Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Haven Nursing Center during CMS and state inspections, most recent first.
Two residents, one with an existing stage 3 pressure injury and another at moderate risk for pressure ulcers, were repeatedly observed sitting in wheelchairs without pressure-relieving cushions. Both residents had significant health conditions and required extensive assistance, yet staff confirmed that appropriate pressure-reducing devices were not provided as required by facility policy.
A resident with multiple chronic conditions and significant weight loss did not receive timely follow-up from facility staff to implement a registered dietician's recommendation for an appetite stimulant. The DON confirmed that the facility failed to follow up with the physician to address the resident's nutritional needs.
The facility did not ensure the medical director attended quarterly QAA meetings, as shown by missing signatures on meeting rosters and administrator confirmation of the absence.
A resident with severe cognitive impairment and a history of neck surgery was repeatedly observed in a geri chair with her feet dangling and unsupported, despite her care plan indicating the need for monitoring and support. Multiple staff, including an LPN/Clinical Manager and the DON, confirmed that her legs and feet should have been supported, but this was not provided.
A medication storage deficiency was identified when a fluticasone inhaler was found left on a resident's bedside table. The resident confirmed the inhaler was hers and that a nurse had left it there. Both an LPN and the DON acknowledged that the inhaler should not have been left unsecured in the resident's room.
The facility failed to respect a resident's request for a more textured diet, despite his cognitive competence to make his own medical decisions. The resident repeatedly expressed dissatisfaction with the pureed diet and refused to eat it. Both the ADON and DON acknowledged the resident's competence and confirmed that a waiver should have been offered, which was not done.
A resident with severe cognitive impairment and significant weight loss did not receive a prescribed diabetic nutritional supplement twice daily as ordered. Staff confirmed the supplement was not administered, despite the resident's critical need for nutritional support.
A resident received the psychotropic medication Vistaril beyond the 14-day limit without a documented end date or rationale, despite recommendations from the consultant pharmacist. The facility's DON and ADON confirmed the oversight.
Failure to Provide Pressure-Relieving Devices for Residents at Risk of Pressure Ulcers
Penalty
Summary
The facility failed to provide necessary pressure ulcer prevention and treatment interventions for two residents, as required by their own policy and professional standards of practice. One resident with multiple comorbidities, including chronic kidney disease, diabetes, and morbid obesity, was identified as high risk for pressure ulcers and was receiving treatment for a stage 3 pressure injury and a suspected deep tissue injury. Despite this, the resident was repeatedly observed in her wheelchair without a pressure-relieving cushion, and staff confirmed that such a device should have been in place due to her current pressure ulcer. Another resident, also with significant health issues such as morbid obesity, reduced mobility, and muscle weakness, was assessed as being at moderate risk for developing pressure ulcers. This resident was observed multiple times sitting in a wheelchair without a pressure-relieving cushion and reported sitting in the wheelchair most of the day without being offered a cushion, despite expressing discomfort. The DON confirmed that a cushion should have been provided to reduce the risk of pressure ulcer development for this resident.
Failure to Timely Implement RD Recommendation for Appetite Stimulant
Penalty
Summary
A deficiency was identified when the facility failed to maintain acceptable parameters of nutritional status for a resident with multiple diagnoses, including muscle wasting, muscle weakness, cognitive communication deficit, COPD, chronic atrial fibrillation, Alzheimer's disease, and vitamin deficiency. The resident experienced a significant weight loss, dropping from 179.0 pounds to 162.5 pounds over a two-month period. The registered dietician (RD) recommended an appetite stimulant for the resident and communicated this recommendation to the physician. However, the facility did not follow up with the physician in a timely manner to implement the RD's recommendation, as confirmed by the Director of Nursing (DON).
QAA Committee Meetings Lacked Required Medical Director Attendance
Penalty
Summary
The facility failed to hold quarterly Quality Assessment and Assurance (QAA) meetings with all required committee members present, as evidenced by the absence of the medical director at each of the reviewed meetings. Record review showed that the medical director's signature was not recorded on the attendance rosters for QAA meetings held on 01/30/2025, 11/12/2024, 07/30/2024, and 03/28/2024. This was confirmed during an interview with the administrator, who acknowledged the medical director was not present for these meetings.
