Lake Moultrie Nursing Home
1038 McGill Lane
Saint Stephen, SC, 29479
8435672307
CCN: 425341
2
Overall2
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CLARENDON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| STANLEY, MATHEW | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROWDER, CHRISTINA | CORPORATE OFFICER | NOT APPLICABLE |
| MATTHEWS, ROBIN | CORPORATE OFFICER | NOT APPLICABLE |
| MATTHEWS, ROBIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STANLEY, MATHEW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2025-01-22 | Fine | $11K |
| 2023-04-06 | Fine | $8K |
Health Deficiencies (10)
2025-01-22 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
F578 · Resident Rights Deficiencies
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.
2023-04-06 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2021-09-17 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.53
RN Hrs/Resident/Day0.54
0.74
LPN Hrs/Resident/Day0.81
0.63
CNA Hrs/Resident/Day2.33
2.17
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01