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Ridgeland Nursing Center Inc

1516 Grays Highway, Ridgeland, SC 29936 · For profit - Limited Liability company · 88 certified beds · (843) 726-5581 Medicare & Medicaid certified

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Abuse/neglect citation on record (F0600) — cited Jun 20261 immediate-jeopardy citation2 immediate-jeopardy citations CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (71%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1520 Grays Hwy · (843) 726-3979 · Call to confirm hours
Pharmacy
10911 N Jacob Smart Blvd · (843) 227-3501 · Call to confirm hours
Grocery
10847 N Jacob Smart Blvd · (843) 726-8626 · Call to confirm hours
Park
7675 W Main St · Typically dawn to dusk
Place of worship
1610 Grays Hwy · (843) 474-1148

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.1%11.9%15.4%worse
Long-stay residents who lose too much weight5.9%6.3%5.4%typical
Long-stay residents with a catheter left in their bladder0.4%0.6%0.9%better
Long-stay residents with a urinary tract infection1.3%1.3%2.0%better
Long-stay residents with depressive symptoms5.8%3.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%3.2%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened15.2%12.7%16.1%typical
Long-stay residents on antianxiety or hypnotic medication18.4%21.0%18.9%typical
Long-stay residents given the seasonal flu vaccine97.6%90.6%95.3%typical
Long-stay residents with pressure ulcers5.3%5.1%4.7%worse
Long-stay residents with worsening bladder/bowel control13.8%16.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table11.4%15.3%17.1%better
Short-stay residents who newly got an antipsychotic medication2.0%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine56.4%78.0%79.4%worse
Short-stay residents rehospitalized after admission24.3%24.3%22.6%typical
Short-stay residents with an outpatient ER visit22.2%13.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.022.041.67worse
Long-stay outpatient ER visits per 1,000 resident days2.531.841.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

11.1%U.S. median 10.7%
Went back to hospital
52.4%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 52.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.1%CMS range 7.7–15.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge52.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge42.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified93.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.011.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.28
RN hours/ resident / day
0.73
LPN hours/ resident / day
1.76
Aide hours/ resident / day
2.76
Total nurse hours/ resident / day
0.22
RN hoursweekends
71.1%
Total nursing turnover
100.0%
RN turnover

How full it usually is: this home is certified for 88 beds and averages 84.3 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.76 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.76 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.39 hrs/resident/day on weekends vs 2.92 on weekdays — 18% thinner on weekends. RN hours go from 0.30 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2025-05-23)
2
at the previous standard inspection (2024-03-22)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2026-06-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, record review, interview, and observation, the facility failed to ensure a safe environment and failed to provide adequate supervision to prevent elopement for 1 of 5 residents reviewed for elopement risk (Resident (R)1), a cognitively impaired resident with dementia and an inactive wander guard in place. This failure allowed R1 to exit the facility unsupervised through an unlocked front entrance on 05/22/26. On 06/02/26 at 6:05 PM, the Administrator was provided a copy of the CMS Immediate Jeopardy (IJ) Template and notified that the facility had failed to prevent Resident (R)1's elopement which occurred on 05/22/26, creating a reasonable expectation that serious injury, harm, impairment, or death could have occurred, constituting IJ. The IJ was related to 42 CFR 483.12 - Quality of Care.The facility provided an acceptable plan for removal of the IJ on 06/02/26 at 7:34 PM. The survey team validated the facility's corrective actions and determined the facility put forth due…

    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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Immediate jeopardy · Jcited before2026-05-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, interview, observation, and record review, the facility failed to ensure Resident (R)5 was adequately supervised to prevent him from eloping on 05/10/26 between 8:45 AM- 9:15 AM, for 1 of 3 residents reviewed for elopement. On 05/10/26 between 8:45 AM- 9:15 AM, R5 had a successful, unwitnessed elopement from the facility. R5 was found by staff members on the sidewalk, off the facility's premises, next to an active highway. On 05/13/26, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death.On 05/13/26 at 11:53 AM, the Centers for Medicare and Medicaid Services (CMS) IJ Template was presented to the Administrator for the identified failure at 42 CFR 483.25 Quality of Care related to R5's elopement. On 05/13/26 at 2:04 PM, the facility presented an acceptable IJ removal plan. Verification of the removal…

