B

Wesley Commons Health And Rehabilitation Center

1110 Marshall Road, Greenwood, SC 29646
Score: 71 / 100

Wesley Commons Health And Rehabilitation Center earns a solid B grade from CMS data, with a score of 71/100. Performing above average across most metrics, this Greenwood facility ranks in the 67th percentile among South Carolina nursing homes.

Staffing at Wesley Commons Health And Rehabilitation Center is near the national average, with 4.15 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 5 deficiencies at Wesley Commons Health And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.15 3.8 Average
Registered Nurses (RN) 0.98 0.7 Above Average
Licensed Practical Nurses (LPN) 0.68 0.7 Average
Certified Nursing Assistants (CNA) 2.49 2.4 Average
Weekend Total Nursing 3.66 3.8 Average
Weekend RN Hours 0.65 0.7 Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Oct 18, 2023
Most Recent Inspection
🟠 4 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 18, 2023 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Apr 13, 2023 · Pharmacy Service Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Apr 13, 2023 · Pharmacy Service Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 29, 2021 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Sep 29, 2021 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.2% 4.5% Better
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 27.8% 14.5% Worse
Urinary tract infections 3.3% 2.5% Worse
ADL decline (daily activities) 11.4% 14.0% Better
Excessive weight loss 10.4% 7.5% Worse
New/worsened incontinence 24.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $14,521

How This Grade Was Calculated

This facility's grade of B is based on a score of 71 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 26, 2024
Deficiencies (Cycle 1)
0