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 Wadesboro Health & Rehab Center during CMS and state inspections, most recent first.
Surveyors found that dietary staff did not consistently label, date, or discard leftover food items in the kitchen's freezers and cooler, resulting in expired and unlabeled foods being stored, including visibly spoiled items. Staff interviews confirmed that required procedures for labeling and discarding were not always followed, and there was no designated person to ensure compliance.
A resident with a history of fracture and muscle weakness experienced a fall resulting in a skin tear, but this incident was not accurately coded in the subsequent MDS assessment. The MDS nurse confirmed the omission was an oversight, and the DON stated that accurate coding is expected.
A resident with a history of tobacco use and intact cognition was admitted and regularly smoked at the facility, but no individualized care plan addressing smoking was developed. Staff confirmed the omission was an oversight and not identified until after the survey observation.
A resident with severe dysphagia and a gastric feeding tube had several medications transcribed in the EMR with the default oral route instead of via G-tube, despite being NPO and requiring all medications through the tube. Nursing staff and the DON confirmed the error was due to not updating the EMR's default setting, though the resident did not receive medications orally.
The facility failed to accurately code MDS assessments for several residents, leading to documentation deficiencies. A resident with a tracheostomy was not coded for trach care, another receiving hospice services was not coded for a terminal prognosis, and a resident discharged home was incorrectly coded as discharged to a hospital. Additionally, two residents were not coded for medications they received. These oversights were confirmed by the MDS Coordinators and Nurses involved.
The facility failed to properly label and discard opened food items within the required 7-day period in both walk-in and reach-in refrigerators. Observations revealed undated and uncovered food items, and interviews with dietary staff indicated a lack of awareness about storage protocols. The Dietary Manager admitted to oversight due to staffing issues.
A facility failed to complete an annual comprehensive assessment for a resident within the required time frame. Despite completing an admission MDS and several quarterly assessments, the annual assessment was overlooked due to a transition to a new EMR system. The MDS Nurse acknowledged the oversight, and the Administrator confirmed the expectation for timely completion.
The facility failed to develop comprehensive care plans for two residents, one with a nephrostomy tube and another with a skin condition. Despite assessments and physician orders indicating these conditions, the care plans did not address them, which was confirmed as an oversight by MDS nurses.
A resident with a gastrostomy tube did not receive daily dressing changes as ordered, due to a failure in documentation and communication. The dressing was observed to be unchanged for several days, and staff interviews revealed that the treatment was not included in the weekend supervisor's report, leading to the oversight.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a chronic wound and gastrostomy tube. The absence of EBP signage and PPE caddy led to staff not using appropriate PPE during care. Interviews revealed that the oversight occurred when the resident was moved to a new room without transferring the necessary EBP indicators.
The facility failed to follow physician orders for two residents, resulting in significant medication errors. One resident did not receive 8 doses of warfarin due to a failure in entering the order into the electronic system, leading to hospitalization. Another resident did not receive 23 doses of amlodipine 10 mg as ordered by a nephrologist because the assigned nurse did not review the new order. Both errors were due to lapses in the facility's process for entering and verifying physician orders.
A Consultant Pharmacist failed to provide recommendations when a resident missed 8 doses of warfarin due to the facility not following admission orders. The error was discovered by a physician during a chart review, and the resident did not experience any adverse effects.
Failure to Label, Date, and Discard Leftover Food Items
Penalty
Summary
Surveyors observed that the facility failed to properly label, date, and discard leftover food items in accordance with professional standards. During a tour of the kitchen, it was found that several bags of leftover frozen food, including beef riblets, fish fillets, and mixed vegetables, had been removed from their original packaging and stored in the reach-in and deep freezers without any labels or dates. Additionally, in the walk-in cooler, items such as corn bread pieces, crescent rolls, and mini bagels were found with open dates exceeding the facility's 7-day discard policy, and some items showed visible signs of spoilage, such as white and blue fuzzy spots on crescent rolls. Interviews with dietary staff and the Dietary Manager confirmed that food items should be labeled and dated when opened, and items in the cooler should be discarded within 7 days. However, there was no designated staff member assigned to ensure these tasks were consistently performed, and staff turnover was cited as a possible reason for the lapses. The Administrator was unaware of the failure to label, date, and discard food items as required, despite expectations that staff follow proper procedures.
Failure to Accurately Code MDS Assessment for Resident Fall
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident in the area of falls. The resident, who had a history of right knee fracture and muscle weakness, experienced a self-reported fall resulting in a skin tear to her left hip after her admission. Despite this incident, the subsequent quarterly MDS assessment did not reflect any falls since the last assessment. Upon review, the MDS nurse confirmed that the fall with minor injury should have been coded but was missed due to oversight. The Director of Nursing stated that accurate coding of falls in the MDS is expected.