    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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Immediate jeopardy · J2026-05-13 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility policy, observation, interview, and record review, the facility failed to ensure Resident (R)7 received appropriate care and services to prevent complications related to enteral feeding, for 1 of 2 residents reviewed.On 05/13/26, R7's Gastrostomy tube (G-Tube) site was observed with a dressing dated 05/03/26 stuck to the skin and a brown, crusted substance noted around the stoma. On 05/13/26, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On 05/13/26 at 4:25 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 05/03/26. The IJ was related to 42 CFR 483.25 Quality of Care.On 05/13/26, the facility provided an acceptable IJ Removal Plan. On 05/13/26, the survey team validated the facility's corrective actions and removed the IJ. The facility remained out of compliance at F693 at 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-06-03 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, record review and interview, the facility failed to develop and implement approaches to maintain a Quality Assurance and Performance Improvement (QAPI) program to prevent repeat deficiencies. Cross Reference F689Findings include: Review of the Summary Statement of Deficiencies, for a complaint survey on 05/13/26, indicated the facility was cited at Immediate Jeopardy-F689 when a resident eloped from the facility. Review of facility policy dated 08/01/23 and titled, Policies and Procedures. Subject: Quality Assurance Performance Improvement Program (QAPI), revealed, . Leadership: The Center Executive Director is accountable for the overall implementation and functioning of the QAPI program. This includes but is not limited to: a) implementation b) identifying priorities c) Ensure adequate resources d) Ensures performance indicators, resident and staff input and other information is used to prioritize problems and opportunities e) ensure corrective actions are implemented to address identified problem in systems f) evaluates the effectiveness of…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-06-03 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the Quality Assessment and Assurance (QAA) committee included active and meaningful participation by the Medical Director in the facility's Quality Assurance and Performance Improvement (QAPI) program. This had the potential to affect all residents in the facility. Findings include: Review of facility policy dated 08/01/23 and titled, Policies and Procedures. Subject: Quality Assurance Performance Improvement Program (QAPI), revealed, . 6. QAA Committee members include but are not limited to: . b) Medical Director / designee . Review of the facility document titled, Quality Assessment Performance Improvement, dated 05/27/26 at 2:11 PM, identified a pre-populated list of mandatory committee members. Under the column titled Name, next to the pre-populated title Medical Director, the handwritten notation VIA Phone Text was documented. However, on the adjacent column designated for Signature, a handwritten signature was present on the Medical Director's line, creating a conflicting record regarding the Medical…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-06-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, interview, observation, and record review, the facility neglected to provide a safe environment and adequate supervision to protect residents from elopement, when they failed to monitor a known elopement risk for Resident (R)1, failed to update the comprehensive care plan with targeted intervention;, failed to provide adequate supervision when the resident's Wander Guard system was inactive; failed to conduct monthly elopement drills per facility policy; failed to verify door locks per protocols; and failed to develop and implement a performance improvement plan following an actual elopement on 05/13/26. The facility's neglect to provide these services resulted in 1 of 5 sampled residents (R1), who exhibited known wandering behaviors, eloping from the facility unsupervised on 05/22/26. Findings include: Review of the Summary Statement of Deficiencies, for a Complaint Survey on 05/13/26, indicated the facility was cited at Immediate Jeopardy-F689 when a resident eloped from 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-05-13 · tag F0755 — failed to provide safe pharmacy services — widespread
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, record review, and interviews, the facility and the pharmacy failed to provide pharmaceutical services to meet each resident's needs by not maintaining an effective system for ordering, receiving, and supplying medications, resulting in multiple missed medication doses. This failure had the potential to cause uncontrolled symptoms, worsening medical conditions, avoidable pain, and preventable decline. Findings Include:Review of the facility policy titled Ordering and Receiving Non-Controlled Medications, last revised August 2020, documented, Policy: Medications and related products are received from the pharmacy on a timely basis . Procedures . I. Ordering Medication from the Pharmacy: 1. Medications orders are written on a physician order form, telephone order sheet, or reorder from provided by the pharmacy, written in the chart by the physician, or entered into the facility's EHR systema and transmitted to the pharmacy. 2. Repeat medications (refills) are . requested via the facility's EHR system and ordered as follows: a. Reordering of…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-05-13 · tag F0761 — failed to label and store drugs safely — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review, the facility failed to ensure all drugs and biologicals were safely and securely stored. Specifically, the B-wing medication room was observed unlocked, and the treatment carts were unlocked with the key hanging in the lock. Findings Include:Review of the facility policy titled Storage of Medications last revised August 2020, documented, Policy: Medications and biologicals are stored safely, securely, and properly . The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. I. General Guidance . 