Sprenger Health Care of Port Royal
1810 Richmond Avenue, Port Royal, SC 29935 · Beaufort County · 65 certified beds · avg 55 residents/day · certified since Sep 26, 2018
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
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 · Nov 25, 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 (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.
All citations in the current public record (6)
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 |
|---|---|---|
| Mar 12, 2026 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 12, 2026 | 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 12, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 12, 2026 | 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. |
| Nov 25, 2025 | ▲ J · Immediate jeopardy, 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 |
| Sep 30, 2023 | 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. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 4 | 0 | F |
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 $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Nov 25, 2025 | Fine | $14,069 |
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 41% in South Carolina; top 36% in the U.S. |
| Registered Nurse hours | 1.24 | 0.67 | 0.69 | top 9% in South Carolina; top 8% in the U.S. |
| Weekend total nurse staffing | 3.61 | 3.55 | 3.50 | top 36% in South Carolina; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.41 | 0.48 | top 16% in South Carolina; top 23% in the U.S. |
| Total nursing staff turnover (%) | 45.3 | 45.9 | 45.8 | top 49% in South Carolina; bottom 49% in the U.S. |
| RN turnover (%) | 31.3 | 42.1 | 42.9 | top 35% in South Carolina; top 32% 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 3.44, RN 1.04, weekend 3.03. Staffing rating: 4/5.
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| SHCS INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/25/2016 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | 50% | 05/25/2016 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | 50% | 05/25/2016 |
| Allen-Davis, Tikeshia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/08/2024 |
| Allen-Davis, Tikeshia | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2024 |
| Citrin Cooperman and Company, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| CMS & Co. Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2017 |
| CMS & Co. Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Courtock, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2002 |
| Courtock, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2002 |
| Delta Health Care Consultants, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Derrick, Fletcher | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2018 |
| Derrick, Fletcher | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2018 |
| Dixon, Teresa | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/12/2024 |
| Dixon, Teresa | Individual | ADP of the SNF | NOT APPLICABLE | 06/12/2024 |
| Epperly, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2022 |
| Epperly, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2022 |
| Fox, Emily | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
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?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Resorts at Beaufort | 1.6 mi | Beaufort, SC | ★★★☆☆ | 3/5 | |
| The Preston Health Center | 10.8 mi | Hilton Head Island, SC | ★★★★★ | 5/5 | |
| Life Care Center of Hilton Head | 11.2 mi | Hilton Head Island, SC | ★☆☆☆☆ | 1/5 | abuse |
| Broad Creek Care Center | 15.5 mi | Hilton Head Island, SC | ★★★★★ | 4/5 | |
| Sprenger Healthcare of Bluffton | 16.1 mi | Bluffton, SC | ★★★★★ | 5/5 | |
| Fraser Health Center | 16.7 mi | Hilton Head Island, SC | ★★★★☆ | 3/5 | |
| NHC Healthcare - Bluffton | 16.9 mi | Okatie, SC | ★★★★☆ | 4/5 | |
| Ridgeland Nursing Center INC | 19.6 mi | Ridgeland, SC | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 425413.