Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Washington Care Center during CMS and state inspections, most recent first.
Kitchen Food Items Not Labeled, Dated, or Discarded When Expired: During a kitchen tour, the DM found multiple refrigerated food items without required labels or dates, including shredded carrots and salad mix with no open date. Other items were also observed past or near expiration, including cottage cheese, lime juice, coleslaw, and milk. Staff stated that opened foods should be dated and discarded after four days, and the DM confirmed that all foods should be labeled, dated, and discarded when expired.
Inaccurate MDS Coding for PASRR-Identified SMI: The facility inaccurately coded Section A of the MDS for a resident identified through PASRR Level II as having SMI. The resident’s record showed diagnoses of major depressive disorder, anxiety disorder, and bipolar disorder, and the RN Case Manager acknowledged the MDS error. The resident was cognitively intact with a BIMS score of 15.
Failure to Follow Oral Hygiene Care Plan: A resident who was dependent for oral hygiene was observed with dry, peeling lips, coated teeth, and thick secretions in the oral cavity. The care plan directed staff to provide oral care at least twice daily and/or as indicated, and an LPN confirmed the lack of oral care while the RN case manager stated the care plan should have been followed. The resident had diagnoses including gastrostomy care, cough, and cerebral infarction, and was cognitively intact per BIMS.
Failure to Provide Oral Care: A resident who was dependent on staff for oral care was observed with dry, cracked lips, thick secretions, and coated teeth and tongue. Although aides were responsible for oral hygiene, the task record did not document oral care during the shift reviewed, and a CNA said care had been done earlier while an LPN said it was not completed appropriately. The DON confirmed oral care was part of aide-provided personal hygiene.
Failure to Administer Influenza Vaccine: A resident with Type 2 DM and dementia was not given the annual influenza vaccine despite RR consent and facility policy calling for yearly flu vaccination between October and March. The IP documented the resident as not eligible and out of season, while the DON confirmed the resident should have been vaccinated; the resident also had severe cognitive impairment with a BIMS score of 3.
The facility failed to submit accurate staffing data into the PBJ system for Q2 2024, triggering for low weekend staffing. The Administrator was unaware of the issue, believing the corporate office handled submissions. Corporate Special Projects confirmed the facility must manually enter agency hours, which were not captured, leading to discrepancies.
A resident's quarterly MDS was inaccurately coded to indicate Hospice services, despite the resident not receiving such services. Interviews with the LPN/MDS Nurse and MDS RN Coordinator confirmed the error, emphasizing the importance of accurate coding for proper payment and individualized care. The resident, admitted with end-stage renal disease, was cognitively intact and confirmed she was not on Hospice.
A facility failed to ensure a resident on a PRN psychotropic medication had a stop date, as required by policy. The resident, admitted for aftercare following joint replacement surgery, had an active PRN order for Xanax without a stop date. The medication was administered multiple times in August, and the DON confirmed the oversight, noting the resident was on hospice and should have been re-evaluated within 14 days.
A resident was not readmitted to the facility after hospitalization due to exceeding bed hold days and lack of an attending physician. The facility did not notify the resident's family about the discharge or assist in finding a new physician. The DON and Administrator confirmed the lack of communication and documentation regarding the discharge process.
Kitchen Food Items Not Labeled, Dated, or Discarded When Expired
Penalty
Summary
The facility failed to ensure items in kitchen refrigerator number two were dated and labeled and failed to discard food items by their expiration dates during a dietary tour observation. On the initial kitchen tour, the Dietary Manager observed a plastic gallon-size bag of shredded carrots with no date and no label, and a 2-gallon bag of salad mix with no open date. The Dietary Manager stated she was not really sure when these items were opened. Also observed were a 5-pound container of cottage cheese dated 12/31/25, a one-gallon container of lime juice with an opened date of 6/25/25 and a best-by date of 9/17/25, a one-gallon container of classic coleslaw with an open date of 10/22/25 and no expiration date, and a gallon of 2% milk with approximately one-half remaining and a best-by date of April 18 on the jug. During interviews, Dietary Worker #1 stated that it was everyone's responsibility to ensure food was labeled and dated and that expired food was discarded, and she stated that opened food items placed in the refrigerator were only supposed to be kept for four days. The Dietary Manager later confirmed that all foods should be labeled, dated, and discarded when expired to prevent spoilage and illness, and she further confirmed that while all staff share responsibility for labeling, dating, and discarding expired foods, oversight of the process ultimately rested with her as the Dietary Manager.
