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PruittHealth- Rock Hill

261 S Herlong Ave, Rock Hill, SC 29732 · For profit - Corporation · 132 certified beds · (803) 366-7133 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Sep 20231 immediate-jeopardy citation
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 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
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • about 21% of its spending goes to commonly-owned related companies

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) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1665 Herlong Ct · (803) 324-1028 · Call to confirm hours
Pharmacy
1645 Cranium Dr · (803) 325-2792 · Call to confirm hours
Grocery
Food Lion0.5 mi
1720 Ebenezer Rd · (803) 980-8022 · Call to confirm hours
Park
1028 Constitution Park Blvd · (803) 980-1110 · Typically dawn to dusk
Place of worship

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 fell from 2 to 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 increased4.1%11.9%15.4%better
Long-stay residents who lose too much weight4.2%6.3%5.4%better
Long-stay residents with a catheter left in their bladder2.1%0.6%0.9%worse
Long-stay residents with a urinary tract infection0.3%1.3%2.0%better
Long-stay residents with depressive symptoms0.0%3.1%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury5.1%3.2%3.3%worse
Long-stay residents whose ability to walk worsened8.2%12.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication22.2%21.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%90.6%95.3%typical
Long-stay residents with pressure ulcers5.9%5.1%4.7%worse
Long-stay residents with worsening bladder/bowel control7.1%16.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table7.5%15.3%17.1%better
Short-stay residents who newly got an antipsychotic medication0.9%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine96.5%78.0%79.4%better
Short-stay residents rehospitalized after admission26.9%24.3%22.6%worse
Short-stay residents with an outpatient ER visit12.2%13.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.052.041.67worse
Long-stay outpatient ER visits per 1,000 resident days2.191.841.80worse

* 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.

§ 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.

53.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.0%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
39.6%U.S. median 56.6%
Met the expected recovery
0.22U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 39.6% 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 53 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 SNF53.0%CMS range 35.9–66.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 7.4–16.410.7%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 discharge39.6%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 discharge37.7%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 discharge34.0%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 identified97.4%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge97.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this 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 hospitalization7.1%CMS range 3.6–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 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

1.05
RN hours/ resident / day
0.50
LPN hours/ resident / day
1.45
Aide hours/ resident / day
2.99
Total nurse hours/ resident / day
0.82
RN hoursweekends
42.4%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 132 beds and averages 105.9 residents a day — about 80% occupied, or roughly 26 beds typically open. It usually has some room. 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 2.99 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.45 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 2.45 hrs/resident/day on weekends vs 3.21 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.14 to 0.82 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

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

12
deficiencies at the latest standard inspection (2026-02-19)
0
at the previous standard inspection (2025-01-10)

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.

22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2023-04-21 · 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 observation, interviews, record review, document review, facility policy review, and review of manufacturer's information for the facility's wheelchair securement system, the facility failed to properly secure Resident (R)225 in the facility's transportation van while transporting the resident back to the facility following an appointment. On 10/14/2022, at approximately 2:30 PM, the Van Driver placed R225 in the facility van, securing the wheelchair in the back, locking the wheelchair brakes, and placing the lap belt on the resident, but did not secure the front of the wheelchair. Upon leaving the parking lot, the van stopped at a red light that was on an incline, and when the van started to move, the resident's wheelchair flipped backwards, causing a skin tear to the resident's right hand, abrasion to the forearm, and a knot to the back of the resident's head. R225 was then provided first aid by the Minimum Data Set (MDS) Nurse, who was also on the van for the transport, and then the wheelchair was…

