Nursing Assistant
% of Days 100%
81 Licensed Practical Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 80%
15 Registered Nurse
% of Days 100%
View All Staffing Data

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 $8K Rank #66 / 120Federal fines — State benchmarkedThis home is ranked 66th out of 120 homes we track in South Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 120 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
77% lower than South Carolina average

South Carolina average: $34K

Number of fines 1
59% fewer fines than South Carolina average

South Carolina 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 South Carolina average

South Carolina average: 0.1

Fines amount comparison
Fines amount comparison
This facility $8K
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

Oct 25, 2023 · $8K

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

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 South Carolina average

South Carolina 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 South Carolina average

South Carolina average: 15.5

Long-stay resident measures
Significantly above average South Carolina 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 South Carolina average

South Carolina average: 13.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.5%
35% better than South Carolina average

South Carolina 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 South Carolina average

South Carolina 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 South Carolina average

South Carolina 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 South Carolina average

South Carolina average: 6.1%

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

South Carolina average: 1.6%

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

South Carolina average: 6.2%

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

South Carolina average: 2.8%

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

South Carolina average: 14.5%

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

South Carolina average: 90.5%

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

South Carolina average: 90.6%

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

South Carolina 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 South Carolina average

South Carolina average: 1.91

Short-stay resident measures
Above average South Carolina 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 South Carolina average

South Carolina average: 79.5%

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

South Carolina average: 1.7%

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

South Carolina 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 South Carolina average

South Carolina average: 24.7%

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

South Carolina 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 South Carolina average

South Carolina 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 South Carolina average

South Carolina 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 South Carolina average

South Carolina average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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."
$16.6M
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."
-$192.9K
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."
$16.6M Rank #18 / 113Net patient revenue — State benchmarkedThis home is ranked 18th out of 113 homes we track in South Carolina. Shows this facility's net patient revenue compared to the South Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$192.9K
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.
$44.2K
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 #39 / 113Payroll costs — State benchmarkedThis home is ranked 39th out of 113 homes we track in South Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.4M 44.4% 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 #107 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 107th out of 113 homes we track in South Carolina. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$9.4M
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).
$16.8M
How we calculate these figures

This home is administered by Melissa Boatwright.

This home is owned by Commander Operator Holdco, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 425119

Show certification details

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.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 16 days.

Admissions
516 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 50%
Medicaid 12%
Discharges
512 total

Coverage residents most often leave under.

Medicare 33%
Private pay 44%
Medicaid 23%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Palms at Florence

