Johns Island Post Acute, LLC
3647 Maybank Highway, Johns Island, SC 29455 · CCN 425368
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 132
- Avg residents/day
- 121.6
- Phone
- 8435595888
Inspection history vs South Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-04 | 5 | 3.7 | 9.5 | +1.3 worse |
| 2 | 2022-12-14 | 3 | 5.0 | 9.8 | -2.0 better |
| 3 | 2021-05-21 | 17 | 4.5 | 9.3 | +12.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | 45.8% |
| RN staffing (reported) | 0.41 | 50.0% |
| Total nurse staffing (adjusted) | 3.11 | — |
Fines & penalties
- Total fines
- $15,646
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (25)2 immediate jeopardy1 actual harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-23 · Health · corrected 2024-11-15
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-23 · Health · corrected 2024-11-15
Immediate jeopardy
- DF0610Respond appropriately to all alleged violations.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-14 · Health · corrected 2022-12-29
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-21 · Health · corrected 2021-07-02
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2021-05-21 · Health · corrected 2021-07-02
Potential for minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-05-21 · Health · corrected 2021-07-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| LEAVITT, JARED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-18 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| OUTZ, CHARLES | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-03-01 |
| LEAVITT, JARED | Individual | W-2 MANAGING EMPLOYEE | — | 2022-04-18 |
Other facilities in Johns Island
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.