MUSC Health — Post-Acute Analytics Dashboard

Priority Intervention Targets · System-Wide

Top 15 SNF Partners by Hospitalization Leverage 530 SNF patients (named) across priority targets

1THE OAKS HEALTHCARE LLC40 pts · 62.4% FSHR · 3H 2NHC HEALTHCARE, CHARLESTON58 pts · 54.5% FSHR 3PRUITTHEALTH - BLYTHEWOOD30 pts · 63.0% FSHR · 6H 4WHITE OAK MANOR CHARLESTON20 pts · 70.3% FSHR 5RAILROAD CROSSING HEALTHCARE, INC.17 pts · 69.2% FSHR 6SOUTHLAND HEALTH CARE CENTER21 pts · 62.3% FSHR · 3H 7SENIOR CARE OF MARION LLC15 pts · 63.4% FSHR · 3H 8JOHNS ISLAND POST ACUTE39 pts · 50.6% FSHR · 3H 9RIVERSIDE HEALTH AND REHAB24 pts · 54.7% FSHR · 2H 10THE PALMS AT FLORENCE79 pts · 46.2% FSHR · 4H 11JOLLEY ACRES HEALTHCARE CENTER42 pts · 49.1% FSHR · 3H 12ASHLEY RIVER HEALTHCARE24 pts · 52.6% FSHR · 2H 13LANCASTER CONVALESCENT CENTER57 pts · 46.1% FSHR · 5H 14RICE NURSING HOME32 pts · 48.5% FSHR · 4H 15COOPER RIVER POST ACUTE32 pts · 48.1% FSHR · 3H

Priority score combines FSHR magnitude, patient volume, and multi-hospital presence. FSHR = Facility Hospitalization Rate from CMS Medicare FFS Claims. System FSHR benchmark: 42.9%. Data period: 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix).

Key Findings

Meaningful FSHR Variation Across MUSC Health: 25.0% to 50.6%

The system-wide weighted average FSHR is 42.9%, but individual hospital performance ranges from 25.0% (Chester) to 50.6% (Orangeburg). This 25.6 percentage point spread represents significant, actionable variation in post-acute network performance across MUSC Health that is not yet fully visible within the current care management infrastructure.

15 SNF Partners Account for Concentrated Hospitalization Risk

15 priority target SNFs serve 530 patients system-wide with above-average FSHR rates. The top target, The Oaks Healthcare Llc, carries a 62.4% FSHR — 19.5 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for MUSC Health's post-acute network management program.

78 Cross-System SNFs Create System-Level Engagement Opportunities

78 SNFs receive patients from 2 or more MUSC Health hospitals, creating system-level leverage for preferred network conversations. The highest-volume cross-system SNF, Karesh Long Term Care, serves 119 patients across 6 hospitals. Coordinated engagement at these facilities allows MUSC Health to move network-wide performance with a single partnership conversation.

Limited Visibility Across 11 Hospitals: 142 Destinations, Partial FSHR Ratings

MUSC Health's 11 active hospitals collectively discharge to 142 distinct SNF destinations. Many SNF relationships lack facility-level FSHR data due to CMS suppression thresholds for small-volume relationships. This limited visibility constrains MUSC Health's ability to systematically identify underperforming partners and build a high-performing preferred post-acute network. Structured SNF engagement and preferred network designation would create the monitoring infrastructure needed to close this gap.

7 Hospitals Below CMS Reporting Thresholds — Data Gap to Address

Seven MUSC Health hospitals fall below CMS Medicare FFS claims volume thresholds for this reporting period and have no FSHR-rated SNF relationships in the data. These include specialty and satellite facilities grouped under shared CCNs (CCN 420004 covers 4 hospitals including children's and psychiatric campuses; CCN 420026 covers 2 affiliated hospitals; CCN 423033 covers 2 rehabilitation/IRF facilities). This is a legitimate low-FFS-volume claim pattern for pediatric, psychiatric, and IRF services — not a data gap. As MUSC Health's post-acute network management program matures, ensuring these sites are included in preferred network initiatives and tracked through internal data will be critical to comprehensive system performance management.