    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 · F2026-02-19 · 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 review of facility policy, the facility failed to ensure sanitary conditions were maintained in the kitchen by positioning a garbage/refuse cart containing visible waste in close proximity to clean food service items during active tray assembly in one (1) of one (1) kitchen observed. This practice created the potential for contamination of clean trays and plate covers and increased the risk for foodborne illness and infection transmission.Findings include:Record review of facility policy titled, Waste Disposal: Dietary Services last revised 04/11/16 revealed, It is the policy of PruittHealth for the Dietary Department to dispose of waste in an effective manner in order to prevent a breeding place for insects, rodents, and transmission of diseases. This policy applies to all dietary partners employed by PruittHealth. Garbage disposal areas should be separate from food prep areas.Record review of facility policy titled, Dishroom Sanitation last revised 03/22/16 revealed, It is the policy of PruittHealth that the dish room must be maintained in 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-02-19 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of facility policy, the facility failed to maintain the refuse disposal area in a sanitary and safe manner by failing to ensure dumpster doors remained closed in two (2) of two (2) dumpsters observed. The facility's failure to keep refuse container doors closed had the potential to attract pests and create unsanitary conditions, increasing the risk of environmental contamination.Findings include:Review of facility policy titled, Waste Disposal: Dietary Services, last revised 04/11/2016, revealed, It is the policy of PruittHealth for the Dietary Department to dispose of waste in an effective manner in order to prevent a breeding place for insects, rodents, and transmission of diseases. Garbage disposal areas should be separate from food prep areas.On 2/18/2026 at approximately 10:15 AM, the Housekeeping Supervisor escorted the surveyor to the refuse area and provided a tour of the facility's garbage storage area. Observation revealed two (2) garbage dumpsters with doors open and one cardboard compactor with the black lid flipped over 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-02-19 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to maintain 1 of 1 laundry washers in a safe operating condition. Specifically, the facility failed to ensure that 2 filters were cleaned daily for the UniMac washer.Findings include:On 02/18/26 at approximately 10:00 AM, a tour of the laundry room revealed that 2 of 2 filters on the Unimac washer were dusty and filled with black debris. A manufacturer's sign posted below the filters reads, clean filter daily.Review of an Alliance Laundry Systems Washer Manufacturer guidelines revealed: Maintenance End of Day4. If applicable, clean the AC invert drive filter. a. Remove the external plastic cover which contains the filter. b. Remove the foam filter from the cover.c. Wash the filter with warm water and allow air to dry. Filter can be vacuumed clean.During an interview on 02/18/26 at approximately 10:09 AM, the Laundry Assistant, reports that the maintenance department cleans the dryer lint filters and stated she was unaware washer filters were to be cleaned.During an interview on 02/18/26 at approximately 10:15…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-19 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 review, and interviews, the facility failed to ensure the Electronic Medical Record (EMR) accurately reflected the Resident's Advance Directives. Specifically Resident (R)23 and (R)128 did not have advance directives that matched their Physician Orders. Findings include: Review of the facility policy titled Advanced Directives: South Carolina last revised on [DATE], revealed, This healthcare center recognizes the right of patients/residents to control decisions related to their medical care. Advanced Directives relate to the provision of care when the patient/resident lacks the capacity to make healthcare decisions. Advanced Directives executed in accordance with state law will be honored by the healthcare center. Procedure: 5. Revocation of Advance Directive: The healthcare center shall enter in the patient/resident's medical record any change in or termination of the advance directive for health care that becomes known to the healthcare center. 1.Review of R128'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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-19 · 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, review of the facility policy and interviews, the facility failed to ensure written notification of the bed hold policy, including reserve bed payment requirements, was provided to the resident and/or the resident's representative for one of one Resident (R)1 reviewed for hospitalization.Findings Include:Review of the facility policy titled, Bed Hold Authorization Form: South Carolina last revised 12/6/22 revealed, Two notices related to the healthcare center's bed hold policy will be issued. The first notice of bed hold policies is given during this admission, which is well in advance of any transfer. The second notice, which specifies the duration of the bed hold policy will be issued at the time of any transfer. In cases of emergency transfer, notice 'at the time of transfer' means that the family and/or undersigned parties, not to include the healthcare center, is provided with written notification within 24 hours of the transfer. The requirement is met if the patient/resident's copy…

    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 · D2026-02-19 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, record reviews and interviews, the facility failed to complete the admission Minimum Data Set (MDS) within 14 calendar days after admission for Resident (R)130 1 of 1 residents reviewed for comprehensive assessment and timing.Findings include: Review of the facility policy titled, MDS Assessment Accuracy, revealed, Policy Statement: It is the policy of this healthcare center that each Minimum Data Set (MDS) reflect the acuity and the medical status of each patient/resident in accordance with acceptable professional standards and practices. The assessment will be scheduled to accurately account for the acuity and complexity of the patient/resident. Each Assessment Reference Date (ARD) will be chosen to capture services rendered and reflect an accurate clinical profile of each patient/resident.Review of R130's Face Sheet revealed the facility admitted R130 on 01/30/26 with diagnoses including but not limited to: displaced intertrochanteric fracture of left femur, dementia, encephalopathy, dysphagia, and cerebral infarction.Review of R130's admission…

