Above the Rest Residential Care
State licensed2385 Pamplico Hwy, Florence, SC 29505
Assisted Living
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Medicare-certifiedSkilled Nursing
The Palms At Florence
Florence, South CarolinaMedicare inspection record
About The Palms At Florence
The Palms At Florence provides compassionate skilled nursing and rehabilitation care in Florence, South Carolina, helping patients regain strength and independence. Our team combines medical expertise with personalized attention, supporting recovery every step of the way.
Community at a glance
Capacity
163 residents
Location
Florence, SC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4438 Pamplico Highway, Florence, South Carolina 29505
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 4, 2026, state inspectors cited 7 health deficiencies (the South Carolina average is 3.6).
Nurses and nurse aides spend 3 hours 57 minutes with each resident a day, about the same as the South Carolina average.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 57 minutes |
| Registered nurse time per resident, per day | 29 minutesBelow the South Carolina average |
| Nursing staff who left in the past year | 35%Below the South Carolina average |
Inspections
10 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 4, 2026 · Standard inspection · 7 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 3, 2026Post nurse staffing information every day.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jul 3, 2026Dispose of garbage and refuse properly.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 3, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 3, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 3, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 3, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 3, 2026
April 4, 2025 · Standard inspection · 3 citations
Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 2, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 2, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 2, 2025
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Commander Operator LLC
- Medicare-certified beds
- 163
- Average residents per day
- 155
- Accepts
- Medicare and Medicaid
- First certified
- July 1, 1978
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 425119
Location
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4438 Pamplico HighwayFlorence, SC 29505
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Questions about The Palms At Florence
How did The Palms At Florence do on its last inspection?+
State inspectors visited on June 4, 2026 and cited 7 health deficiencies. The South Carolina average is 3.6.
How much nursing care does each resident get at The Palms At Florence?+
Nurses and aides spend 3 hours 57 minutes with each resident per day, including 29 minutes from registered nurses. 35% of nursing staff left over the past year.
Has The Palms At Florence been fined by Medicare?+
Medicare's records show no fines against The Palms At Florence in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.