Pruitthealth- Estill
252 Liberty Street South · Estill, SC · 29918 · 8036253852
88 certified beds For profit - Limited Liability company Chain: Pruitthealth
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $7,745 |
Inspection citations (25 in the current record)
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Potential for harm · D April 29, 2025
Post nurse staffing information every day.
Corrected May 23, 2025 · Nursing and Physician Services
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Potential for harm · D September 20, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 20, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 20, 2023
Ensure each resident receives an accurate assessment.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2023
Honor each resident's preferences, choices, values and beliefs.
Corrected November 6, 2023 · Quality of Life and Care
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Potential for harm · E September 20, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 6, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Provide activities to meet all resident's needs.
Corrected November 6, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 30, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 20, 2023 · Nursing and Physician Services
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Potential for harm · D September 20, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
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.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
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.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · F September 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 6, 2023 · Nutrition and Dietary
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Potential for harm · D September 20, 2023
Provide and implement an infection prevention and control program.
Corrected November 30, 2023 · Infection Control
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Potential for harm · D September 20, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 20, 2023 · Infection Control
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Potential for harm · F September 20, 2023
Keep all essential equipment working safely.
Corrected October 20, 2023 · Environmental
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Potential for harm · E August 13, 2021
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 12, 2021 · Resident Assessment and Care Planning
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Potential for harm · E August 13, 2021
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected September 12, 2021 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 20, 2023 | Fine | $7,745 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 425315 · certified since September 27, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.