    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 · D2026-02-19 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 facility policy review, the facility failed to initiate a baseline care plan related to therapy services and wound care for Resident (R)123 one of three residents reviewed for wound care. Findings include:Review of the facility's policy titled, Care Plans, revised 10/21/25, revealed Procedure: New admission Baseline Plan of Care 1. Upon a new admission, a baseline care plan will be developed by the admitting nurse/nurses in conjunction with the other IDT, the patient/resident and/or patient/resident representative. The baseline care plan should be initiated in 24 hours and will be completed and implemented within 48 hours of admission. Review of R123's Face Sheet revealed R123 was admitted to the facility on [DATE], with diagnoses including but not limited to: cellulitis of left lower limb, type 2 diabetes mellitus with diabetic neuropathy, and cerebral palsy.Review of R123's admission Minimum Data Set (MDS) located under the MDS tab in the EMR with an Assessment Reference…

    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 before2026-02-19 · 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 review of the facility policy, record review, observations, and interviews, the facility failed to ensure a care plan was completed and implemented for Resident (R)2 related to activities for one of three residents reviewed for care plans. Findings include: Review of the facility's policy titled, Care Plans, with a revised dated of 10/21/25 revealed 2. A comprehensive person-centered care plan will be developed by the interdisciplinary team for each patient/resident within seven days after the completion of the comprehensive assessment. 3. The comprehensive person-centered care plan is developed to include measurable goals and timeframes to meet a patient/resident's medical, nursing and psychosocial needs, the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental and psychosocial needs that are identified in the comprehensive assessment. Review of R2's Face Sheet located in the Electronic Medical Record (EMR) revealed R2 was admitted to the facility…

    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 · D2026-02-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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's policy, record review, observations, and interviews, the facility failed to ensure a dependent resident (R)83 received adequate Activities of Daily Living (ADL) care to match her preferences.Findings include:Review of the facility's policy titled, Documentation: Charting Activities of Daily Living (ADLs) with a reviewed date of 11/17/25 indicated, It is required for Activities of Daily Living (ADL) care given by Certified Nursing Assistants and Nurses to be documented under Care Assist in patient's/resident's Electronic Healthcare Record (EHR). For the healthcare centers not utilizing EHR, all documentation will be completed using the CNA ADL Flow Sheet Form.Review of the facesheet located on the EHR indicated R83 was admitted to the facility on [DATE] with diagnoses including but not limited to urinary tract infection, cognitive communication deficit, type 2 diabetes and hypertension.Review of R83's admission Minimum Data Set (MDS) assessment dated [DATE] indicated R83 has 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 · D2026-02-19 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 review, observations, and interviews, the facility failed to assess Resident (R)2 for the needs and/or provide activities that met her interests.Findings include: Review of the facility's policy titled, Activities Program, with a reviewed date of 11/17/25 revealed, Policy Statement: The Health Care Center provides an ongoing program of Activities designed to meet the physical, mental, and psychosocial well-being of each resident while offering a rich array of activities to the residents of the center.Procedure: 7. After reviewing the Activities Assessment & Preferences for Customary Routine & Activities in the EHR, the IDT designates specific activities for individual residents in the resident's care plan based on their likes/dislikes, preferences, and impairments. 8. The Activity Participation will be recorded by the Activities Director/Assistant or designee in the EHR. Participation will be completed for each resident per each activity. R2 was admitted to 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2026-02-19 · tag F0809 — failed to serve meals on a reasonable schedule — isolated
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    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, and record review, the facility failed to provide snacks for 2 residents, reviewed R 8 and R22.Findings include:Review of facility policy titled Nourishments, revision date 10/18/2017.Procedures: 2. Dietary will stock each nourishment kitchen with a variety of food and beverage items. (i.e., peanut butter, crackers, soup, ice cream, cereal, milk, or other beverages).Review of facility policy titled, Bedtime (HS) Snacks, revision date 06/20/2022. Procedures:2. Nursing staff will offer the HS snacks to all patients/residents (with the exception of patients/residents not receiving oral nutrition) at bedtime. An observation on 2/18/26 at approximately 4:19 P.M., observation revealed a family friend providing a snack to R 13, the resident was seated in the common area in front of the nurses' station. The family friend was observed holding a cup containing what appeared to be Chex Mix and pretzels.An observation on 02/19/2026 of 3 of 3 nourishment rooms revealed the following:Unit 1…

    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 · D2026-02-19 · tag F0880 — failed to prevent and control infections — isolated
    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 observation, record review and interviews, the facility failed to ensure appropriate infection control practices were followed related to urinary catheter care for one of two Residents (R) 120 reviewed for catheter care. Specifically, the facility failed to prevent a resident's urinary drainage bag from being placed directly on the floor, creating a potential risk for contamination and infection. Findings include:Review of R120's Face Sheet revealed, the facility admitted R120 on 02/16/26 with diagnoses including but not limited to; urinary tract infection, type 2 diabetes mellitus and Alzheimer's disease. Review of R120's orders reveal Catheter Dx: Chronic Urinary Retention. Indwelling urinary catheter #16 FR 10cc bulb.An observation on 02/17/26 at 01:40 PM of R120 revealed resident lying in bed watching television. Bed was in low position. Catheter bag noted resting on floor.During an observation on 02/17/26 at 04:50 PM revealed resident lying in bed watching television. Bed was in low position. Catheter bag noted resting on floor.During an interview on 02/17/26 at 04:55…

    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 · Dcited before2025-06-11 · 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

    Based on observations, interviews and record review, the facility failed to prevent accidents and hazards for one (1) out of three (3) sampled residents (Resident (R)7). Findings include: Review of R7's electronic medical record revealed a Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/16/25, that showed the resident was admitted from the community on 1/27/25. The Brief Interview Mental Status (BIMS) revealed a score of 99, which indicated he/she had been unable to complete the cognitive test. R7 requires partial assistance with ADLs (activities of daily living) when going from sitting to lying, from a chair/bed to another chair, with toileting and sitting to standing transfer. During an observation on 06/10/25 at 9:35 AM, of R7's room, there appeared to be a spill under the bed. The spill under bed was covered with a sheet and there was an extension cord plugged into the wall lying on the floor next to R7's bed. R7 was unable to communicate verbally. In an interview on 06/10/25 at 9:36 AM, the Registered Nurse (RN)/Unit Manager stated they would 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-12 · 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 interview, record review, and review of facility policy, the facility failed to report an allegation of resident-to-resident verbal abuse that occurred between Resident (R)16 and R17, for 2 of 8 residents reviewed for resident-to-resident altercations. Findings include: A review of the facility policy titled Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property last revised 07/29/19 revealed, It is the policy of the facility and its affiliated entities to comply with all applicable federal and state requirements regarding the reporting of patient abuse, neglect, exploitation, and misappropriation of property. Any allegation, suspicion, or identified occurrence is identified involving patient abuse, neglect, exploitation, mistreatment, and misappropriation of property, including injuries of unknown source, should be immediately reported to the provider entity. In accordance with applicable laws and regulations, the Administrator or his or her designee should…

    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 before2023-09-12 · 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 interview, record review, and review of facility policy, the facility failed to ensure a resident with a history of falls had Care Plan interventions implemented for 1 (Resident (R)9) of 3 residents reviewed for falls. This had the potential for R9 to sustain a fall with injury. Findings include: Review of the facility policy titled Care Plans with a revised date of 07/27/23 revealed, the comprehensive person-centered care plan is developed to include measurable goals and timeframes to meet a patient/resident's medical, nursing and psychosocial needs, the services that are to be furnished to attain or maintain the resident; s highest practicable physical, mental and psychosocial needs that are identified in the comprehensive assessment. Review of R9's Face Sheet revealed R9 was admitted to the facility on [DATE] with diagnoses including but not limited to vascular dementia, muscle weakness, difficulty in walking, and disorientation. Review of R9's Quarterly Minimum Data Set (MDS) with an Assessment…

    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 · D2023-04-21 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 observations, interviews, record review, and review of facility policy,the facility failed to assess 1 (Resident (R)25) of 4 residents to determine their capability to self-administer medications. Findings include: A review of the facility's policy titled, Self-Administration of Medications by Patients/Residents, revised on 01/28/2020, indicated, Each patient/resident who desires to self-administer medication is permitted to do so if the healthcare center's Licensed Nurse and physician have determined that the practice would be safe for the patient/resident and other patient/residents of the healthcare center. Medication self-administration also applies to family members who wish to administer medication. 2. If the patient/resident or family member desires to self-administer medications, an assessment is conducted by the Licensed Nurse to assess the individual's cognitive, physical, and visual ability to carry out this responsibility. Also, the resident or family member should, in conjunction with 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-21 · tag F0559 — isolated
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    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 provide written notice to the resident and/or the resident's representative prior to a room change for 1 (Resident (R)223) of 1 sampled resident reviewed for a room change. Findings include: Review of a facility policy titled, Room or Roommate Changes, revised on 12/06/2022, indicated, It is our policy to inform patients/residents in advance of any change in room or roommate and allow patients/residents the opportunity to have input in the decision. A review of R223's Face Sheet indicated the facility admitted the resident with diagnoses that included endocarditis (an infection of a heart valve), supraventricular tachycardia (an abnormally fast heartbeat), and an abscess of the abdominal wall. An admission Minimum Data Set (MDS), dated [DATE], revealed R223 had a Brief Interview for Mental Status score of 3, which indicated severe cognitive impairment. The MDS indicated the resident required extensive to total assistance from…

    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 · D2023-04-21 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 assist a resident in filing a grievance related to missing personal property and failed to ensure prompt efforts were made to resolve the issue for 1 (Resident (R)42) of 6 sampled residents reviewed for missappropriation of property. Findings include: Review of a facility policy titled, Grievances: Healthcare Centers, revised 11/21/2022, indicated, In the event a patient expresses a grievance or complaint to a staff member, one or more of the following actions will be taken: If the patient or family member requires assistance with writing the grievance, the staff person receiving the information will assist with completing the appropriate section of the Grievance/Complaint Form: Healthcare Centers. The policy indicated, The Administrator or designee will then refer the grievance to the appropriate department for investigation if it has not already been referred. Further review of the policy indicated, The Grievance/Complaint…

    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 · D2023-04-21 · 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 record review, interviews, facility document review, and facility policy review, it was determined that the facility failed to thoroughly investigate an incident of injury of unknown origin for 1 (Resident (R)173) of 11 residents reviewed for abuse and/or neglect. Findings include: A review of a facility policy titled, Investigation of Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, revised 10/09/2020, revealed, The administrator of the provider is responsible for assuring that an accurate and timely investigation is completed. If there is an occurrence of or allegation involving patient abuse (including injuries of unknown source), neglect, exploitation, mistreatment or misappropriation of patient property, the following investigation and reporting procedures will be followed. The policy further indicated, If it appears to a reasonable person that injury of unknown cause has occurred, interviews should be conducted. Signed statements should be gathered from: staff who cared for patient just prior to and after injury; other reliable patients in…

    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 · D2023-04-21 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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 review of facility policy, the facility failed to timely complete a significant change in status Minimum Data Set (MDS) for 1 (Resident (R)173) of 33 residents whose MDS assessments were reviewed. Specifically, the facility failed to complete a significant change MDS assessment after R173 had a decline in activities of daily living due to a fall that resulted in a hip fracture on 08/23/2022. Findings include: Review of the facility policy titled, MDS Assessment Accuracy, revised 12/06/2022, indicated, Significant change in Status Assessment (Comprehensive) ARD [assessment reference date] must be no later than the 14th calendar day after the determination of a significant change has been made. A review of the Face Sheet revealed R173 was admitted with diagnoses that included Alzheimer's disease, generalized muscle weakness, difficulty walking, and hypertension. A review of a discharge MDS assessment, dated 08/23/2023, revealed R173 had an unplanned discharge to an acute…

