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Pepper Hill Nursing & Rehab Center, LLC

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About Pepper Hill Nursing & Rehab Center, LLC

General Information

Legal Business NamePepper Hill Nursing & Rehab Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 23, 1991 (26 years)
Capacity126
Residents113
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pepper Hill Nursing & Rehab Center, LLC

Pepper Hill Nursing & Rehab Center, LLC
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of South Carolina Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CManyPotential for Minimal HarmComplaint+InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

March 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

March 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

January 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionFire resistant room wall surfaces.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintGive or get specialized rehabilitative services per the patient's assessment or plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pepper Hill Nursing & Rehab Center, LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 35min
2hr 25min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
4hr 10min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.1%
98.1%
95.0%
Q1 2015Q2 2015Q3 2015SC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
99.1%
99.0%
96.0%
Q1 2015Q2 2015Q3 2015SC
Assessed and Appropriately Given the Pneumococcal Vaccine
46.3%
43.8%
37.2%
53.1%
Q1 2015Q2 2015Q3 2015SC
Low Risk Residents Who Lose Control of Their Bowel or Bladder
14.0%
16.5%
16.0%
14.7%
Q1 2015Q2 2015Q3 2015SC
Received an Antipsychotic Medication
23.2%
22.4%
17.5%
15.6%
Q1 2015Q2 2015Q3 2015SC
Need for Help with ADLs has Increased
7.6%
10.4%
15.9%
7.4%
Q1 2015Q2 2015Q3 2015SC
Self Report Moderate to Severe Pain
12.0%
11.1%
5.7%
9.6%
Q1 2015Q2 2015Q3 2015SC
Lose Too Much Weight
6.2%
2.8%
8.5%
6.6%
Q1 2015Q2 2015Q3 2015SC
High Risk Residents With Pressure Ulcers
1.1%
0.0%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015SC
Have Depressive Symptoms
14.1%
13.2%
16.7%
7.2%
Q1 2015Q2 2015Q3 2015SC
With a Urinary Tract Infection
1.0%
1.9%
5.8%
3.2%
Q1 2015Q2 2015Q3 2015SC
Experiencing One or More Falls with Major Injury
2.6%
2.4%
1.8%
2.0%
Q1 2015Q2 2015Q3 2015SC
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015SC
Were Physically Restrained

Quality Measures for Short Stay Residents

90.7%
91.0%
89.5%
86.4%
Q1 2015Q2 2015Q3 2015SC
Assessed and Appropriately Given the Pneumococcal Vaccine
75.7%
75.7%
75.7%
85.6%
Q1 2015Q2 2015Q3 2015SC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
33.3%
40.9%
38.0%
14.7%
Q1 2015Q2 2015Q3 2015SC
Self Report Moderate to Severe Pain
7.1%
4.1%
2.0%
2.4%
Q1 2015Q2 2015Q3 2015SC
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015SC
With Pressure Ulcers That Are New or Worsened