Palmetto Lowcountry Behavioral Health
A psychiatric hospital in Charleston, South Carolina 29405
2777 Speissegger Drive, Charleston, South Carolina 29405. (843) 747-5830.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 108 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 16, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 16, 2025: complaint inspection1 deficiency
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Nursing Care Plan
The inspectors’ words, 954 words
“NURSING CARE PLAN CFR(s): 482.23(b)(4) The hospital must ensure that the nursing staff develops, and keeps current, a nursing care plan for each patient that reflects the patient’s goals and the nursing care to be provided to meet the patient’s needs. The nursing care plan may be part of an interdisciplinary care plan. This Standard is not met as evidenced by: 36779 Based on record review, video review, policy review and interviews, the hospital failed to ensure care planning was done for an identified problem of aggression for one of 17 patient records, Patient 1 (P1) reviewed for physical altercations. Findings included: Review of P1’s record on 05/13/25 at 4:43 PM, revealed P1 was admitted to the hospital on 04/17/25 at 4:00 PM with a diagnosis of Paranoid Ideation. The Standardized Intake Assessment dated 04/17/25 indicated, “ ...PRESENTING PROBLEMS AND SIGNIFICANT HISTORY ...’I get angry a lot ...Pt (patient) has history of aggression & (and) anger issues ...VIOLENCE RISK FACTORS ...Does the patient have a history of violence/threats toward ...” The box indicating “Past 6 months” was checked. The Intake Assessment continued, “ ...Hx of jail time for 17 mo (months) due to assault towards brother. Recent arrest from (name of hospital) for trespassing & (and) was released 3 days ago ...” The section regarding behavior changes indicated P1 reported in the past 6 months having poor impulse control and having aggression. Continued record review on 05/14/25 at 9:11 AM revealed the Adult Nursing Admission History dated 04/17/25 at 7:00 PM indicated, “ ....VIOLENCE/AGGESSION RISK ...Does the patient have a history of assault/threats towards healthcare workers/patients in a healthcare setting ...Yes.” Review of the Initial Psychiatric Evaluation dated 04/18/25 at 8:00 (AM or PM not indicated) revealed P1’s diagnosis was “SAFD (Schizoaffective Disorder - a mood disorder characterized by hallucinations and delusions).” The Psychosocial Assessment dated 04/18/25 at 12:00 PM indicated, “ ...During a prior admission he was aggressive and arrested for his behaviors ...” On 05/14/25 at 9:35 AM, viewing of a video recording of P1 becoming aggressive towards RN 2 on 04/18/25 at 8:36 PM revealed P1 approached the half door to the medication (med) room, said something to the staff member who was inside the medication room and quickly leaned in and reached over the half door to the medication room and appeared to be trying to open the door. At one point, P1 raised his right arm as if to strike. On 05/14/25 at 9:47 AM, review of the Initial Nursing Treatment Plan dated 04/20/25 (three days after admission) revealed no care planning for P1’s aggression. Review of the Interdisciplinary Master Treatment Plan dated 04/20/25 revealed no care planning for aggression. Continued record review on 05/14/25 at 9:47 AM, revealed a Nurse Progress Note dated 04/19/25 which indicated, “hx (history) of violence/assault” and a section titled “Aggressive Behaviors” and the boxes for “Verbal Threats” and “Physical Threats” were checked for both day and night shifts. The Patient Aggression Checklist & Follow-Up dated 04/19/25 indicated, “ ...Pt became verbally aggressive toward a female pt, they went back and forth for awhile and (P1’s name) made physical threats toward her ...Shortly after (P1’s name) became verbally aggressive to a male peer who was attempting to de-escalate the situation. He started making threatening movements toward the male peer and even took his shirt off at one point.” On 05/14/25 at 10:51 AM, the Workplace Violence Prevention Committee (WVPC) meeting document dated 04/21/25 at 10:15 AM was reviewed. The document indicated, “Findings ...Initial video review completed...on Saturday, April 19th at 2:30 pm. Video review showed that (P1’s initials) came to the med (medication) window while another patient was receiving medication and verbally engaged with the nurse...lean over the med window...The patient then raises his fist...” On 05/14/25 at 12:25 PM the