    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 before2023-04-21 · 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 a comprehensive person-centered care plan that addressed all resident care needs for 3 (Residents (R)19, R42, and R67) of 33 sampled residents whose care plans were reviewed. Specifically, the facility failed to ensure the comprehensive care plan addressed pain management for R19, oxygen therapy for R42, and the rationale, behavioral symptoms and non-pharmacological interventions related to antipsychotic medication use for R67. Findings include: Review of a facility policy titled, Care Plans, effective 12/31/1996, revealed, It is the policy of the health care center for each patient/resident to have a person centered baseline care plan followed by a comprehensive care plan developed following the completion of the Minimum Data Set (MDS) and the Care Area Assessment (CAA) portions of the comprehensive assessment according to the Resident Assessment Instrument (RAI) Manual and the patient/resident choice. The policy also…

    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

“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 PRUITTHEALTH — 95 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 52.9-1.9 vs chain
Health inspection 1 of 52.8-1.8 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 3 of 53.6-0.6 vs chain
The other 94 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Oaks - Athens Skilled Nursing, TheAthens, GA 1 of 5PruittHealth - Holly Hill, LLCValdosta, GA 1 of 5PruittHealth - LilburnLilburn, GA 1 of 5PruittHealth- AikenAiken, SC 1 of 5PruittHealth- ColumbiaColumbia, SC 1 of 5PruittHealth-Carolina PointDurham, NC 1 of 5PruittHealth-DurhamDurham, NC 1 of 5PruittHealth-TrentNew Bern, NC 1 of 5PruittHealth-Union PointeMonroe, NC 1 of 5Pruitthealth - AustellAustell, GA 1 of 5Pruitthealth - Lakehaven, LLCValdosta, GA 1 of 5Pruitthealth - MaconMacon, GA 1 of 5Pruitthealth - Magnolia ManorMoultrie, GA 1 of 5Pruitthealth - Old CapitolLouisville, GA 1 of 5Pruitthealth - PalmyraAlbany, GA 1 of 5Pruitthealth - SwainsboroSwainsboro, GA 1 of 5Pruitthealth - ToccoaToccoa, GA 1 of 5Pruitthealth - West AtlantaAtlanta, GA 2 of 5NC State Veterans Home-KinstonKinston, NC 2 of 5PruittHealth - AugustaAugusta, GA 2 of 5PruittHealth- BambergBamberg, SC 2 of 5PruittHealth- DillonDillon, SC 2 of 5PruittHealth- EstillEstill, SC 2 of 5PruittHealth- Moncks CornerMoncks Corner, SC 2 of 5PruittHealth- RidgewayRidgeway, SC 2 of 5PruittHealth-NeuseNew Bern, NC 2 of 5Pruitthealth - BrookhavenAtlanta, GA 2 of 5Pruitthealth - CreeksideAugusta, GA 2 of 5Pruitthealth - DecaturDecatur, GA 2 of 5Pruitthealth - FairburnFairburn, GA 2 of 5Pruitthealth - Fleming IslandFleming Island, FL 2 of 5Pruitthealth - ForsythForsyth, GA 2 of 5Pruitthealth - GriffinGriffin, GA 2 of 5Pruitthealth - Richmond, LLCAugusta, GA 2 of 5Pruitthealth - RomeRome, GA 2 of 5Pruitthealth - SavannahSavannah, GA 2 of 5Pruitthealth - Valdosta, LLCValdosta, GA 2 of 5Pruitthealth-North Tampa, LLCLutz, FL 2 of 5The Oaks-BrevardBrevard, NC 3 of 5Christian City Rehabilitation CenterUnion City, GA

Showing 40 of 94; lowest-rated first.

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 / managerTypeRoleSince
CARVER, DENNISIndividualW-2 MANAGING EMPLOYEEsince 05/21/2018
PRUITTHEALTH INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 09/26/2007
PRUITT, NEILIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/25/2007

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

$8.1M
Net patient revenuemost recent cost report
-32.9%
Operating marginrevenue minus expenses
$2.2M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 73%Medicare 3%Other / private 23%

About 73% 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 $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$367per resident / day
operating cost
$11,161per month
≈ monthly operating cost
$276per 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 425127. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-19, 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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