South Carolina ›Hilton 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.
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 17, 2025 | ▲ J · Immediate jeopardy, one-off | 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. · from a complaint |
| Jul 17, 2025 | F · Potential for harm, facility-wide | The 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, 2025 | E · Potential for harm, repeated | The 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, 2025 | D · Potential for harm, one-off | The 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, 2025 | D · Potential for harm, one-off | The 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, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | The 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, 2024 | D · Potential for harm, one-off | The 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, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 6, 2024 | D · Potential for harm, one-off | The 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, 2024 | D · Potential for harm, one-off | 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. |
| Feb 16, 2022 | D · Potential for harm, one-off | The 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, 2022 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 16, 2022 | D · Potential for harm, one-off | The 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, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2024 | 6 | 0 | D |
| 2025 | 5 | 1 | J ▲ |
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.
| Date | Type | Amount / length |
|---|---|---|
| Jul 17, 2025 | Fine | $8,281 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.12 | 4.08 | 3.95 | top 38% in South Carolina; top 35% in the U.S. |
| Registered Nurse hours | 1.08 | 0.67 | 0.69 | top 14% in South Carolina; top 13% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.55 | 3.50 | top 42% in South Carolina; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.41 | 0.48 | top 12% in South Carolina; top 13% in the U.S. |
| Total nursing staff turnover (%) | 56.3 | 45.9 | 45.8 | bottom 23% in South Carolina; bottom 22% in the U.S. |
| RN turnover (%) | 69.2 | 42.1 | 42.9 | bottom 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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/1997 |
| Annunziata, Jacy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/03/2020 |
| Annunziata, Jacy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2020 |
| Boyles, Sheri | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/05/2022 |
| Boyles, Sheri | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/05/2022 |
| Boyles, Sheri | Individual | ADP of the SNF | NOT APPLICABLE | 02/18/2025 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 06/01/1997 |
| Cusano, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2016 |
| Cusano, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
| Fletcher, Todd | Individual | Corporate Director | NOT APPLICABLE | 05/01/2021 |
| Fletcher, Todd | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2020 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 08/16/1999 |
| Lay, Lisa | Individual | Corporate Director | NOT APPLICABLE | 04/24/2017 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Lay, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2017 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/1997 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 08/31/2000 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/27/2024 |
| Preston, Forrest | Individual | Corporate Director | NOT APPLICABLE | 01/06/1976 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Preston Health Center | 1.3 mi | Hilton Head Island, SC | ★★★★★ | 5/5 | |
| Broad Creek Care Center | 5.0 mi | Hilton Head Island, SC | ★★★★★ | 4/5 | |
| Fraser Health Center | 5.8 mi | Hilton Head Island, SC | ★★★★☆ | 3/5 | |
| Sprenger Health Care of Port Royal | 11.2 mi | Port Royal, SC | ★☆☆☆☆ | 1/5 | |
| Resorts at Beaufort | 12.7 mi | Beaufort, SC | ★★★☆☆ | 3/5 | |
| NHC Healthcare - Bluffton | 13.9 mi | Okatie, SC | ★★★★☆ | 4/5 | |
| Sprenger Healthcare of Bluffton | 14.2 mi | Bluffton, SC | ★★★★★ | 5/5 | |
| Tybee Island Trails of Journey LLC | 16.1 mi | Tybee Island, GA | ★☆☆☆☆ | 2/5 | |
| Rosewood at Tybee Island of Journey LLC, the | 16.1 mi | Tybee Island, GA | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 425147.