Hospital Portfolio · 11 Active Entities

Orangeburg

Orangeburg, SC

50.6%

124SNF Pts (named)

25SNF Dests

13.1% utilSNF Util

Florence

Florence, SC

47.9%

236SNF Pts (named)

47SNF Dests

13.6% utilSNF Util

Columbia Downtown

Columbia, SC

46.1%

114SNF Pts (named)

43SNF Dests

9.1% utilSNF Util

UMC Charleston

Charleston, SC

43.7%

465SNF Pts (named)

79SNF Dests

8.0% utilSNF Util

Lancaster

Lancaster, SC

40.1%

109SNF Pts (named)

15SNF Dests

11.4% utilSNF Util

Kershaw

Camden, SC

38.0%

112SNF Pts (named)

17SNF Dests

20.6% utilSNF Util

Waccamaw

Murrells Inlet, SC

36.8%

208SNF Pts (named)

20SNF Dests

9.7% utilSNF Util

Georgetown

Georgetown, SC

33.3%

48SNF Pts (named)

7SNF Dests

10.1% utilSNF Util

Marion

Mullins, SC

31.4%

15SNF Pts (named)

11SNF Dests

18.8% utilSNF Util

Chester

Chester, SC

25.0%

16SNF Pts (named)

10SNF Dests

15.6% utilSNF Util

Columbia Northeast

Columbia, SC

—

49SNF Pts (named)

24SNF Dests

util n/aSNF Util

Patient Risk Distribution

Very High

0.0%

High

30.7%

Medium

69.3%

Low

0.0%

Very Low

0.0%

Facility Risk Distribution

Very High

23.1%

High

36.1%

Medium

5.3%

Low

0.0%

Very Low

0.0%

Hospital Profiles

Click a card to view SNF destination table

11 Hospitals Analyzed

Orangeburg

Orangeburg, SC

50.6%

124SNF Pts (named)

25SNF Dests

13.1% utilSNF Util

Florence

Florence, SC

47.9%

236SNF Pts (named)

47SNF Dests

13.6% utilSNF Util

Columbia Downtown

Columbia, SC

46.1%

114SNF Pts (named)

43SNF Dests

9.1% utilSNF Util

UMC Charleston

Charleston, SC

43.7%

465SNF Pts (named)

79SNF Dests

8.0% utilSNF Util

Lancaster

Lancaster, SC

40.1%

109SNF Pts (named)

15SNF Dests

11.4% utilSNF Util

Kershaw

Camden, SC

38.0%

112SNF Pts (named)

17SNF Dests

20.6% utilSNF Util

Waccamaw

Murrells Inlet, SC

36.8%

208SNF Pts (named)

20SNF Dests

9.7% utilSNF Util

Georgetown

Georgetown, SC

33.3%

48SNF Pts (named)

7SNF Dests

10.1% utilSNF Util

Marion

Mullins, SC

31.4%

15SNF Pts (named)

11SNF Dests

18.8% utilSNF Util

Chester

Chester, SC

25.0%

16SNF Pts (named)

10SNF Dests

15.6% utilSNF Util

Columbia Northeast

Columbia, SC

—

49SNF Pts (named)

24SNF Dests

util n/aSNF Util

SNF Destination Detail

Select a hospital above

Select a hospital to view SNF destination table.

Priority Intervention Targets

SNFs with above-system FSHR sorted by excess-FSHR proxy score

15 SNFs

#	SNF Facility	Patients	FSHR	Δ vs System	Hospitals	Key Partners
1	THE OAKS HEALTHCARE LLC	40	62.4%	+19.6pp	3	University Medical Center (Cha, Orangeburg Medical Center, Columbia Medical Center Downto
2	NHC HEALTHCARE, CHARLESTON	58	54.5%	+11.7pp	1	University Medical Center (Cha
3	PRUITTHEALTH - BLYTHEWOOD	30	63.0%	+20.1pp	6	University Medical Center (Cha, Orangeburg Medical Center, Columbia Medical Center Downto
4	WHITE OAK MANOR CHARLESTON	20	70.3%	+27.4pp	1	University Medical Center (Cha
5	RAILROAD CROSSING HEALTHCARE, INC.	17	69.2%	+26.4pp	1	University Medical Center (Cha
6	SOUTHLAND HEALTH CARE CENTER	21	62.3%	+19.4pp	3	University Medical Center (Cha, Florence Medical Center, Marion Medical Center
7	SENIOR CARE OF MARION LLC	15	63.4%	+20.6pp	3	University Medical Center (Cha, Florence Medical Center, Marion Medical Center
8	JOHNS ISLAND POST ACUTE	39	50.6%	+7.8pp	3	University Medical Center (Cha, Florence Medical Center, Orangeburg Medical Center
9	RIVERSIDE HEALTH AND REHAB	24	54.7%	+11.8pp	2	University Medical Center (Cha, Columbia Medical Center Northe
10	THE PALMS AT FLORENCE	79	46.2%	+3.4pp	4	University Medical Center (Cha, Florence Medical Center, Orangeburg Medical Center
11	JOLLEY ACRES HEALTHCARE CENTER	42	49.1%	+6.2pp	3	University Medical Center (Cha, Florence Medical Center, Orangeburg Medical Center
12	ASHLEY RIVER HEALTHCARE	24	52.6%	+9.8pp	2	University Medical Center (Cha, Florence Medical Center
13	LANCASTER CONVALESCENT CENTER	57	46.1%	+3.2pp	5	Florence Medical Center, Columbia Medical Center Downto, Kershaw Medical Center
14	RICE NURSING HOME	32	48.5%	+5.7pp	4	Florence Medical Center, Columbia Medical Center Downto, Kershaw Medical Center
15	COOPER RIVER POST ACUTE	32	48.1%	+5.2pp	3	University Medical Center (Cha, Orangeburg Medical Center, T. Georgetown Memorial Hospita

Priority targets = cross-system or high-volume SNFs with FSHR above system average (42.9%), sorted by excess-FSHR proxy (patients × excess FSHR pp). System FSHR: 42.9%. Data: CMS Medicare FFS Claims, 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix).

Cross-System SNF Network

Top 78 of 78 SNFs appearing at 2+ MUSC Health hospitals

78 Total Cross-System SNFs

#	SNF Facility	Total Patients	Hospitals	FSHR	Hospital Partners
1	KARESH LONG TERM CARE	119	6	38.7%	University Medical Center (C, Florence Medical Center, Columbia Medical Center Down, Kershaw Medical Center
2	NHC HEALTHCARE, GARDEN CITY	95	3	36.4%	University Medical Center (C, T. Waccamaw Community Hospit, T. Georgetown Memorial Hospi
3	THE PALMS AT FLORENCE	79	4	46.2%	University Medical Center (C, Florence Medical Center, Orangeburg Medical Center, Marion Medical Center
4	SPRING STREET HEALTH CENTER	69	2	34.5%	University Medical Center (C, Columbia Medical Center Down
5	LITCHFIELD RETIREMENT, LLC	65	4	32.6%	University Medical Center (C, Florence Medical Center, T. Waccamaw Community Hospit, T. Georgetown Memorial Hospi
6	LANCASTER CONVALESCENT CENTER	57	5	46.1%	Florence Medical Center, Columbia Medical Center Down, Kershaw Medical Center, Lancaster Medical Center
7	WHITE OAK MANOR LANCASTER	52	5	33.6%	University Medical Center (C, Florence Medical Center, Columbia Medical Center Down, Kershaw Medical Center
8	BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY	47	2	22.0%	University Medical Center (C, T. Waccamaw Community Hospit
9	NHC HEALTHCARE, PARKLANE	42	4	37.9%	University Medical Center (C, Columbia Medical Center Down, Kershaw Medical Center, Columbia Medical Center Nort
10	JOLLEY ACRES HEALTHCARE CENTER	42	3	49.1%	University Medical Center (C, Florence Medical Center, Orangeburg Medical Center
11	THE OAKS HEALTHCARE LLC	40	3	62.4%	University Medical Center (C, Orangeburg Medical Center, Columbia Medical Center Down
12	JOHNS ISLAND POST ACUTE	39	3	50.6%	University Medical Center (C, Florence Medical Center, Orangeburg Medical Center
13	ANGEL OAK NURSING AND REHABILITATION CENTER LLC	35	2	40.0%	University Medical Center (C, T. Waccamaw Community Hospit
14	PRINCE GEORGE HEALTHCARE CENTER	32	5	33.3%	University Medical Center (C, Florence Medical Center, T. Waccamaw Community Hospit, Kershaw Medical Center
15	RICE NURSING HOME	32	4	48.5%	Florence Medical Center, Columbia Medical Center Down, Kershaw Medical Center, Columbia Medical Center Nort
16	COOPER RIVER POST ACUTE	32	3	48.1%	University Medical Center (C, Orangeburg Medical Center, T. Georgetown Memorial Hospi
17	PRUITTHEALTH - BLYTHEWOOD	30	6	63.0%	University Medical Center (C, Orangeburg Medical Center, Columbia Medical Center Down, Kershaw Medical Center
18	MUSC HEALTH MULLINS NURSING CENTER	29	3	29.3%	University Medical Center (C, Florence Medical Center, Marion Medical Center
19	SPRINGDALE HEALTHCARE CENTER	26	6	36.4%	University Medical Center (C, Florence Medical Center, Columbia Medical Center Down, Kershaw Medical Center
20	WILDEWOOD RETIREMENT LLC	26	4	47.4%	University Medical Center (C, Columbia Medical Center Down, Kershaw Medical Center, Columbia Medical Center Nort

