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Retreat at Wellmore of Daniel Island

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Retreat at Wellmore of Daniel Island is a for profit - corporation facility in Charleston, SC with 60 certified beds and a 4-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $13K.

580 Robert Daniel Drive, Charleston, SC 29492

Phone: 8435661000

Overall Rating

4/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
425414
Ownership
For profit - Corporation
Provider Type
Medicare
Beds
60
Residents
47
In Hospital
No
County
Berkeley
Last Inspection
Apr 2, 2025

Staffing Data

RN Hours
0.86 (nat'l avg: 0.68)
LPN Hours
1.31
CNA Hours
2.67
Total Nursing Hours
4.85 (nat'l avg: 3.89)
PT Hours
0.20
Nursing Turnover
69.4%
RN Turnover
60.0%

What the CMS Record Reveals About Retreat at Wellmore of Daniel Island

Retreat at Wellmore of Daniel Island operates 60 certified beds in Charleston, SC with approximately 47 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $13K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.85 total nursing hours per resident day (national average 3.89), with RN coverage at 0.86 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare" provider, Retreat at Wellmore of Daniel Island falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 69.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

J — Isolated - Jeopardy Sep 11, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

F — Widespread - Minimal harm Apr 2, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: May 14, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 17, 2024

F — Widespread - Minimal harm Apr 17, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 2, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2024

E — Pattern - Minimal harm Apr 17, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 30, 2024

D — Isolated - Minimal harm Sep 5, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 15, 2023

D — Isolated - Minimal harm May 13, 2022 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 18, 2022

F — Widespread - Minimal harm May 13, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 18, 2022

E — Pattern - Minimal harm May 13, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 10, 2022

D — Isolated - Minimal harm May 13, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 27, 2022

D — Isolated - Minimal harm May 13, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2022

D — Isolated - Minimal harm May 13, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 27, 2022

D — Isolated - Minimal harm May 13, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 27, 2022

D — Isolated - Minimal harm May 13, 2022 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 27, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 10.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 70.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 52.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 64.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 66.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History 1 penalties totaling $13K

Date Type Amount
Sep 11, 2025 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for Retreat at Wellmore of Daniel Island?
Retreat at Wellmore of Daniel Island has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at Retreat at Wellmore of Daniel Island?
Retreat at Wellmore of Daniel Island reports 4.85 total nursing hours per resident day (national average: 3.89). RN hours are 0.86 per resident day (national average: 0.68). Nursing staff turnover is 69.4%.
How many beds does Retreat at Wellmore of Daniel Island have?
Retreat at Wellmore of Daniel Island has 60 certified beds with approximately 47 residents. The facility is located at 580 Robert Daniel Drive, Charleston, SC 29492.
Does Retreat at Wellmore of Daniel Island have any deficiencies on record?
Yes, Retreat at Wellmore of Daniel Island has 18 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Retreat at Wellmore of Daniel Island received any fines or penalties?
Yes, Retreat at Wellmore of Daniel Island has received 1 penalties totaling $13K.
Who owns Retreat at Wellmore of Daniel Island?
Retreat at Wellmore of Daniel Island is classified as "For profit - Corporation" ownership. The facility type is "Medicare".
When was Retreat at Wellmore of Daniel Island last inspected?
The most recent health inspection for Retreat at Wellmore of Daniel Island was on Apr 2, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Retreat at Wellmore of Daniel Island?
Retreat at Wellmore of Daniel Island is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial