Life Care Center Of Charleston

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of facility policy, observations, interviews, and record review, the facility failed to send quarterly statements to the resident and the resident's representative for Residents (R)42, R78, R118, R101, and R120.Findings include:Review of the facility's policy titled, Personal Needs Account, revised 12/15/16, revealed, All residents are eligible, but not required, to participate in the personal needs account. This allows the resident to place money in an interest-bearing checking account, which they can access for personal needs.Procedure:5. The resident will receive an account summary on a quarterly basis or at more frequent intervals at his/her request.Review of R42's electronic medical record (EMR) revealed R42 was admitted to the facility on [DATE]. Review of an undefined Minimum Data Set (MDS) revealed R42's Brief Interview for Mental Status (BIMS) score of 15 of 15, indicating normal cognitive function.During an interview on 01/06/2026 at 01:15 PM, R42 stated, I do not have or receive any…

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 review of facility policy, record review, and interview, the facility failed to initiate a Significant Change of Status Minimum Data Set (MDS) to reflect Resident (R)88's election for Hospice Services, for 1 of 2 residents reviewed for Hospice.Findings include:Review of the facility policy titled Resident Assessment Instrument and Care Plan Development with a reviewed date of 08/29/25, documented, Procedure The Resident Assessment Instrument is composed of the MDS, Care Area Assessments, and Utilization Guidelines . 2. MDS assessments are completed at a minimum upon admission, quarterly, annually, and with a significant change in patient status . 4. The Care Area Process begins with the Care Area Triggers are completed with the admission MDS, annual MDS, and with a significant change in patient status assessment. 5. The Care Area Triggers are derived from the information coded on the MDS that identify patients who have or at risk for developing specific functional problems that require further…

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 review of the facility policy, record review, observations, and staff interviews, the facility failed to identify, assess, and implement appropriate care-planned interventions to address 1 of 1 resident's known behavior of manipulating prescribed oxygen flow rates. This failure placed the resident at risk for receiving oxygen inconsistent with physician orders, and increased the risk for potential respiratory complications, including but not limited to oxygen toxicity or masking of changes in the resident's condition. Findings include:Record review of the Facility Policy titled, Oxygen Administration (Infection Control, Safety, & Storage last revised on 09/30/2025 and reviewed on 09/24/2024 revealed The facility must ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the resident's goals and preferences, and 483.65 of this…

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 review of the facility's policy, observations, interviews, and record review, the facility failed to ensure ostomy care was provided in accordance with professional standards, as no physician order for ostomy care was in place for 1 of 1 resident.Findings Include: Review of the policy titled, Colostomy and Ileostomy Care last revised on 09/20/2021 and reviewed on 09/04/2025 revealed on page 1 of 12 that, A physician's order will be obtained for ostomy care to include specific physician preference regarding appliance, skin barrier, and skin care. Record review of R129's Face Sheet revealed he was admitted on [DATE] with the diagnoses including but not limited to congestive heart failure, atrial fibrillation, dementia, insomnia, hyperlipidemia, colostomy, and need for assistance with personal care. Record review of R129's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/02/2026 revealed that R129 has the Brief Interview of Mental Status (BIMS) score of 12 out of 15, which…

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 the facility policy, observations and interviews, the facility failed to ensure expired, outdated or discontinued medications were removed and not stored with resident medications in use in 3 of 5 medication carts and 1 of 1 treatment carts. The facility additionally failed to ensure a medication cart was locked, and medications were not left on top of the med cart unattended on Morning Star Unit, medication cart #2. Findings include: Review of the facility policy titled, Drug Storage Guide, states under, Medication Cart Check, The MAR/EMR are covered when unattended. The medication care is locked when unattended. Expired controlled substances are not present. The drug storage guide did not include expired medications and biologicals, or medications unsecured and on the top of the med cart. The facility's drug storage guide did not mention the storing of discontinued medications in the medication cart. An observation on 12/17/2024 at 10:32 AM of the medication cart 2 on the Dayspring Unit revealed: Risperidone 1 milligam (mg), 20 tabs with Lot #8198-4007 were discontinued…

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 Findings include: Review of the facility's policy Hand Hygiene, revised 06/13/2023 showed Procedure: 2. Associates perform hand hygiene (even if gloves are used) in the following situations. a. Before and after contact with a resident; c. After contact with objects and surfaces in the resident's environment; During a dining observation on the Pebble Creek unit on 12/17/24 at 12:09 PM, Licensed Practical Nurse (LPN)7 came from behind the desk and pulled a tray from the food cart without performing proper hand hygiene. LPN7 placed the tray on top of the food cart. While speaking with a resident representative, LPN7 touched her face, the hand rail, and her hair before removing the tray from the top of the food cart and putting the tray back inside the cart. During further observation on 12/17/24 at 12:12 PM, LPN3 was observed pulling the food cart down hall to room [ROOM NUMBER] while touching her hair. She then opened the food cart and pulled another tray from the cart and took the tray to a resident room and…

