Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Johns Island Post Acute

Johns Island, SC · 132 certified beds · Last Life Safety survey February 25, 2026

CMS Certification Number 425368 · first certified December 1999

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

  • Ownership changed May 22, 2019 (change of ownership)from JOHNS ISLAND REHABILITATION AND HEALTHCARE CENTER, LLC
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within SC

8 citations — more than 93% of the 187 certified nursing homes in SC. Compared within SC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was February 2026. Facilities in SC are typically surveyed 13–21 months after the last one (median 15), measured over 286 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in SC, and nationally. Surveyors differ markedly between states, so the SC figure is the meaningful one.

This facility8SC median1National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in SC1
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-1212024-1022026-02
Citations at each Life Safety survey
Survey dateCitations
December 14, 20225
October 4, 20241
February 25, 20262

Most-cited tags

Most-cited tags at this facility
K-03242K-03531K-07121K-02261K-07811K-03451E-00131
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22024-10-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-12-14
K-0712Have simulated fire drills held at unexpected times.12022-12-14
K-0226Have horizontal exits used in accordance with safety requirements.12026-02-25
K-0781Have restrictions on the use of portable space heaters.12026-02-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-12-14
E-0013Develop Emergency Preparedness policies and procedures.12022-12-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 25, 2026 — 2 citations

Citations issued on February 25, 2026
TagWhat the surveyor checksStatus
K-0226Have horizontal exits used in accordance with safety requirements.Deficient, Provider has date of correction (March 23, 2026)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 23, 2026)

October 4, 2024 — 1 citation

Citations issued on October 4, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 5, 2024)

December 14, 2022 — 5 citations

Citations issued on December 14, 2022
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 20, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 25, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 20, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 3, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.