Lake Moultrie Nursing Home
1038 McGill Lane, Saint Stephen, SC 29479 · CCN 425341
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 88
- Avg residents/day
- 83.3
- Phone
- 8435672307
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 | 2025-01-22 | 3 | 3.7 | 9.5 | -0.7 better |
| 2 | 2023-04-06 | 5 | 5.0 | 9.8 | at state average |
| 3 | 2021-09-17 | 2 | 4.5 | 9.3 | -2.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident rights | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.53 | 30.0% |
| RN staffing (reported) | 0.74 | 25.0% |
| Total nurse staffing (adjusted) | 3.85 | — |
Fines & penalties
- Total fines
- $19,097
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (10)1 immediate jeopardy1 actual harm
- JF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-22 · Health · corrected 2025-01-23
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-22 · Health · corrected 2025-02-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-22 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-04-06 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-04-06 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-04-06 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-06 · Health · corrected 2023-05-02
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-06 · Health · corrected 2023-05-02
Actual harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-09-17 · Health · corrected 2021-10-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-09-17 · Health · corrected 2021-10-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CLARENDON MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2005-09-30 |
| MATTHEWS, ROBIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-12 |
| STANLEY, MATHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-06 |
| STANLEY, MATHEW | Individual | CORPORATE DIRECTOR | — | 2019-05-06 |
| BROWDER, CHRISTINA | Individual | CORPORATE OFFICER | — | 2016-07-12 |
| MATTHEWS, ROBIN | Individual | CORPORATE OFFICER | — | 2016-07-12 |
Other facilities in Saint Stephen
| 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.