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 the facility policy, observations and interviews, the facility failed to ensure a medication administration error rate of less than 5 percent to include 4 of out 26 opportunities for error. The facility additionally failed to ensure an ordered medication for Resident (R)39 was administered timely. The medication administration error rate is 15.38 percent. Findings include: Review of the facility policy titled, Insulin Pen Administration, revised 08/30/2023 and reviewed 09/17/2024, states: Policy: The facility will ensure residents with orders for insulin administration through the use of a pen delivery device is performed in accordance with current standards or practice with manufacturer's guidance. Procedure: 4. The insulin pen should be primed prior to each use (in accordance with manufacturer's guidelines) to prevent the collection of air in the insulin reservoir. a. General guidance for priming an insulin pen in the absence of manufacturer's guidance; i. Dial 2 units by turning the dose selector clockwise. ii. With the needle pointing up, push the plunger, and watch to…

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 the facility policy, observations, and interviews, the facility failed to ensure the proper priming of insulin pens, and correct administration on insulin via an insulin pen, therefore could not ensure 3 of 3 residents (R) received the correct dosage of insulin. Findings include: Review of the facility policy titled Insulin Pen Administration, revised 08/30/2023 and reviewed 09/17/2024, states: Policy: The facility will ensure residents with orders for insulin administration through the use of a pen delivery device is performed in accordance with current standards or practice with manufacturer's guidance. Procedure: 4. The insulin pen should be primed prior to each use (in accordance with manufacturer's guidelines) to prevent the collection of air in the insulin reservoir. a. General guidance for priming an insulin pen in the absence of manufacturer's guidance; i. Dial 2 units by turning the dose selector clockwise. ii. With the needle pointing up, push the plunger, and watch to see that at least one drop of insulin appears on the tip of the needle. If not, repeat the…

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 the facility policy, observations, record reviews and interviews, the facility failed to maintain dignity for Resident (R)39 during the administration of an insulin injection for 1 of 3 residents observed receiving an insulin injection. Findings include: Review of the facility policy titled, Dignity, issued 05/06/2019 and reviewed 09/26/2024 states: Policy, Each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self esteem, self-worth, and incorporating the resident's goals, preferences, and choices. Staff must respect the resident's individuality as well as, honor and value their input. Respect and Dignity. The resident has a right to be treated with respect and dignity. The facility admitted R39 on 10/08/2024 with diagnoses including, but not limited to diabetes mellitus type 2 without complications, morbid obesity, and long term use of insulin. During an observation on 12/18/2024 at 08:00 AM of insulin…

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 observations, interviews, and facility policy review, the facility failed to ensure that food was protected from contamination during delivery to resident rooms. Specifically, the facility failed to ensure that food was covered during delivery to 1 (Morning Star Unit) of 3 nursing units. This deficient practice has the potential to affect 31 residents who occasionally or regularly ate in their rooms on the Morning Star Unit. Findings include: A review of the facility policy, Resident Dining Services, revised 04/26/2023, revealed, When meals are assembled in the kitchen and then delivered to residents' rooms or dining areas to be distributed, covering foods is appropriate, either individually or in a mobile food cart. The policy further indicated, Flatware will be wrapped, and food, desserts, salads, and beverages will be covered before transported throughout the facility. Observation of the lunch meal service on 05/08/2023 at 1:02 PM, revealed the covered meal tray delivery cart parked near the Morning…

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, document review, facility policy review, and interviews, the facility failed to timely report an allegation of abuse for 1 (Resident (R)217) of 1 resident reviewed for abuse. Findings include: Review of the policy, Abuse-Reporting and Response - Suspicion of a Crime, dated 10/04/2022, indicated, Policy - The facility will ensure reporting reasonable suspicion of crimes against a resident or individual receiving care from the facility within prescribed timeframes to the appropriate entities, consistent with Section 1150B of the Elder Justice Act. The policy specified, Each covered individual shall repot immediately, but not later than 2 hours after forming the suspicion, if the events that cause the suspicion result in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. A review of R217's admission Record revealed the facility admitted the resident on 04/26/23 with diagnoses to include fracture of the upper and lower end of the left fibula, displaced comminuted fracture of the shaft…

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.