Failure to Provide Proper Lower Extremity Support in Geri Chair
Penalty
Summary
A deficiency was identified when a resident with Alzheimer's disease, atherosclerotic heart disease, hypertension, and major depressive disorder, who was severely cognitively impaired and required extensive two-person assistance with most activities of daily living, was repeatedly observed seated in a geri chair without proper support for her lower extremities. The resident's care plan indicated a need for monitoring due to a history of neck surgery with residual stiffness and specified that a geri chair may be used as needed for her condition. Multiple observations over several days showed the resident in the day area with her feet dangling and unsupported while in the geri chair. These observations were confirmed by both a LPN/Clinical Manager and the Director of Nursing, who acknowledged that the resident's legs and feet should have been supported when she was in the chair. The facility failed to provide care in accordance with professional standards of practice and the resident's person-centered care plan.
Medication Storage Deficiency: Inhaler Left at Bedside
Penalty
Summary
A medication storage deficiency occurred when a fluticasone inhaler, prescribed to a resident, was found on the resident's bedside table during an observation. The resident confirmed that the inhaler belonged to her and stated that a nurse had left it at her bedside. Subsequent interviews with an LPN and the Director of Nursing confirmed that the inhaler should not have been left in the resident's room and should have been securely stored. This incident involved the failure to ensure that drugs were accessible only to authorized personnel, as required by facility policy and professional standards.
Failure to Respect Resident's Dietary Preferences
Penalty
Summary
The facility failed to treat a resident with respect and dignity by not honoring his request for a more textured diet. The resident, who was admitted with multiple diagnoses including dysphagia following cerebral infarction and severe protein-calorie malnutrition, had a Brief Interview for Mental Status (BIMS) score of 15, indicating independent cognitive skills for daily decision-making. Despite this, the facility changed his diet from minced and moist to pureed texture without his consent. The resident repeatedly expressed his dissatisfaction with the pureed diet and refused to eat it, as documented in the nurses' notes and observed during meal times. Interviews with the resident confirmed that he did not want a pureed diet and that he was capable of making his own medical decisions. Both the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) acknowledged the resident's cognitive competence and his right to make his own decisions. The DON further confirmed that the facility should have offered the resident a waiver to eat his preferred diet texture, which was not done, leading to the deficiency in respecting the resident's rights and dignity.
Failure to Administer Diabetic Nutritional Supplement
Penalty
Summary
The facility failed to ensure a resident maintained acceptable parameters of nutrition by not providing a diabetic nutritional supplement as ordered by the physician. Resident #27, who had severe cognitive impairment and was dependent on staff for all activities of daily living, had an active order for a diabetic house supplement twice a day due to significant weight loss. Despite this order, the April 2024 Electronic Medication Administration Record (EMAR) revealed no documentation of the supplement being administered since it was ordered on 04/04/2024. Interviews with staff confirmed the deficiency. An LPN acknowledged that the supplement was not administered, and the Assistant Director of Nursing confirmed that the resident should have received the supplement as ordered. The resident's weight records showed a significant decline, further emphasizing the importance of the prescribed nutritional intervention that was not provided.
Failure to Limit PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary medication use. Specifically, the physician did not limit the use of the psychotropic medication Vistaril to a 14-day period as required. The resident, who was admitted with multiple diagnoses including bipolar disorder, major depressive disorder, and anxiety disorder, had an active physician order for Vistaril 50 mg to be administered every 12 hours as needed for anxiety. Despite a recommendation from the consultant pharmacist to limit the PRN use of Vistaril to 14 days and to provide a specific duration or stop date, the physician assistant denied the gradual dose reduction and failed to provide a rationale for continuing the medication beyond the recommended period. The resident received Vistaril on multiple occasions throughout April 2024 without an end date or documented rationale for its continued use. An interview with the Director of Nursing and Assistant Director of Nursing confirmed that the psychotropic medication should not have been administered as needed for more than 14 days. The Assistant Director of Nursing acknowledged that the physician assistant continued the PRN psychotropic medication past the 14-day limit without a documented end date or rationale. This oversight led to the resident receiving unnecessary medication, which is a violation of the facility's medication management policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northeast La War Veterans Home | 13.4 mi | ★★★★★ | 5 | 0 |
| Legacy Nursing And Rehabilitation Of Winnsboro | 21.8 mi | ★★★★★ | 0 | 0 |
| Plantation Manor Nursing And Rehab Center, Llc | 23.2 mi | ★★★★★ | 0 | 0 |
| Guest House Nursing And Rehabilitation | 25.8 mi | ★★★★★ | 1 | 0 |
| Mary Anna Nursing Home | 26.5 mi | ★★★★★ | 8 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.