So you're in Florence County but monitoring the Sumter simulcast site. Depending on where in Florence you're located, that could be challenging without a good antenna system.
It appears the Sumter County Simulcast site has a site in the far eastern narrow stretch of the county between Lee and Clarendon Counties, not far from Mayesville. That's the closest Sumter simulcast transmission location to Florence County, and the one you're most likely to receive. It's possible there's something wrong with that site that's making the site more difficult or impossible for you to monitor. That's pure speculation, there's no way to know that for sure as as a hobbyist, short of going to the site with your scanner and monitoring specific frequencies to test for signal strength.
It's also possible that the control channel changed to a different frequency that you may not have programmed, or not programmed correctly. It's likely that this change could happen and it wouldn't show up in the RR database for some time. The info in the database is crowd-sourced, so if no one reports a change, it doesn't get updated. The details of the site listing in the RR database hasn't been updated since 2017.
You can listen to a live stream of the Sumter County site here on OpenMHz.
https://openmhz.com/system/palm800
This proves that the site is operational. I note that EMS dispatch talkgroup is carrying traffic based on recordings on OpenMHz, so the talkgroup isn't encrypted.
If you're still hearing Sumter Fire but not EMS, my speculation is that you're not monitoring the Sumter County site and instead monitoring a different site that you can receive, for example, Lynchburg. It's possible that neighboring sites carry some Sumter County talkgroups (like fire) but not all talkgroups (like EMS). You'll really have to look in detail at your programming to discover the issue. I'm reasonably confident this is a problem in your monitoring arrangement and not a problem with the system itself. Something has changed, most likely on your end, and you'll have to work to narrow down the issue.