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Ellen Sagar Nursing Center
1817 Jonesville Highway, Union, SC 29379 (opens Google Maps) · Union County · (864) 301-3500· 113 certified beds · avg 100 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Mar 7, 2025
2
Serious findings on record
most recent Jun 4, 2021
$0
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jun 4, 2021 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Actual harm, isolated · Jun 4, 2021 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 4, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jun 4, 2021 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
▲ Actual harm, isolated · Jun 4, 2021 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 4, 2021 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. F-0925
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. F-0558
View all 13 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 4, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Aug 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jun 4, 2021 | ▲ G · Actual harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jun 4, 2021 | ▲ G · Actual harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Jun 4, 2021 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Jun 4, 2021 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Jun 4, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 6).
All citationsSerious citations (G–L)
2021
All citations: 5
Serious citations (G–L): 2
2023
All citations: 2
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 2 | G ▲ |
| 2023 | 2 | 0 | E |
| 2025 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilitySouth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.87
South Carolina average: 4.08
U.S. average: 3.95
Registered Nurse hours
This facility: 0.52
South Carolina average: 0.67
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.58
South Carolina average: 3.55
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | South Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 4.08 | 3.95 | bottom 50% in South Carolina; top 45% in the U.S. |
| Registered Nurse hours | 0.52 | 0.67 | 0.69 | bottom 45% in South Carolina; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.55 | 3.50 | top 39% in South Carolina; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.41 | 0.48 | bottom 36% in South Carolina; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | — | 45.9 | 45.8 | — |
| RN turnover (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.46, weekend 3.10.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Ellen Sagar Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Apella Health Management INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2019 |
| Spartanburg Regional Health Services District INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/02/2015 |
| Apella Health Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Apella Health Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Davis, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 01/25/2020 |
| Holstien, Elmer | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2011 |
| Melin, Kurtis | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| Morrow, Charles | Individual | Corporate Officer | NOT APPLICABLE | 12/04/2023 |
| Schaper, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2015 |
| Schaper, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| Spartanburg Regional Health Services District INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/02/2015 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Union Post Acute | 3.8 mi | Union, SC | ★★★★★ | 4/5 | |
| Mountainview Nursing Home | 17.1 mi | Spartanburg, SC | ★☆☆☆☆ | 1/5 | |
| White Oak Estates | 19.3 mi | Spartanburg, SC | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 425012.