Cross-system SNFs appear in the CMS Medicare FFS Claims discharge destination records of 2 or more MUSC Health hospitals. Canonical cross-system SNF count: 78. Showing top 78 by total patient volume. Data: CMS Medicare FFS Claims, 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix).

Methodology

Data Source

All post-acute performance data in this report is derived from CMS Medicare Fee-for-Service (FFS) Claims. This is the same claims data used in CMS star ratings, value-based purchasing programs, and public quality reporting. Data reflects discharges from MUSC Health hospitals to skilled nursing facilities during the period 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix).

Facility Hospitalization Rate (FSHR)

FSHR (Facility Hospitalization Rate) measures the percentage of SNF patient-days that result in an acute hospital readmission, calculated at the SNF-hospital relationship level. Unlike simple 30-day readmission rates, FSHR captures rehospitalization across the full SNF stay, providing a more comprehensive view of post-acute performance. The MUSC system-wide weighted average FSHR is 42.9% for 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix). For context, the South Carolina state average 30-day readmission rate is 15.03% — FSHR is a distinct metric that covers the full SNF stay rather than a fixed 30-day window.

Priority Score Methodology

Priority scores combine three factors: (1) FSHR magnitude above the system average, (2) total patient volume at the facility, and (3) multi-hospital presence within MUSC Health. SNFs appearing at 2+ hospitals receive a multiplier reflecting their system-wide engagement leverage. Scores are relative within the MUSC Health system.

CMS Suppression & Data Availability

CMS suppresses FSHR values for SNF-hospital relationships with fewer than 11 patients in the measurement period. Of MUSC Health's 142 unique SNF destinations, only those with sufficient volume have FSHR data. Additionally, 7 MUSC Health hospitals fall below CMS thresholds for hospital-level reporting due to shared CCNs covering children's, psychiatric, and IRF services (CCN 420004: 4 campuses; CCN 420026: 2 campuses; CCN 423033: 2 campuses). These are legitimate low-FFS-volume claim patterns, not data gaps. “Suppressed” SNF destinations are counted but not rated in this analysis. 11 of 18 hospitals in the MUSC Health roster drive measurable FFS post-acute data.

FSHR Color Coding

Throughout this portal, FSHR values are color-coded relative to the MUSC Health system average (42.9%): Red = ≥47.9% (5+ pp above system); Amber = ≥44.9% (2+ pp above); Green = ≤39.9% (3+ pp below). Uncolored values are within ±2–3 pp of system average.

Prepared By

This analysis was prepared by Puzzle Healthcare using CMS Medicare FFS Claims data. For questions about methodology, data access, or the preferred network engagement program, contact your Puzzle Healthcare account team.