Address 4438 Pamplico Hwy, Florence, SC 29505-8502

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Info below is compiled from CMS reports & the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Carolina average is: 62.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Still Hopes Episcopal Retirement Community ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
West Columbia
22
Facility 22
SC AVG 90
Rank #298 / 304
91.8%
Facility 91.8%
SC AVG 86.4%
Rank #44 / 92
+6%
6.69
Facility 6.69
SC AVG 4.00
Rank #5 / 117
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +65%+67%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
5
Facility 5
SC AVG 13.7
Rank #14 / 119
1.3
Facility 1.3
SC AVG 3.4
Rank #3 / 119
120A+
63
Facility 63
SC AVG 34
Rank #14 / 221
Frances Case
$28.0MFiscal year ending 09/2023
Facility $28.0MFiscal year ending 09/2023
SC AVG $12.1M
Rank #4 / 113
$23.0MFiscal year ending 09/2023
Facility $23.0MFiscal year ending 09/2023
SC AVG $7.3M
Rank #3 / 113
82.2%Fiscal year ending 09/2023
Facility 82.2%Fiscal year ending 09/2023
SC AVG 62.8%
Rank #10 / 113
425401
Linville Court at The Cascades Verdae ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Greenville (Cascades Verdae)
44
Facility 44
SC AVG 90
Rank #269 / 304
90.2%
Facility 90.2%
SC AVG 86.4%
Rank #56 / 92
+4%
4.87
Facility 4.87
SC AVG 4.00
Rank #18 / 117
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +3%+22%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
6
Facility 6
SC AVG 13.7
Rank #20 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
140-
8
Facility 8
SC AVG 34
Rank #196 / 221
Banyan Greenville LLC
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
SC AVG $12.1M
Rank #93 / 113
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
SC AVG $7.3M
Rank #49 / 113
94.6%Fiscal year ending 12/2023
Facility 94.6%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #5 / 113
425392
Wildewood Downs Retirement Community ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Columbia (Williamsburg East)
57
Facility 57
SC AVG 90
Rank #226 / 304
28.1%
Facility 28.1%
SC AVG 86.4%
Rank #92 / 92
-67%
5.61
Facility 5.61
SC AVG 4.00
Rank #8 / 117
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +300%+40%
$3.7k
Facility $3.7k
SC AVG $34.8k
Rank #54 / 120
13
Facility 13
SC AVG 13.7
Rank #70 / 119
4.3
Facility 4.3
SC AVG 3.4
Rank #90 / 119
-16-
33
Facility 33
SC AVG 34
Rank #117 / 221
Diana Chavis
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
SC AVG $12.1M
Rank #101 / 113
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
SC AVG $7.3M
Rank #68 / 113
92.9%Fiscal year ending 12/2023
Facility 92.9%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #7 / 113
425385
Veterans Victory House ★ ★ ★ ★ ★
NH
SNF
Walterboro
220
Facility 220
SC AVG 90
Rank #3 / 304
83.7%
Facility 83.7%
SC AVG 86.4%
Rank #71 / 92
-3%
4.60
Facility 4.60
SC AVG 4.00
Rank #28 / 117
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +23%+15%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
10
Facility 10
SC AVG 13.7
Rank #49 / 119
3.3
Facility 3.3
SC AVG 3.4
Rank #64 / 119
1184--South Carolina Department Of Veterans Affairs
$21.7MFiscal year ending 06/2024
Facility $21.7MFiscal year ending 06/2024
SC AVG $12.1M
Rank #11 / 113
$9.8MFiscal year ending 06/2024
Facility $9.8MFiscal year ending 06/2024
SC AVG $7.3M
Rank #18 / 113
44.8%Fiscal year ending 06/2024
Facility 44.8%Fiscal year ending 06/2024
SC AVG 62.8%
Rank #105 / 113
425386
The Palms at Florence ★ ★ ★ ★ ★
NH
RC
SNF
Florence
163
Facility 163
SC AVG 90
Rank #19 / 304
95.2%
Facility 95.2%
SC AVG 86.4%
Rank #18 / 92
+10%
4.09
Facility 4.09
SC AVG 4.00
Rank #49 / 117
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -43%+2%
$7.9k
Facility $7.9k
SC AVG $34.8k
Rank #66 / 120
11
Facility 11
SC AVG 13.7
Rank #57 / 119
3.7
Facility 3.7
SC AVG 3.4
Rank #74 / 119
1155--Commander Operator Holdco, LLC
$16.6MFiscal year ending 12/2023
Facility $16.6MFiscal year ending 12/2023
SC AVG $12.1M
Rank #18 / 113
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
SC AVG $7.3M
Rank #39 / 113
44.4%Fiscal year ending 12/2023
Facility 44.4%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #107 / 113
425119
Nursing Home Explorer

Frequently Asked Questions about The Palms at Florence

Who is the owner of The Palms at Florence?

The Palms at Florence is legally operated by Commander Operator LLC, and administered by Melissa Boatwright.

What is the license number of The Palms at Florence?

According to SC state health department records, The Palms at Florence's license number is NCF-1068.

What is the occupancy rate at The Palms at Florence?

The Palms at Florence's occupancy is 95%.

Are pets allowed at The Palms at Florence?

No, The Palms at Florence has a no-pet policy.

What is the best email address for The Palms at Florence?

The team at The Palms at Florence can be reached at YAAKOV@ANGELOAKHC.COM.

Does The Palms at Florence operate as a for-profit or non-profit?

The Palms at Florence is registered as a for-profit in SC.

Who is the administrator of The Palms at Florence?

Melissa Boatwright is the administrator of The Palms at Florence.

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