Failure to Develop Individualized Smoking Care Plan
Penalty
Summary
The facility failed to develop an individualized, person-centered care plan addressing smoking for a resident who was admitted with a history of tobacco use and intact cognition. The resident's admission MDS assessment documented tobacco use, but review of the active care plan revealed no interventions or focus related to smoking. Observations confirmed that the resident independently and safely smoked in the designated area, and interviews with facility staff, including the MDS Coordinator, DON, and Administrator, verified that the omission of a smoking care plan was an oversight and not addressed until after it was identified during the survey.
Incorrect Transcription of Medication Administration Route for G-Tube Resident
Penalty
Summary
The facility failed to ensure that medication administration routes were accurately transcribed for a resident with a gastric feeding tube. The resident, who had diagnoses including cerebrovascular disease and dysphagia, was assessed as having severely impaired cognition and was receiving all nutrition and fluids via a feeding tube. Despite having physician orders indicating the resident was NPO and required medications to be administered through the gastric tube, several medications were entered into the Electronic Medical Record (EMR) with the default route as oral. Specifically, orders for Briviact, Hydrocodone-Acetaminophen, and Lacosamide were transcribed with the oral route instead of via G-tube. Interviews with nursing staff revealed that the EMR system defaulted to the oral route, and staff failed to update the route to reflect the resident's need for G-tube administration. The nurses involved acknowledged the oversight, and the DON confirmed that the medication orders were incorrectly entered as oral. The deficiency was identified through record review and staff interviews, which confirmed that the resident did not receive any medications orally, but the orders in the EMR did not accurately reflect the required administration route.
Inaccurate MDS Coding for Multiple Residents
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for several residents, leading to deficiencies in the documentation of their care needs. Resident #17, who had a tracheostomy, was not coded for tracheostomy care in the MDS assessment despite having active orders for daily and weekly trach care. This oversight was confirmed by the MDS Coordinator, who acknowledged the error during an interview. Resident #47, who was receiving hospice services due to a terminal illness, was incorrectly coded in the MDS assessment as not having a condition with a life expectancy of less than six months. The MDS Coordinator admitted to the oversight, despite being aware of the resident's hospice status. Similarly, Resident #63 was discharged home with family, but the MDS assessment inaccurately indicated a discharge to a short-term general hospital, which was also acknowledged as an oversight by the MDS Coordinator. Additionally, Resident #41 was not coded for diuretics in the MDS assessment, even though there was an active order for furosemide. The MDS Coordinator confirmed the oversight. Resident #55's MDS assessment failed to include antidepressant and antibiotic medications that were administered during the look-back period. Both MDS Nurses involved admitted to the oversight, emphasizing the need for careful review of the Medication Administration Records (MARs) to ensure accurate coding.
Deficiency in Food Storage and Labeling Practices
Penalty
Summary
The facility failed to adhere to proper food storage and labeling protocols, as observed during an inspection of the kitchen's refrigeration units. In the walk-in refrigerator, several food items, including a pack of sliced Virginia baked ham and hot dogs, were either undated or had exceeded the 7-day storage limit. Additionally, numerous bowls containing a yellow pudding-like substance were found undated and uncovered. Similar issues were noted in one of the reach-in refrigerators, where items such as sliced turkey, onions, and cheese were either undated or improperly labeled. Interviews with dietary staff revealed a lack of awareness regarding the storage duration for opened food items. The Dietary Manager admitted to being solely responsible for monitoring food dates and labels but acknowledged lapses due to staffing issues and personal oversight. The manager confirmed that undated or expired items had been discarded but recognized the need for reeducation of the staff to prevent future occurrences.
Failure to Complete Annual MDS Assessment
Penalty
Summary
The facility failed to complete an annual comprehensive assessment for a resident within the required time frame. The resident was admitted to the facility, and a review of their Minimum Data Set (MDS) assessments showed that while an admission MDS and several quarterly MDS assessments were completed, the annual assessment was not conducted. The MDS Nurse acknowledged that the quarterly assessment completed should have been an annual assessment. She attributed this oversight to the facility's recent transition to a new Electronic Medical Record (EMR) system, which led to the completion of another quarterly assessment instead of the required annual assessment. The facility's Administrator confirmed the expectation that the annual MDS assessment should have been completed within the required time frame.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, leading to deficiencies in addressing their specific medical needs. Resident #2, who was admitted with a nephrostomy tube following a hospitalization for a complex urinary tract infection due to a kidney stone, did not have this condition included in her care plan. Despite a quarterly Minimum Data Set (MDS) assessment indicating severe cognitive impairment and the presence of an indwelling catheter, the care plan, last revised on 6/14/24, omitted the nephrostomy tube. This oversight was confirmed by MDS Nurses #1 and #2 during an interview on 6/25/24, who acknowledged the absence of a care plan for the nephrostomy tube. Similarly, Resident #34, who had a history of skin cancers and underwent a procedure to remove skin cancer lesions from his scalp and left ear, did not have this condition included in his care plan. The annual MDS assessment noted open lesions, and physician orders from May 2024 included specific instructions for cleansing and applying Vaseline to the affected areas. However, the care plan, last revised on 5/31/24, failed to address the skin condition. This was also confirmed by MDS Nurses #1 and #2, who recognized the omission as an oversight. The facility administrator expressed that care plans should be person-centered and include all relevant medical conditions.
