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Ellen Sagar Nursing Center

⌖ Union, SC · Union County
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Medicare overall rating 2 of 5 stars
Certified beds113
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)

About Ellen Sagar Nursing Center

Ellen Sagar Nursing Center is a 113-bed government-run nursing home in Union, SC. Medicare rates it 2 out of 5 stars overall (below average); the average in South Carolina is 3.0. At its last full inspection (May 2026), inspectors found 4 problems, close to the South Carolina average of 3.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 21 min a day with each resident, less than the South Carolina average of 3 hr 50 min. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (4 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameEllen Sagar Nursing Center
LocationUnion County, South Carolina
Address1817 Jonesville Highway, Union, SC 29379 · Union County
CMS provider number425012
Ownership typeGovernment (hospital district)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1967 (59 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures4 of 5Above average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since May 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Health citations at last inspection4 (May 2026)South Carolina average: 3.7. Most citations are minor and corrected within weeks.
    About average

Things to ask about

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  • Nurse staffing per resident3 hr 21 min a daySouth Carolina average: 3 hr 50 min
    Worse than state average
  • Registered nurse time per resident27 min a daySouth Carolina average: 38 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Carolina average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital25.3%State average: 24.3%
    About average
  • Needed an emergency room visit18.6%State average: 13.9%
    Worse than average
  • Newly given antipsychotic drugs0.0%State average: 1.5%
    Better than average

Physical therapist time: about 3 minutes per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury4.5%State average: 3.2%
    Worse than average
  • Pressure sores (bedsores)5.1%State average: 5.1%
    About average
  • Given antipsychotic drugs18.7%State average: 15.3%
    Worse than average
  • Hospital stays per 1,000 resident days2.4State average: 2.0
    About average

Source: Medicare (CMS) quality measures, compared with the South Carolina average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In South Carolina, Medicaid pays for 64% of resident days at a typical home.

  • 74% Medicaid
  • 2% Medicare
  • 24% Private pay, insurance and other
Beds in use, on average85%South Carolina typical: 90%
Cost of care per resident day$303South Carolina typical: $312

Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, the same as 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 19 times.

Overall rating2★
Health inspections2★
Staffing2★
Quality of care4★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201921453.9
Jan 202011333.5
Jan 202142453.2
Jan 202222233.0
Jan 202332453.7
Jan 202422343.7
Feb 202522443.4
Feb 20261214–
Sep 202622243.4

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.