252 Liberty Street South, Estill, SC 29918 (opens Google Maps) · Hampton County · (803) 625-3852· 88 certified beds · avg 76 residents/day · certified since Sep 27, 1991 · 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: PRUITTHEALTH (95 facilities, chain avg rating 2.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · 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.
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
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. F-0732
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. F-0812
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. F-0908
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 |
|---|---|---|
| Apr 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0732 |
| Sep 20, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Sep 20, 2023 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Sep 20, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Sep 20, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Sep 20, 2023 | 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 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · F-0675 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Sep 20, 2023 | 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 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0725 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 20, 2023 | 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 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Aug 13, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0636 |
| Aug 13, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0638 |
Citations from standard inspections decreased between the last two inspection cycles (22 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | E |
| 2023 | 22 | 0 | F |
| 2025 | 1 | 0 | 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.
How to file a complaint about care →
1 fine totaling $7,745.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 20, 2023 | Fine | $7,745 |
What these staffing numbers mean →
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) | 3.68 | 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 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 3.17, RN 0.42, weekend 2.53.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.17 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pruitthealth- Estill. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
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 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Pruitthealth — 95 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 94 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| John Edward Harter Nursing Center | 14.6 mi | Fairfax, SC | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 425315.
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