policy titled, “Interdisciplinary Patient-Centered Care Planning” dated 03/03/25 was reviewed. The policy indicated, “Developing the Treatment Plan ...The Nurse completing the Nursing Assessment or designee shall develop the Initial Treatment Plan within eight (8) hours of admission. The nurse will utilize the problems and specific behavioral manifestations identified in the initial assessment and nursing assessment to develop clinically appropriate and individualized goals and interventions which will be included in the Initial Treatment Plan ...Within 72 hours of admission, the multidisciplinary team shall meet to develop the treatment plan ...Completion of an individual Problem Sheet for each psychiatric or medical problem. The Problem Sheets will include the problem, specific patient behavioral manifestations, long and short term goals with target dates, and interventions for each appropriate discipline. Interventions will include the action/task, patient-specific focus ...” On 05/15/25 at 9:11 AM, a phone interview was conducted with RN 1. RN 1 stated, “We know his history of violence.” On 05/15/25 at 10:00 AM an interview was conducted with RN 2. When asked if P1’s history of aggression and assault should have been on the care plan, she stated, “Yes.” On 05/16/25 at 10:54 AM, an interview was conducted with the Chief Nursing Officer (CNO). The CNO stated the admission nurse is responsible for the Initial Nursing Treatment Plan. She stated, “We put (patient) triggers in the care plan.” The CNO stated the “care plan is where the interventions ... are patient specific because different patients have different triggers.” She stated, “We like it (Initial Nursing Treatment Plan) to be done at admission because that makes the most sense but it’s required within 24 hours.” The CNO reviewed P1’s record and confirmed the Nursing Initial Care Plan was not done until 04/20/25 (three days after admission) and should have been done within 24 hours and she confirmed there was no care planning for aggression on the Initial Nursing Treatment Plan or on the Multidisciplinary Treatment Plan (MTP.)”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 16, 2025 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
- CMS publishes no patient survey results for it.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified psychiatric hospital since Feb 23, 1982.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Palmetto Behavioral Health System, LLC owns 100% directly since Jul 6, 2000.
- Uhs of Delaware Inc. runs it.
- 20 owners or officers are people: George H Brunner (corporate officer, 100%); Katharine M Lyver (corporate officer, 100%); Matthew D Klein (corporate officer, 100%); Matthew J Peterson (corporate officer, 100%); Matthew J Peterson (runs it (operational or managerial control), 100%); Thomas M Day (corporate officer, 100%); Steve Filton (corporate officer, 100%); Steve Filton (runs it (operational or managerial control), 100%); Cheryl K Ramagano (corporate officer, 100%); Cheryl K Ramagano (runs it (operational or managerial control), 100%); Alan B Miller (owns 5% or more through other companies, 85%); James M Coleman (managing employee (under contract), 50%); Steve Filton (corporate director, 33.33%); Matthew J Peterson (corporate director, 33.3%); Thomas M Day (corporate director, 33.3%); Patrick J Mcdaniel (managing employee (under contract), 0%); Patrick J Mcdaniel (corporate director, 0%); Cheryl K Ramagano (corporate director); Derrick C Ouzts (managing employee (under contract)); Derrick C Ouzts (corporate officer).
- CMS’s Provider of Services file records 7 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Premier Behavioral Solutions, Inc. | Owns 5% or more through other companies | 100% | Jul 6, 2000 |
| Palmetto Behavioral Health System, LLC | Owns 5% or more directly | 100% | Jul 6, 2000 |
| Universal Health Services Inc. | Owns 5% or more through other companies | 100% | Nov 15, 2010 |
| Palmetto Behavioral Health Holdings, LLC | Owns 5% or more through other companies | 100% | Jul 6, 2000 |
| Psychiatric Solutions, Inc. | Owns 5% or more through other companies | 100% | Jul 6, 2000 |
| Uhs of Delaware Inc. | Runs it (operational or managerial control) | 50% | Nov 15, 2010 |
How does it compare nearby?
- Of the 8 hospitals CMS lists in Charleston County, 7 have an overall star rating from CMS: 2 rated 5 of 5, 2 rated 4 of 5, 2 rated 3 of 5, 1 rated 2 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.