2. Medication rooms, carts, and medication supplies are locked when they are not attended by persons with authorized access.Review of the undated facility policy titled Storage and Expiration of Medications, Biologicals, Syringes and Needles, documented, Medications will be securely stored in a locked cabinet/cart or locked medication room that is inaccessible by residents and visitors. Only authorized, licensed facility staff will have…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-05-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, observations, and interviews, the facility failed to ensure expired food items were removed from storage and food items were properly stored and labeled.Findings include:Review of the facility's policy titled, Kitchenette Policy and Procedure, dated 01/29/19 revealed, Policy: Food storage areas will be maintained in a clean, safe and sanitary manner. Food items not stored will be disposed of. Procedure: . 3. All foods requiring refrigeration will be stored in the kitchenette refrigerator behind the nurse station. Items will be marked with resident name, date and time on receipt by staff. Review of the facility's undated policy titled, Food Storage revealed . 4. Food shall be rotated as delivered and used in a first in, first out method. Items will be dated on receipt, opening and/or replaced for storage to facilitate this procedure.Review of the facility's undated policy titled, Date Marking, Potentially Hazardous Food Policy and Procedure, revealed, Procedure: . 2. Foods…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-13 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, observation and interview, the facility failed to ensure a successful elopement was reported timely to the State Agency (SA) within two (2) hours of its occurrence. Findings include:Review of the facility's policy titled, Abuse, Neglect, Exploitation & Misappropriation dated 10/23/2023, indicated, Neglect is the failure of the center, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress. Examples include but are not limited to; failure to adequately supervise a resident known to wander from the facility without the staff knowledge . Procedure: . 7. Reporting/Response- Any employee or contracted service provider who witnesses or has knowledge of an act of abuse or an allegation of abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, to a resident, is obligated to report such information…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-13 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure resident preferences were honored in relation to dietary meals. Specifically, the facility did not provide residents preferences or substitutes. This deficient practice had the potential to effect all residents obtaining food items from the kitchen.Findings include:During a kitchen tour on 05/12/26 at 4:48 PM, observations revealed no posted alternative menu.During an interview conducted with Cook1 on 05/13/26 at 4:55 PM, revealed she was unaware of any alternatives for residents. Cook1 stated she was preparing the supper meal, which consisted of grilled cheese sandwiches and stewed tomatoes. When asked what the alternative was for individuals who did not eat those items, she stated, I am not sure. I do not know anything about alternative choices.During an interview with Resident (R)1 on 05/13/26 at 5:58 PM, he stated, I've been here for a few weeks. No one has asked me what I like to eat. They just serve us small helpings of food. Some of the staff here has gone and brought me Kentucky Fried Chicken (KFC), or my…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-05-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews, the facility failed to label and date all food stored in the walk-in cooler and ensure food was cooked at the proper temperature prior to service with the potential to affect 79 of 83 residents who consumed food prepared from the facility's kitchen. This failure had the potential to lead to food borne illnesses. Findings include: During initial observation of the kitchen and interview on 05/21/25 at 9:45 AM with the Dietary Manager (DM), the walk-in refrigerator revealed a container of leftover meat that he could not identify; not labeled or dated. A box of sausage links in the walk-in refrigerator was opened and sausage links wrapped in aluminum foil were not labeled or dated. The walk-in refrigerator also contained a half full pitcher with the appearance of orange juice/pulp that separated from the water content with no label or date. The DM said, oh we don't serve from a pitcher anyway, we use the juice dispenser. The walk-in cooler also contained an opened package of cheese, not labeled, or dated. The prepared cups of tea did not have lids…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-23 · tag F0563 — failed to protect the right to visitors — isolated
    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews, the facility failed to allow family visitation for one of one resident (Resident (R) 38). This failure violated R38's right as a resident of the facility and had the potential to violate the rights of 83 residents that lived in the facility. Findings include: Review of R38's admission Record located in the electronic medical record (EMR) under the Profile tab revealed R38 was admitted to the facility on [DATE]. Review of R38's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/22/25, located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of five out of 15 which indicated the resident was severely cognitively impaired. During observation of the facility entrance on 05/21/25 at 12:40 PM, a sign was posted that read, ATTENTION! ATTENTION! VISITING HOURS: 7 AM - 7 PM, NO RE-ENTRY AFTER 7 PM. CALL [Phone number] FOR AUTHORIZED RE-ENTRY. During an interview on 05/21/25 at 12:33 PM, the Receptionist…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · D2025-05-23 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility policy, observations and interviews, the facility failed to ensure residents' equipment was kept clean and blinds were in good working order for two of two residents (Residents (R) 47, and R72) reviewed for the environment of 21 sample residents. Specifically, R47's bedside fall mats were observed with a dry brown substance, and R72's window blinds were in disrepair. This failure had the potential to not support the residents' right to a safe, clean, comfortable, and homelike environment. Findings Include: Review of the facility's policy titled, Cleaning and Disinfection of Resident-Care Items and Equipment dated 12/08, revealed Resident-care equipment, including reusable items and durable medical equipment will be cleaned and disinfected according to current CDC [Centers for Disease Control and Prevention] recommendations for disinfection and the OSHA [Occupational Safety and Health Administration] Bloodborne Pathogens Standard. 1. During observations conducted on 05/21/25 at 10:29 AM, 05/22/25 at 9:09 AM, and 05/23/25 at 10:00 AM, R47's fall mats,…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-23 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, record reviews and interviews, the facility failed to report an allegation of resident-to-resident abuse for two of three residents (Resident (R) 28 and R35) reviewed for abuse out of 21 sampled residents. This had the potential to affect all residents who received care. Findings include: Review of the facility's undated policy titled, Abuse Prevention Policy and Procedure, revealed once a complaint or situation is identified involving alleged mistreatment, neglect, exploitation, or abuse, including injuries of unknown source and misappropriation of resident property the incident will be immediately reported. If the event that caused the allegation involves abuse or results in serious bodily injury, the report must be made within two hours to the Administrator, Director of Nursing, Physician and Medical Director, and SC-DHEC (South Carolina Department of Health and Environmental Control). Review of R28's Face Sheet located in the electronic medical record (EMR) under 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-23 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, record reviews and interviews, the facility failed to investigate an allegation of resident-to-resident abuse for two of three residents (Resident (R) 28 and R35) reviewed for abuse out of 21 sampled residents. This had the potential to affect all residents who received care. Findings include: Review of the facility's undated policy titled, Abuse Prevention Policy and Procedure revealed, once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property, the following investigation and reporting procedures will be followed: I. The description of the alleged complaint is written on the investigation form. Any physical evidence and description of emotional state will be documented. 2. Information gathering - The following information will be gathered: Who did it? (who is the suspect); Who did they do it to? (who is the resident); What happened? (be specific about 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-23 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a written transfer notice that contained all required information was provided for two of five residents and/or their representatives (Resident (R) 11 and R39) reviewed for hospital transfer out of 21 sample residents. This failure had the potential to affect the residents and their Resident Representative (RP) by not having the knowledge of where and why a resident was transferred and/or how to appeal the transfer, if desired. Findings include: 1. Review of R11's admission Record located in the Profile tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with diagnoses including intellectual disabilities. Review of R11's quarterly Minimum Data Set (MDS) located under the MDS tab of the EMR and with an Assessment Reference Date (ARD) of 04/24/25, revealed he had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, which indicated R11 was cognitively intact. Review of the R11's Evaluations…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interviews, the facility failed to ensure there was an active physician ' s order for oxygen administration for one of one residents reviewed, (Resident (R) 12) reviewed for oxygen administration of 21 sample residents. This failure had the potential for residents to receive increased oxygen causing hyperoxia (cells, tissues and organs are exposed to an excess supply of oxygen). Findings include: Review of R12's admission Record, located in the Profile tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with diagnoses including intellectual disabilities. Review of R12's quarterly Minimum Data Set (MDS) located under the MDS tab of the EMR with an Assessment Reference Date (ARD) of 02/13/25, revealed a Brief Interview for Mental Status (BIMS) assessment could not be completed. Review of R12's Care Plan located under the Care Plan tab of the EMR, dated 03/31/25, revealed the resident was on continuous oxygen therapy. Review of R12's…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-23 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interviews, the facility failed to ensure residents received alternative measures prior to the installation of side rails and that assessments were completed for the risk of entrapment for one of two residents (Resident (R) 12) reviewed for side rails out of 21 sample residents. The lack of alternate side rail measures and proper assessment could lead to potential restraint or side rail entrapment. Findings include: Review of R12's admission Record located in the Profile tab of the electronic medical record (EMR), revealed he was admitted to the facility on [DATE] with diagnoses including intellectual disabilities. Review of R12's quarterly Minimum Data Set (MDS) located under the MDS tab of the EMR with an Assessment Reference Date (ARD) of 02/13/25, revealed a Brief Interview for Mental Status (BIMS) assessment could not be completed. Review of R12's Care Plan, located under the Care Plan tab of the EMR and dated 03/31/24, revealed The resident was at risk for ADL…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-23 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and facility policy review, the facility failed to ensure that residents were offered and received the pneumonia vaccinations for two of five residents (Resident (R) 45 and R57) reviewed for immunization of 21 sample residents. This places residents at an increased risk of complications related to pneumonia. Findings Include: Review of the facility's policy titled, Immunizations-Pneumococcal Vaccination (PPV), dated 06/19, revealed the facility will follow current recommended practice guidelines for the pneumococcal vaccination. Residents will be offered the pneumococcal vaccination as appropriate. 1. Review of R45's undated admission Record located in the electronic medical record (EMR) under the Profile tab, indicated that R45 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, diabetes, and chronic kidney disease. Review of R45's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/01/25, located in the EMR…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-16 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and facility policy review, the facility failed to develop and implement a comprehensive person-centered Care Plan for Resident (R)1, for 1 of 3 residents. Findings include: Review of the facility's policy titled, Care Plan - Comprehensive, dated effective 09/01/22, revealed in the policy section, the facility's Care Planning/Interdisciplinary Team, in coordination with the resident, his/her family or representative (sponsor) develops and maintain a comprehensive care plan for each resident that identifies the highest level of functioning the resident may be expected to attain . Procedure: 5. The resident's comprehensive care plan is developed within seven (7) days of the completion of the resident's comprehensive assessment [Minimal Data Set] (MDS). Review of the clinical record revealed R1 was admitted to the facility on [DATE], with diagnoses including but not limited to: Acute Duodenal Ulcer with Perforation, Hypertension, Hyperlipidemia, Posthemorrhagic Anemia,…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure that 1 resident (Resident (R)79) out of 23 sampled residents had an accurate Minimum Data Set (MDS) assessment. Findings include: Review of the RAI Manual, dated 10/01/23, indicated, . information obtained should cover the same observation period as specified by the MDS items on the assessment and should be validated for accuracy (what the resident's actual status was during that observation period) by the IDT [Inter-Disciplinary Team] completing the assessment . Review of R79's electronic medical record (EMR) undated, admission Record, located under the Profile tab, indicated R79 was admitted to the facility on [DATE] with diagnoses that included but was not limited to: malignant neoplasm of colon, intellectual disabilities, and severe protein calorie malnutrition. Review of R79's admission MDS located in the EMR under the MDS tab with an Assessment Reference Date (ARD) of 01/22/24…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-22 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility policy, the facility failed to assess a resident for the use of side rails on the bed, including a review of risks and potential entrapment; or obtained informed consent for the use of side rails from the resident and/or the resident representative to ensure the appropriate use of side rails for 1 resident (Resident (R)47) out of 23 sampled residents. Findings include: Review of the facility's policy titled, Bed Rail Policy and Procedure dated June 2023 indicated, . The Agency's Administrator and Clinical Leadership will be responsible for ensuring the completion of individual bed rail assessments on a regular basis. Bed rail assessments will include analysis and determination of potential alternatives to use. When bed rails are deemed necessary and appropriate, the Agency will provide education to the client and/or their personal representative pertaining to the risks and benefits of bed rail use. During an observation on 03/20/24 at 11:15…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-06 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and facility policy review, the facility failed to obtain statements from all parties involved for 1 of 3 sampled residents reviewed for abuse. Findings include: Review of the facility's undated policy titled, Abuse Prevention Policy and Procedure revealed, It is the intent of this facility to actively preserve each resident's right to be free from mistreatment, neglect, abuse, exploitation or misappropriation of resident property. We believe that each resident has the right to be free from verbal, sexual, physical and mental abuse, corporal punishment and involuntary seclusion. The purpose of these identified procedures is to assure that we are doing all that is within our control to create a standard of intolerance and to prevent any occurrences of any form of mistreatment, neglect, abuse, exploitation or misappropriation of any resident and or their property. The procedures herein establish standards of practice for screening and training employees, protection of residents and for prevention, identification, investigation and reporting of…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-01-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and facility policy review, the facility failed to label and date food items in one of two refrigerators in the kitchen. This had the potential to affect 60 of the 62 resident of the facility who consume food from the kitchen. The facility identified two residents who were ordered to received nothing by mouth (NPO). Findings include: Review of the facility's policy, Date Marking of Food Items undated stated, Policy: To ensure appropriate rotation of and/or disposal of food items to prevent foodborne illnesses. Procedure: .2. Label ready-to eat, potentially hazardous foods that are prepared on site and held for more than 24 hours. 