NHC Healthcare - Charleston

Based on observation, record review, interview, facility policy review, manufacturer and pharmacy labeling review, the facility failed to ensure that drugs and biologicals were properly stored in 2 of 2 medication rooms.Findings include: Review of the facility policy titled MEDICATION STORAGE IN THE FACILITY revised on 2/25/2025, states, Medications and biologicals are stored safely, securely and properly, following manufacturer's recommendations or those of the supplier . All expired medications will be removed from the active supply and destroyed in the facility, regardless of amount remaining. During observation on 03/31/2026 at approximately 10:55 AM, of the 200 Hall Medication Room refrigerator revealed the following:- 2 bottles of Augmentin 400mg (milligram)/5 ml (milliliter) Susp (Suspension) in active storage and labeled by pharmacy Do No Use After 3/28/26 and Do Not Use After 3/27/26- 1 opened vial of Purified Protein Derivative/Aplisol 5 TU (test units) /1 ml (10 tests) approximately 20% (percent) full and undated when opened with manufacturer labeling stating: Once…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and review of facility policy, the facility failed to ensure Resident (R)9's dignity was protected for 1 of 1 residents observed with catheter bag. Specifically, R9's catheter bag was not covered.Findings include: Review of the facility's policy titled Administrative Procedures Manual . Establishing a Customer Satisfaction Culture revised 2-1-2011 states, Respect your privacy, dignity, and confidentiality. During an observation on 03/31/2026 at approximately 11:11 AM, during the 200 Hall initial tour, a Certified Nursing Assistant (CNA) rolled R9 in his wheelchair to a table in the common area opposite the nursing station and walked away leaving him at the table. Further observation revealed a fully visible and uncovered urinary bag approximately 3/4 full, was hanging beneath R9's wheelchair. During an observation on 03/31/2026 at approximately 11:25 AM, R9 was observed sitting at the same table, with the urinary bag beneath his wheelchair, still uncovered and visible. Further observation revealed multiple staff members, other residents, and a visitor…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of facility policy, the facility failed to ensure that Resident (R)24's Medical Doctor/Director was informed in a timely manner of an inadvertent administration of a medication, for 1 of 3 residents reviewed.Cross reference F757 Findings include:Review of the facility policy titled Policies and Procedures Regarding Change in Patient Status last revised in 2025 revealed, The patient or patient representative is encouraged to be involved in all decision-making regarding changes in the plan of care. Notification of the patient representative, charge nurse on duty is notified immediately of any change in a patient's condition. The charge nurse will then assess the patient's condition and notify the physician or physician extender and the patient's representative. When a significant change in medical condition has occurred, or the patient is assessed to be critically ill, the attending physician will be notified immediately. Should the attending physician or physician…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessments for 4 of 4 residents listed on the Missing Obra Assessment Report were corrected, completed and transmitted in a timely manner.Findings include: Review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0, revealed, Transmitting Data: Providers must transmit all sections of the MDS 3.0 required for their State-specific instrument, including the Care Area Assessment (CAA) Summary (Section V) and all tracking or correction information. Transmission requirements apply to all MDS 3.0 records used to meet both federal and state requirements. Review of the Missing OBRA Assessment report provided by the State Agency included 4 residents with missing assessments. Review of the missing assessments revealed the 4 assessments were coded as completed by the MDS Coordinator but not submitted after the completion. During an interview on 04/02/2026 at 2:50 PM, the MDS Coordinator and the Assistant Regional Nurse confirmed that the missing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the facility failed to utilize personal protective equipment (PPE) for enhanced barrier precautions (EBP) for one of two residents (Resident (R) 61) reviewed for EBP out of a sample of 18 residents. This created the potential for transmission of infection to staff and other residents. Findings include: Review of the facility's policy titled, Enhanced Barrier Precautions dated February 2025, revealed, Providers and partners must wear gloves and a gown for the following high-contact patient care activities: . device care or use: central line, urinary catheter, feeding tube . Review of R61's Face Sheet located in the Face Sheet tab of the electronic medical record (EMR) revealed admitted on [DATE] with diagnoses gastrostomy (an opening in the stomach for a feeding tube), and dysphagia (difficulty swallowing) following cerebral infarction (stroke). Review of R61's Care Plan under the RAI (Resident Assessment Instrument) tab of the EMR revealed a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure care was provided in a dignified and timely manner for 3 (Resident (R)15, R23, R35) of 4 residents reviewed for dignity out of a total sample of 20 residents. This resulted in R15's colostomy (a pouch on the outside of the body to hold stool) bag exploding and R23 feeling mad about having to wet herself but having to go with the flow. Findings include: 1. Review of a Face Sheet, found in R15's electronic medical records (EMR) under Face Sheet, indicated R15 was admitted to the facility on [DATE] with a diagnosis of Encounter for attention to colostomy. Review of R15's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/18/23, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R15 was cognitively intact. During an interview on 10/31/23 at 10:06 AM, R15 said on the weekends there are not enough staff. He has had to wait over an hour at times to get assistance. R15 said…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to order medication in a timely manner and failed to administer medication when it was available for 1 (Resident (R)15) of 2 residents reviewed for antibiotic use. Findings include: During an interview on 10/31/23 at 10:14 AM, R15 said the cream for his shingles ran out over the weekend and he had not gotten any since. He said the nurse told him the pharmacy does not deliver on the weekend. Review of a Face Sheet, found in R15's electronic medical record (EMR) under Face Sheet, indicated R15 was admitted to the facility on [DATE] with a diagnosis of Encounter for attention to colostomy. Review of R15's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/18/23, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R15 was cognitively intact. Review of a Prescription Order, located in R15's EMR under Orders, indicated Primary Clinical Category Acute Infections, dated 10/25/23,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure enough staff was working to ensure care was provided in a timely manner for seven residents (Resident (R)15, R23, R35, R37, R19, R46, and R159) of total sample of 20 residents. Findings include: 1. Review of a Face Sheet, found in R15's electronic medical records (EMR) under Face Sheet, indicated R15 was admitted to the facility on [DATE] with a diagnosis of Encounter for attention to colostomy. Review of R15's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/18/23, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating R15 was cognitively intact. During an interview on 10/31/23 at 10:06 AM, R15 said on the weekends there are not enough staff. R15 stated he has had to wait over an hour at times to get assistance. R15 said there have been times that his colostomy bag exploded before he could get help to empty it but has been able to contain the feces with a brief.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.