The Palms at Florence

Name: The Palms at Florence
Address: 4438 Pamplico Highway, Florence, SC, 29505, US
Telephone: 8436693502

4438 Pamplico Highway, Florence, SC 29505 · Florence County · 163 certified beds · avg 155 residents/day · certified since Jul 1, 1978

4/5

Health inspection rating (on-site)

Serious findings on record

$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)

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

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 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

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

All citations in the current public record (10)

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 4, 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.
Apr 4, 2025	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.
Apr 4, 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.
Oct 25, 2023	▲ G · Actual harm, one-off	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.
Dec 2, 2021	E · Potential for harm, repeated	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.
Dec 2, 2021	E · Potential for harm, repeated	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.
Dec 2, 2021	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Dec 2, 2021	D · Potential for harm, one-off	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.
Dec 2, 2021	D · Potential for harm, one-off	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.
Dec 2, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

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

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)

1 fine totaling $7,901.

Date	Type	Amount / length
Oct 25, 2023	Fine	$7,901

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	0.50	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, 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. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

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

Questions to ask on your visit

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?"
"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
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	13.1 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

Compare this facility with the 3 closest →

All facilities in Florence →

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

The Care File

Visit checklist — The Palms at Florence

4438 Pamplico Highway, Florence, SC 29505 · 8436693502

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $7,901

Most serious findings on record:

▲ Oct 25, 2023 (F-0686, Actual harm, one-off): 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.

Questions for the administrator:

☐ "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?"
☐ "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?"

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 425119 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)