Oak Harbor Healthcare
921 Bowman Road, Mt Pleasant, SC 29464 · Charleston County · 132 certified beds · avg 118 residents/day · certified since Nov 22, 1977 · 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 →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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)
▲ Actual harm, one-off · Nov 9, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 2, 2023 (Past Non-Compliance)
All citations in the current public record (12)
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 |
|---|---|---|
| May 15, 2025 | E · Potential for harm, repeated | 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. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. |
| Mar 29, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 29, 2024 | E · Potential for harm, repeated | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 29, 2024 | D · Potential for harm, one-off | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Nov 9, 2023 | ▲ G · Actual 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. · from a complaint |
| Mar 16, 2022 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Mar 16, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 16, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 16, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 5 | 0 | F |
| 2025 | 2 | 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)
1 fine totaling $7,901.
| Date | Type | Amount / length |
|---|---|---|
| Nov 9, 2023 | Fine | $7,901 |
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) | 3.80 | 4.08 | 3.95 | bottom 46% in South Carolina; top 48% in the U.S. |
| Registered Nurse hours | 0.37 | 0.67 | 0.69 | bottom 19% in South Carolina; bottom 18% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.55 | 3.50 | top 46% in South Carolina; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.41 | 0.48 | bottom 39% in South Carolina; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 45.9 | 45.8 | — |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
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 3.41, RN 0.33, weekend 3.05. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2022 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Newlands, Frank | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Newlands, Frank | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Newlands, Frank | Individual | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Onshift INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Peterson, Forrest | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Thatcher, Brent | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Twomagnets LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Wiscombe, Braden | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Wiscombe, Braden | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Wiscombe, Braden | Individual | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you communicate important notices to residents who speak another language or have trouble seeing or hearing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "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 |
|---|---|---|---|---|---|
| Sandpiper Post Acute | 0.6 mi | Mount Pleasant, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Franke Health Care Center | 2.2 mi | Mount Pleasant, SC | ★★★★☆ | 4/5 | |
| Retreat at Wellmore of Daniel Island | 4.8 mi | Charleston, SC | ★★☆☆☆ | 2/5 | |
| Kempton of Charleston | 5.7 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Riverside Health and Rehab | 8.1 mi | Charleston, SC | ★☆☆☆☆ | 2/5 | |
| Bishop Gadsden Episcopal Health Care Center | 8.8 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Ashley River Healthcare | 8.9 mi | Charleston, SC | ★★★★★ | 4/5 | |
| NHC Healthcare - Charleston | 10.4 mi | Charleston, SC | ★★☆☆☆ | 1/5 | |
| The Reserve Healthcare and Rehabilitation | 13.7 mi | Charleston, SC | ★★★★★ | 5/5 | |
| Johns Island Post Acute | 14.9 mi | Johns Island, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Life Care Center of Charleston | 16.4 mi | N Charleston, SC | ★★★☆☆ | 2/5 | |
| White Oak Manor - Charleston | 16.6 mi | Charleston, SC | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 425110.