3. Label any processed, potentially hazardous foods, when opened, if they are to be held for more than 24 hours . Review of the facility's policy, Food Storage dated 04/16/17 stated, Policy: Food storage areas will be maintained in a clean, safe and sanitary manner. Procedure: .6. Prepared food stored in the refrigerator until service shall be dated with an expiration date. Such food will be tightly sealed with plastic wrap,…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-01-19 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and review of facility policy, the facility failed to ensure staff wore all the required personal protective equipment (PPE), specifically eye protection when entering occupied (COVID positive) residents' rooms in order to potentially prevent the spread of COVID in the facility. The deficient practice had potential to affect 40 of the 62 residents of the facility who were negative for COVID. Findings include: Review of facility-provided policy dated 05/19, titled Infection Control and Prevention Policy revealed .Staff will use PPE .to prevent the spread of infection . Review of facility-provided policy dated 01/07/22, titled Pandemic Coronavirus (COVID-19) Prevention and Response revealed .Staff should wear a facemask, gown, gloves, and eye protection . and PPE should be donned upon entry to the resident's room . Observation on 01/17/22 at 9:39 AM revealed a sign on the door entering the facility that read outbreak status. Observation on 01/17/22 at 1:54 PM, revealed Certified Nursing Assistant (CNA)18 and CNA20 had on gowns and N95 masks in 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-19 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews and review of facility policy, the facility failed to ensure care plans were revised and updated related to COVID in order to provide person-centered care for two residents ((R)10 and R 55) of 16 reviewed for care plans. Findings include: Review of facility-provided policy titled, CARE PLANS dated 06/2016 revealed Care plan updates/reviews will be performed within seven days of .acute episode . and .a comprehensive care plan is developed .to meet resident's medical, nursing, and psychological needs . 1. Review of the electronic medical record (EMR), under the Profile tab, under the heading Admission contained a Face Sheet revealing R10 was admitted to the facility on [DATE]. R10 had multiple diagnoses to include legally blind, muscle weakness, difficulty walking and Alzheimer disease. The Progress Note tab in the EMR revealed a note dated 01/06/21 .Fever 100.0 ., and on 01/09/21 at 7:42 AM RECEIVED PCR RESULTS .RESULTS ARE POSITIVE FOR COVID .PT MOVED TO COVID QUARANTINE UNIT…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-19 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and review of the facility policy, the facility failed to ensure maintenance services were provided in order to maintain a sanitary kitchen. Tours of the facility throughout the survey dates from 01/17/22 to 01/19/22 revealed concerns with cleanliness of the vent hood filters in the kitchen and the floors/baseboards in the kitchen. Findings include: Review of the facility's policy titled, Preventive Maintenance Program date implemented 01/18 revealed, Policy: A Preventive Maintenance Program shall be developed and implemented to ensure the provision of a safe, functional, sanitary, and comfortable environment for residents, staff and the public. Policy Explanation and Compliance Guidelines: 1. The Maintenance Director is responsible for developing and maintaining the maintenance services to ensure that the buildings, grounds and equipment are maintained in a safe and operable manner. 2. The Maintenance Director shall assess all aspects of the physical plant to determine if Preventive Maintenance (PM) is required . Observation on 01/17/22 at 9:45 AM of…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ELIYAHU MIRLIS — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.1-1.1 vs chain
Health inspection 1 of 52.0-1.0 vs chain
Staffing 1 of 53.0-2.0 vs chain
Quality measures 3 of 53.2-0.2 vs chain
The other 12 homes this chain runs (chain average 2.1★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
RIDGEVIEW OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/01/2021
SC OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2021
SHORE HEALTH MANAGEMENT TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2021
MIRLIS, ELIYAHUIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 07/01/2023
BOYLES, SHERIIndividualW-2 MANAGING EMPLOYEEsince 11/01/2021

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$8.0M
Net patient revenuemost recent cost report
+5.7%
Operating marginrevenue minus expenses
$58K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 87%Medicare 7%Other / private 6%

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $58K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$275per resident / day
operating cost
$8,349per month
≈ monthly operating cost
$291per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in SC

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the South Carolina Medicaid page.

Typical monthly cost in South Carolina
$9,034/mo
Nursing home (semi-private)
$9,612/mo
Nursing home (private)
$5,350/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 425132. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-23, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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