Inaccurate MDS Coding for PASRR-Identified SMI
Penalty
Summary
The facility failed to accurately code Section A of the MDS for a resident identified through the PASRR Level II process as having a serious mental illness. Record review showed the resident’s PASRR Summary of Findings Report identified a mental illness under Mental Health and listed diagnoses including Major Depressive Disorder, Anxiety Disorder, and Bipolar Disorder. The facility policy stated that the MDS is used to identify key resident information and guide care planning. The MDS with an ARD of 1/21/26 showed that Section A1500 was coded to indicate the resident was not considered by the state Level II PASRR process to have a serious mental illness, which was inaccurate. The RN Case Manager acknowledged the error during interview and confirmed the resident did have a serious mental illness requiring a Level II PASRR evaluation. The resident’s face sheet also listed bipolar disorder and anxiety disorder, and the MDS Section C BIMS summary score was 15, indicating the resident was cognitively intact.
Failure to Follow Oral Hygiene Care Plan
Penalty
Summary
The facility failed to ensure implementation of Resident #4’s care plan for oral hygiene. The care plan identified the resident as dependent with oral hygiene and directed staff to provide oral hygiene as needed and to provide one staff member with oral care at least two times a day and/or as indicated. Facility policy titled Care Plan Process stated that staff shall follow the care plan. On 4/29/26 at 12:58 PM, Resident #4 was observed lying in bed and non-verbal. The resident’s lips were dry with dried particles of peeling skin on the lower lip, the lower teeth were covered in a light orangish-colored substance, yellowish-green secretions were observed inside the oral cavity, and the tongue was coated with a thick yellowish-white substance. An LPN confirmed the lack of oral care, describing the resident’s lips as dry and the tongue as coated with secretions. The RN case manager stated the care plan was in place so staff knew what care to perform and confirmed the care plan for oral care should have been followed. Resident #4 was admitted on 1/23/26 with diagnoses including Encounter for Attention to Gastrostomy, Cough, and Cerebral Infarction, and the MDS dated 1/30/26 showed a BIMS score of 14, indicating the resident was cognitively intact.
Failure to Provide Oral Care
Penalty
Summary
The facility failed to provide oral care to a resident who was dependent on staff for ADL care. The resident had an order for NPO status and was cognitively intact but dependent on staff for oral care per the MDS. During observation, the resident was found lying in bed with dry, cracked, and peeling lips, and the lower teeth were covered in a thick white substance. A later observation showed the resident was non-verbal, with dry lips, peeling skin on the lower lip, lower teeth covered in an orangish substance, yellowish-green secretions in the oral cavity, and a tongue coated with a thick yellowish-white substance. Staff interviews and record review showed oral care was assigned to aides as part of personal hygiene, but the resident's Personal Hygiene Task record did not document oral care during the shift reviewed. A CNA stated oral care had already been done earlier that morning, while an LPN observed that if it had been performed, it was not completed appropriately and the resident's lips should have been moisturized. The DON confirmed oral care was part of aide care and stated the resident's poor oral care could lead to tooth decay and other health concerns.
Failure to Administer Influenza Vaccine
Penalty
Summary
The facility failed to ensure administration of the influenza vaccine in accordance with its policy for one resident reviewed for immunizations. The facility policy titled Influenza Vaccination Program for Employees and Residents stated that employees and residents are to receive influenza vaccination every year between October and March, consistent with CDC and state and local health department recommendations. Resident #10’s record showed the responsible representative consented for the annual influenza vaccine, but the Clinical Immunizations record documented the resident as not eligible for the vaccine and noted the resident was admitted after flu season, with that entry dated 2/3/26. Resident #10 was admitted to the facility on 2/5/26 with diagnoses including Type 2 Diabetes Mellitus without complications and unspecified dementia. The MDS dated 2/11/26 showed a BIMS score of 3, indicating severe cognitive impairment. During interview, the Infection Preventionist confirmed she did not administer the influenza vaccine and stated she documented it as out of season, while also acknowledging the resident should have been vaccinated. The Director of Nursing also confirmed the facility should have vaccinated Resident #10 for influenza and stated it was not out of season.
