Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
1/5
Health inspection rating (on-site)
inspected Mar 12, 2026
1
Serious findings on record
most recent Nov 25, 2025
$14,069
Fines, last 3 years
4.09
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Inspection findings in the public record
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
F · Potential for more than minimal harm, widespread
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
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
E · Potential for more than minimal harm, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
View all 6 inspection findingsShow only the latest 3 findings
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
Mar 12, 2026
F · Potential for more than minimal harm, widespread
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 12, 2026
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
Mar 12, 2026
E · Potential for more than minimal harm, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 12, 2026
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
Nov 25, 2025
▲ J · Immediate jeopardy, isolated
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 · F-0689
Sep 30, 2023
D · Potential for more than minimal harm, isolated
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 · F-0658
Inspection trend by year
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
1
Serious citations (G–L):
0
2025
All citations:
1
Serious citations (G–L):
1
2026
All citations:
4
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
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
Nov 25, 2025
Fine
$14,069
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilitySouth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.09
South Carolina average:
4.08
U.S. average:
3.95
Registered Nurse hours
This facility:
1.24
South Carolina average:
0.67
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.61
South Carolina average:
3.55
U.S. average:
3.50
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)
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 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 3.44, RN 1.04, weekend 3.03.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.44 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
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.
No verified facility-specific private-pay price is available in our data for Sprenger Health Care of Port Royal. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
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Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Showing 20 of 40 parties CMS has on file for this facility; 20 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Sprenger Health Care Systems — 12 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.
Facility data as of CMS processing date 2026-08-01. CCN 425413.
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The Care File
Visit checklist — Sprenger Health Care of Port Royal
1810 Richmond Avenue, Port Royal, SC 29935 · (843) 781-7700
Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $14,069
Most serious findings on record:
▲ Nov 25, 2025 (F-0689, Immediate jeopardy, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Questions for the administrator:
☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 40 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 425413 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)