The Preston Health Center
Top Rated for Short-Term Rehab, 2026 Top Rated for Long-Term Care, 2026Is this your home? Get your free badge →
About The Preston Health Center
The Preston Health Center is a 62-bed nonprofit nursing home in Hilton Head Island, SC. Medicare rates it 5 out of 5 stars overall (much above average); the average in South Carolina is 3.0. At its last full inspection (Dec 2025), inspectors found 0 problems, fewer than the South Carolina average of 3.7. Nurses and aides spend about 6 hr 24 min a day with each resident, more than the South Carolina average of 3 hr 50 min. About 20% of its nursing staff left in the past year. Medicare fined it $8,018 in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (5 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
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
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
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Health citations at last inspection0 (Dec 2025)South Carolina average: 3.7. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident6 hr 24 min a daySouth Carolina average: 3 hr 50 minStrength
- Registered nurse time per resident1 hr 18 min a daySouth Carolina average: 38 minStrength
- Nursing staff turnover20% a yearSouth Carolina average: 46%Strength
Things to ask about
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- Fines and penalties1 fine totaling $8,018Federal penalties from the last three years, most recently in Aug 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
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.
- Sent back to the hospital27.1%State average: 24.3%About average
- Needed an emergency room visit9.2%State average: 13.9%Better than average
- Newly given antipsychotic drugs2.1%State average: 1.5%Worse than average
Physical therapist time: about 11 minutes per resident a day. That is more 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.
- Falls with a major injury0.0%State average: 3.2%Better than average
- Pressure sores (bedsores)1.1%State average: 5.1%Better than average
- Given antipsychotic drugs11.8%State average: 15.3%Better than average
- Hospital stays per 1,000 resident days0.5State average: 2.0Better than 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
Many residents here pay privately or through insurance. In South Carolina, Medicaid pays for 64% of resident days at a typical home.
- 0% Medicaid
- 44% Medicare
- 56% Private pay, insurance and other
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 3 to 5 stars and changed 8 times.
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 5 | 5 | 6.4 |
| Jan 2020 | 4 | 3 | 5 | 2 | 6.7 |
| Jan 2021 | 4 | 3 | 5 | 3 | 6.8 |
| Jan 2022 | 4 | 3 | 5 | 3 | 6.2 |
| Jan 2023 | 5 | 3 | 5 | 5 | 6.1 |
| Jan 2024 | 4 | 3 | 4 | 5 | 5.6 |
| Feb 2025 | 5 | 3 | 5 | 5 | 6.3 |
| Feb 2026 | 5 | 5 | 5 | 5 | 6.7 |
| Sep 2026 | 5 | 5 | 5 | 5 | 6.4 |
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.
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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See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.