Resorts at Beaufort
11 Todd Drive, Beaufort, SC 29901 · Beaufort County · 170 certified beds · avg 127 residents/day · certified since Dec 1, 1975
Part of chain: THE ROSENBERG FAMILY (16 facilities, chain avg rating 2.7★)
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 · May 16, 2025 · 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: May 23, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 2, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | B · Minimal risk, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 20, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 20, 2025 | 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. · from a complaint |
| May 16, 2025 | ▲ 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 |
| May 16, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| May 16, 2025 | 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. · from a complaint |
| May 16, 2025 | 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. · from a complaint |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 8, 2025 | 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. |
| Jan 8, 2025 | 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 9, 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. |
| Feb 9, 2023 | D · Potential for harm, one-off | 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. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 9, 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. |
| Feb 9, 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. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2025 | 11 | 1 | G ▲ |
| 2026 | 5 | 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 $10,868.
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2025 | Fine | $10,868 |
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) | 4.09 | 4.08 | 3.95 | top 40% in South Carolina; top 36% in the U.S. |
| Registered Nurse hours | 0.59 | 0.67 | 0.69 | top 44% in South Carolina; top 49% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.55 | 3.50 | top 41% in South Carolina; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.41 | 0.48 | top 40% in South Carolina; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 64.7 | 45.9 | 45.8 | bottom 7% in South Carolina; bottom 10% in the U.S. |
| RN turnover (%) | 47.1 | 42.1 | 42.9 | bottom 39% in South Carolina; bottom 40% 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 4.03, RN 0.59, weekend 3.48. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Resorts at Beaufort 2 LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2023 |
| Rosenberg, Avraham | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Zvi | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2023 |
| 11 Todd LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| 11 Todd LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2023 |
| 11 Todd LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Az 22 Tr | Organization | Trustee of the SNF | NOT APPLICABLE | 04/01/2023 |
| Az 22 Tr | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Castor, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Castor, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Ferguson, Sandra L | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Ferguson, Sandra L | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Resorts at Beaufort 2 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/10/2025 |
| Rosenberg, Avraham | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Avraham | Individual | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Avraham | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Jonathan | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Jonathan | Individual | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Rosenberg, Moshe | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "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 decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 |
|---|---|---|---|---|---|
| Sprenger Health Care of Port Royal | 1.6 mi | Port Royal, SC | ★☆☆☆☆ | 1/5 | |
| The Preston Health Center | 12.3 mi | Hilton Head Island, SC | ★★★★★ | 5/5 | |
| Life Care Center of Hilton Head | 12.7 mi | Hilton Head Island, SC | ★☆☆☆☆ | 1/5 | abuse |
| Sprenger Healthcare of Bluffton | 17.0 mi | Bluffton, SC | ★★★★★ | 5/5 | |
| Broad Creek Care Center | 17.0 mi | Hilton Head Island, SC | ★★★★★ | 4/5 | |
| NHC Healthcare - Bluffton | 17.9 mi | Okatie, SC | ★★★★☆ | 4/5 | |
| Fraser Health Center | 18.3 mi | Hilton Head Island, SC | ★★★★☆ | 3/5 | |
| Ridgeland Nursing Center INC | 19.3 mi | Ridgeland, SC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 425067.