South CarolinaHilton Head Island

Life Care Center of Hilton Head

120 Lamotte Drive, Hilton Head Island, SC 29926 · Beaufort County · 88 certified beds · avg 58 residents/day · certified since Jan 26, 1982

Abuse citation flag (CMS)

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
1
Serious findings on record
$8,281
Fines, last 3 years
4.12
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jul 17, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 12, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jul 17, 2025▲ J · Immediate jeopardy, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jul 17, 2025F · Potential for harm, facility-wideThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 17, 2025E · Potential for harm, repeatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 17, 2025D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 17, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 6, 2024D · Potential for harm, one-offThe 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.
Jun 6, 2024D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 6, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 6, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 6, 2024D · Potential for harm, one-offThe facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Jun 6, 2024D · Potential for harm, one-offThe 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.
Feb 16, 2022D · Potential for harm, one-offThe facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Feb 16, 2022D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Feb 16, 2022D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 16, 2022D · Potential for harm, one-offThe 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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

YearCitationsSerious (G–L)Worst severity that year
202240D
202460D
202551J ▲

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)

1 fine totaling $8,281.

DateTypeAmount / length
Jul 17, 2025Fine$8,281

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilitySouth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.124.083.95top 38% in South Carolina; top 35% in the U.S.
Registered Nurse hours1.080.670.69top 14% in South Carolina; top 13% in the U.S.
Weekend total nurse staffing3.533.553.50top 42% in South Carolina; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)0.750.410.48top 12% in South Carolina; top 13% in the U.S.
Total nursing staff turnover (%)56.345.945.8bottom 23% in South Carolina; bottom 22% in the U.S.
RN turnover (%)69.242.142.9bottom 13% in South Carolina; bottom 12% in the U.S.

Hours are per resident per day, 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 3.69, RN 0.96, weekend 3.16. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Preston, ForrestIndividualIndirect Ownership InterestNOT APPLICABLE06/01/1997
Annunziata, JacyIndividualManaging Control - Governing BodyNOT APPLICABLE10/03/2020
Annunziata, JacyIndividualOperational/Managerial ControlNOT APPLICABLE10/03/2020
Boyles, SheriIndividualManaging Control - Governing BodyNOT APPLICABLE04/05/2022
Boyles, SheriIndividualOperational/Managerial ControlNOT APPLICABLE04/05/2022
Boyles, SheriIndividualADP of the SNFNOT APPLICABLE02/18/2025
Cross, CindyIndividualCorporate OfficerNOT APPLICABLE06/01/1997
Cusano, MatthewIndividualOperational/Managerial ControlNOT APPLICABLE04/19/2016
Cusano, MatthewIndividualADP of the SNFNOT APPLICABLE03/06/2025
Fletcher, ToddIndividualCorporate DirectorNOT APPLICABLE05/01/2021
Fletcher, ToddIndividualCorporate OfficerNOT APPLICABLE11/02/2020
Fletcher, ToddIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2021
Henry, TerryIndividualCorporate OfficerNOT APPLICABLE08/16/1999
Lay, LisaIndividualCorporate DirectorNOT APPLICABLE04/24/2017
Lay, LisaIndividualCorporate OfficerNOT APPLICABLE02/09/2018
Lay, LisaIndividualOperational/Managerial ControlNOT APPLICABLE04/24/2017
Life Care Centers of America, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE06/01/1997
Life Care Centers of America, INC.OrganizationADP of the SNFNOT APPLICABLE08/31/2000
Preston, AubreyIndividualOperational/Managerial ControlNOT APPLICABLE11/27/2024
Preston, ForrestIndividualCorporate DirectorNOT APPLICABLE01/06/1976

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Preston Health Center1.3 miHilton Head Island, SC★★★★★5/5
Broad Creek Care Center5.0 miHilton Head Island, SC★★★★★4/5
Fraser Health Center5.8 miHilton Head Island, SC★★★★☆3/5
Sprenger Health Care of Port Royal11.2 miPort Royal, SC★☆☆☆☆1/5
Resorts at Beaufort12.7 miBeaufort, SC★★★☆☆3/5
NHC Healthcare - Bluffton13.9 miOkatie, SC★★★★☆4/5
Sprenger Healthcare of Bluffton14.2 miBluffton, SC★★★★★5/5
Tybee Island Trails of Journey LLC16.1 miTybee Island, GA★☆☆☆☆2/5
Rosewood at Tybee Island of Journey LLC, the16.1 miTybee Island, GA★☆☆☆☆1/5abuseSFF

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Facility data as of CMS processing date 2026-08-01. CCN 425147.