The Palms at Florence

4438 Pamplico Highway, Florence, SC 29505 (opens Google Maps) · Florence County · (843) 669-3502· 163 certified beds · avg 155 residents/day · certified since Jul 1, 1978 · 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 →

4/5

Health inspection rating (on-site)

inspected Apr 4, 2025

Serious findings on record

most recent Oct 25, 2023

$7,901

Fines, last 3 years

4.09

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Oct 25, 2023 · F-0686

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. 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.

Corrected: Nov 20, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

Apr 4, 2025D · 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
Apr 4, 2025D · Potential for more than minimal harm, isolated
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. F-0695
Apr 4, 2025D · Potential for more than minimal harm, isolated
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. F-0759

View all 10 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
Apr 4, 2025	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
Apr 4, 2025	D · Potential for more than minimal harm, isolated	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. · F-0695
Apr 4, 2025	D · Potential for more than minimal harm, isolated	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. · F-0759
Oct 25, 2023	▲ G · Actual 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
Dec 2, 2021	E · Potential for more than minimal harm, pattern	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
Dec 2, 2021	E · Potential for more than minimal harm, pattern	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
Dec 2, 2021	E · Potential for more than minimal harm, pattern	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Dec 2, 2021	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Dec 2, 2021	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
Dec 2, 2021	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2023

2025

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	E
2023	1	1	G ▲
2025	3	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.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $7,901.

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
Oct 25, 2023	Fine	$7,901

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

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)

4.09

4.08

3.95

Registered Nurse hours

0.50

0.67

0.69

Weekend total nurse staffing

3.48

3.55

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 40% in South Carolina; top 36% in the U.S.
Registered Nurse hours	0.50	0.67	0.69	bottom 40% in South Carolina; bottom 38% in the U.S.
Weekend total nurse staffing	3.48	3.55	3.50	top 44% in South Carolina; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.14	0.41	0.48	bottom 3% in South Carolina; bottom 4% in the U.S.
Total nursing staff turnover (%)	34.5	45.9	45.8	top 20% in South Carolina; top 23% in the U.S.
RN turnover (%)	15.0	42.1	42.9	top 8% in South Carolina; top 9% 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 3.95, RN 0.48, weekend 3.36.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.95 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.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Palms at Florence. 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.

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Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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
Commander Operator Holdco, LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2021
Dasay 2019 Trust	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2021
Gamta 2020 Trust	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2021
Tropper, Yaakov	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2021
Weiss, Hillel	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2021
Commander, Joeseph	Individual	W-2 Managing Employee	NOT APPLICABLE	11/01/2021
Stern, Samuel	Individual	Corporate Officer	NOT APPLICABLE	11/01/2021

All 7 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"

Also worth asking anywhere

"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 35% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Veteran Village	5.9 mi	Florence, SC	★★★★☆	4/5
Southland Health Care Center	6.5 mi	Florence, SC	★★★★☆	4/5
Heritage Post Acute	7.0 mi	Florence, SC	★★☆☆☆	3/5
Faith Healthcare Center	7.8 mi	Florence, SC	★★☆☆☆	2/5
Honorage Nursing Center	9.2 mi	Florence, SC	★★★★★	5/5
Carlyle Senior Care of Florence	10.4 mi	Florence, SC	★☆☆☆☆	2/5
Presbyterian Communities of South Carolina-Florenc	11.3 mi	Florence, SC	★★★★★	4/5
Bethea Baptist Healthcare Center	13.2 mi	Darlington, SC	★★★☆☆	3/5
Lake City Scranton Healthcare Center	13.4 mi	Scranton, SC	★★★★☆	4/5
Oakhaven Nursing Center	16.7 mi	Darlington, SC	★★★★★	5/5
Medford Nursing Center	17.3 mi	Darlington, SC	★★★★☆	4/5
Dr Ronald E McNair Nursing & Rehabilitation Center	19.2 mi	Lake City, SC	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Florence →

Facility data as of CMS processing date 2026-08-01. CCN 425119.