Physical Rehabilitation and Wellness Center of Spa
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 128 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (5 vs median 3)
- High staff turnover (53%)
- High RN turnover (53%)
Bottom 25% in SC · Below recommended RN staffing · Worst in FUNDAMENTAL HEALTHCARE chain · $10,030 in fines · Abuse citation
What this means for your family
This facility is highly regarded for its intensive and effective rehabilitation therapy, making it a strong choice for those focused on physical recovery. However, families should be proactive in monitoring medical care and communication, as some reviewers have reported concerns regarding weekend staffing responsiveness and the management of chronic conditions.
Google Reviews
Google Reviews
128 reviews on Google“Spartanburg Rehabilitation Institute is widely praised for its intensive, effective physical and occupational therapy programs that help patients regain independence. While the vast majority of reviewers report exceptional, compassionate care and high-quality amenities, a small number of families have raised serious concerns regarding communication gaps, slow response times, and occasional lapses in medical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective and intensive physical/occupational therapy
- Clean, well-maintained facility
- Professional and caring nursing staff
- High-quality food and dining options
Concerns
- Slow nurse response times and communication gaps (mentioned by 3 reviewers)
- Inadequate medical oversight or failure to address clinical complications (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 129 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given your facility's strong reputation for physical and occupational therapy, how do you ensure that the nursing team stays closely aligned with the therapists to monitor a resident's clinical progress?
- 2I noticed that communication is a top priority for families; could you walk me through the specific process for how family members are updated when there is a change in a resident's medical status?
- 3How does your team manage medication administration to ensure accuracy, especially during shift changes or busy times of the day?
- 4In the event of a sudden change in health or a clinical complication, what is the protocol for escalating care and ensuring the attending physician is immediately involved?
- 5Since you have a 120-resident capacity, what steps do you take to ensure that nurse response times remain prompt and consistent throughout the day and night?
- 6I see you actively engage with feedback online; how do you use that input from families to improve the daily experience and quality of life for your residents?
Personalized based on this facility's data
Key Review Excerpts
“I was referred here for therapy after trialing outpatient at one of the 'big' therapy practices. I didn't want to be treated like a number or have a tech/assistant barking exercises at me. Here at SRI, I was treated with respect and courtesy, and my treatment plan was handled by an amazing Physical Therapist and team.”
“The only negative thing I can say is the younger staff needs to learn how to knock on the door when entering a patient’s room. These people have already been through enough with loosing their independence, showing them some dignity is important.”
“Almost killed my father and he is in the ER with pneumonia and a UTi which we told them three times to check- worst nurses ever , especially on the weekend! do not go here!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
7
measures
6
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning recurring issues with resident protection from abuse and neglect, with families filing complaints that triggered investigations in 2023 and 2026. The most frequent problem areas include resident rights violations, medication management errors, and food safety issues, with these deficiencies persisting across multiple surveys from 2022 to 2026, suggesting ongoing challenges with compliance despite reported corrections.
Feb 20, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 16, 2026Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 16, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 29, 2025Complaint2
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 26, 2024Routine16
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Sep 22, 2022Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Nov 26, 2024
$3,998
Fine
Nov 26, 2024
$6,032
Ownership & Operations
Who Operates This Facility
Physical Rehabilitation and Wellness Center of Spa
for profit
Chain Affiliation
Fundamental Healthcare
68 facilities nationwide
Chain avg rating: 2.4/5 · Rank 64 of 68 (Worst)
Ownership & Management
Owners
Thi of South Carolina, LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
128 reviews from families & visitors
Official Website
Visit sri.ernesthealth.com
Medicare data downloads
Original nursing home datasets
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