Pruitthealth- Estill

Name: Pruitthealth- Estill
Address: 252 Liberty Street South, Estill, SC, 29918, US
Telephone: 8036253852

252 Liberty Street South, Estill, SC 29918 · Hampton County · 88 certified beds · avg 76 residents/day · certified since Sep 27, 1991

Part of chain: PRUITTHEALTH (95 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$7,745

Fines, last 3 years

3.68

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

All citations in the current public record (25)

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
Apr 29, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 20, 2023	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.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 20, 2023	E · Potential for harm, repeated	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.
Sep 20, 2023	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.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Sep 20, 2023	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 20, 2023	D · Potential for harm, one-off	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.
Sep 20, 2023	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.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 13, 2021	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Aug 13, 2021	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (22 → 1).

Year	Citations	Worst severity that year
2021	2	E
2023	22	F
2025	1	D

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 $7,745.

Date	Type	Amount / length
Sep 20, 2023	Fine	$7,745

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)	3.68	4.08	3.95	bottom 39% in South Carolina; bottom 46% in the U.S.
Registered Nurse hours	0.49	0.67	0.69	bottom 39% in South Carolina; bottom 37% in the U.S.
Weekend total nurse staffing	2.94	3.55	3.50	bottom 22% in South Carolina; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.41	0.48	bottom 40% in South Carolina; bottom 28% in the U.S.
Total nursing staff turnover (%)	39.1	45.9	45.8	top 31% in South Carolina; top 34% in the U.S.
RN turnover (%)	44.4	42.1	42.9	bottom 44% in South Carolina; bottom 45% 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 3.17, RN 0.42, weekend 2.53. 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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
J Paige Pruitt Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/22/2021
Lisa P Hamby Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
Neil L Pruitt Jr Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo J Paige Pruitt	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo Lisa P Hamby	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo Neil L Pruitt Jr	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
Pruitt Properties INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/12/2020
Pruitt, Neil	Individual	Direct Ownership Interest	NOT APPLICABLE	11/27/2013
United Health Services INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/27/2013
United Health Services of Georgia, INC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/27/2013
United Health Services of South Carolina INC	Organization	Direct Ownership Interest	NOT APPLICABLE	11/27/2013
Davis, Bryan	Individual	Operational/Managerial Control	NOT APPLICABLE	03/02/2025
Davis, Bryan	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2025
Estill Healthcare Properties INC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2010
J Paige Pruitt Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/22/2021
Lisa P Hamby Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/12/2020
Neil L Pruitt Jr Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo J Paige Pruitt	Organization	ADP of the SNF	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo Lisa P Hamby	Organization	ADP of the SNF	NOT APPLICABLE	08/12/2020
NWP 2020 Child Tr Fbo Neil L Pruitt Jr	Organization	ADP of the SNF	NOT APPLICABLE	08/12/2020

Questions to ask on your visit

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

"Where do you post your daily staffing numbers, and can I see today's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
John Edward Harter Nursing Center	14.6 mi	Fairfax, SC	★★★★☆	4/5

Compare this facility with the 1 closest →

All facilities in Estill →

Facility data as of CMS processing date 2026-08-01. CCN 425315.

The Care File

Visit checklist — Pruitthealth- Estill

252 Liberty Street South, Estill, SC 29918 · 8036253852

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $7,745

Questions for the administrator:

☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 425315 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)