Inaccurate Staffing Data Submission in PBJ System
Penalty
Summary
The facility failed to submit accurate staffing information into the Payroll-Based Journal (PBJ) system for the second quarter of 2024. The PBJ Staffing Data Report indicated that the facility triggered for excessively low weekend staffing data. The Administrator was unaware of this issue and stated that the corporate office was responsible for submitting the PBJ data. The facility had been using agency staff, and the Administrator believed that the agency hours were added by the Business Office. A telephone interview with Corporate Special Projects revealed that she was responsible for submitting the PBJ but was not aware of the low weekend staffing data issue. She explained that the facility was responsible for manually entering agency hours into the system, which would then automatically capture these hours through a payroll interfaced sweep. If the agency hours were not entered manually, they would not be captured. The Regional Supervisor also confirmed that there could be a breakdown in capturing contract hours and stated that this was something they would need to investigate further.
Inaccurate MDS Coding for Hospice Services
Penalty
Summary
The facility failed to accurately code a quarterly Minimum Data Set Assessment (MDS) for one of the residents. Specifically, the MDS for a resident was incorrectly coded to indicate that the resident was receiving Hospice services, despite the resident confirming in an interview that she was not on or receiving such services. The resident, who was admitted to the facility with end-stage renal disease, had a Brief Interview for Mental Status (BIMS) score indicating she was cognitively intact, further supporting her statement that she was not on Hospice. Interviews with the Licensed Practical Nurse (LPN)/MDS Nurse and the MDS Registered Nurse (RN) Coordinator confirmed the coding error. The LPN/MDS Nurse admitted to accidentally coding the resident as being on Hospice, while the MDS RN Coordinator confirmed that the resident had never been on Hospice services. Both staff members acknowledged the importance of accurate coding to ensure the facility receives proper payment and the resident receives the individualized care required.
Failure to Implement Stop Date for PRN Psychotropic Medication
Penalty
Summary
The facility failed to ensure a resident on a PRN psychotropic medication had a stop date, as required by their policy. The policy, revised in October 2022, mandates that PRN orders for psychotropic drugs are limited to 14 days unless re-evaluated and documented as necessary for a specific condition. Resident #40, who was admitted in March 2024 with a diagnosis of aftercare following joint replacement surgery, had an active PRN order for Xanax 0.5 mg for agitation, dated July 5, 2024, without a stop date. The August 2024 Medication Administration Record showed the resident received Xanax on multiple occasions throughout the month. An interview with the Director of Nursing confirmed the absence of a stop date and noted that the resident, who was on hospice, should have been re-evaluated within 14 days to determine the continued need for the medication.
Failure to Readmit Resident After Hospitalization
Penalty
Summary
The facility failed to honor a resident's right to return following hospitalization, as evidenced by the case of a resident who was not readmitted after exceeding bed hold days. The facility's policy requires notification and documentation before discharge, but the resident's representatives were not informed of the discharge or given the opportunity to appeal. The resident, who had been admitted to the facility since 2013 with diagnoses including cerebral infarction and Alzheimer's disease, was discharged from the hospital to another nursing home without proper notification or assistance from the facility in finding a new attending physician. Interviews with the Director of Nursing (DON) and the Administrator revealed that the facility did not communicate with the resident's family about the change in attending physician or the discharge decision. The DON acknowledged receiving a call from the resident's physician's office indicating they would no longer be the attending physician but did not inform the family or attempt to find a replacement. The facility also failed to provide documentation of the discharge notification being delivered to the resident's representatives, further highlighting the lack of communication and adherence to policy.
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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 Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor Walk Healthcare Center | 0.9 mi | ★★★★★ | 2 | 0 |
| Ms Care Center Of Greenville | 1.3 mi | ★★★★★ | 0 | 0 |
| Legacy Manor Nursing And Rehabilitation Center | 1.9 mi | ★★★★★ | 2 | 0 |
| River Heights Healthcare Center | 2.2 mi | ★★★★★ | 9 | 0 |
| Lake Village Rehabilitation And Care Center | 17.3 mi | ★★★★★ | 6 | 0 |
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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.