Failure to Perform Daily Gastrostomy Tube Dressing Changes
Penalty
Summary
The facility failed to adhere to a physician's order for daily gastrostomy tube dressing changes for a resident who was admitted with a stroke and required tube feeding. The resident's medical record included an order dated April 25, 2024, for daily cleaning and dressing of the gastrostomy site. However, the treatment record showed that the dressing was only changed on June 22 and June 23, 2024. An observation on June 24, 2024, revealed that the dressing was dated June 21, 2024, and appeared wet with clear, light yellow, odorless drainage. Interviews with staff revealed a breakdown in communication and documentation. Nurse #1 acknowledged the oversight during the observation and intended to change the dressing. The DON explained that the weekend supervisor was responsible for treatments, but the dressing change was not completed. MDS Nurse #1, who was the weekend supervisor, stated that the dressing change was not listed in the treatment report she used, and she was unaware of the requirement. The Administrator confirmed that the dressing change was not entered into the electronic medical record, leading to the missed treatment.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement its infection control policy for Enhanced Barrier Precautions (EBP) for a resident with a chronic wound and a gastrostomy tube. The policy, revised on 4/15/2024, requires EBP to prevent the transmission of multi-drug resistant organisms. During an observation, it was noted that there was no sign on the resident's door indicating EBP were in place, nor was there a caddy with Personal Protective Equipment (PPE) outside the door. Nursing Assistants providing incontinence care to the resident did not wear gowns, as they were unaware of the need for additional PPE due to the absence of signage. Interviews with the nursing staff, including the Infection Control nurse and the Director of Nursing (DON), revealed that the resident should have had EBP in place due to the presence of an indwelling device and a chronic wound. The failure to move the EBP signage when the resident was relocated to a new room led to the oversight. The DON and the Infection Control nurse both acknowledged that the lack of signage and PPE caddy resulted in staff not following the necessary precautions, despite the expectation that such measures should be communicated through reports, door signs, and PPE carts.
Failure to Follow Physician Orders Leads to Significant Medication Errors
Penalty
Summary
The facility failed to follow physician orders for two residents, leading to significant medication errors. Resident #1, who was admitted with atrial fibrillation and hypertension, did not receive 8 doses of warfarin due to a failure in entering the medication order into the electronic documentation system. The Assistant Director of Nursing (ADON) had clarified the warfarin order with the hospital but assumed the Unit Manager (UM) had entered it into the system. This oversight was not caught during the daily morning meeting review because the facility had just transitioned to a new electronic documentation system. As a result, Resident #1 was admitted to the hospital with an irregular heart rate and a change in mental status, where it was discovered that the warfarin was not in the therapeutic range, necessitating a switch to apixaban upon return to the facility. Resident #2, who was admitted with congestive heart failure and diabetes, did not receive 23 doses of amlodipine 10 milligrams as ordered by a nephrologist. The error occurred because the nurse assigned to Resident #2 did not review the packet containing the new order upon the resident's return from the nephrology consultation. The physician and nurse practitioner were unaware of the medication change, and the error was only discovered during an audit conducted after the transcription error for Resident #1 was found. The nephrology consultation note with the order to increase the amlodipine dosage was overlooked, leading to the resident continuing on the incorrect dosage for 23 days. Both medication errors were attributed to lapses in the facility's process for entering and verifying physician orders. The ADON, UM, and nursing staff did not follow the established procedures for checking and validating new orders, and the transition to a new electronic documentation system further complicated the process. These deficiencies highlight the need for rigorous adherence to protocols and thorough review of all new and updated medication orders to prevent such errors in the future.
Consultant Pharmacist Fails to Identify Missing Warfarin Order
Penalty
Summary
The Consultant Pharmacist failed to provide recommendations when the facility did not follow admission orders for warfarin for a resident, resulting in the resident missing 8 doses of the medication. The resident, who was admitted with diagnoses including atrial fibrillation and hypertension, had hospital discharge instructions for warfarin that were not transcribed into the medical record. Despite the Assistant Director of Nursing (ADON) calling the hospital to clarify the warfarin order, no order was written or entered into the electronic charting system. The resident's medication administration record confirmed the missed doses over an 8-day period. The Consultant Pharmacist reviewed the resident's medications on 4/16/2024 but did not note the missing warfarin order, as the hospital discharge orders had not been scanned into the new electronic documentation system. The physician discovered the error during a chart review on 4/17/2024 and subsequently ordered the warfarin. The Director of Nursing (DON) was unaware that the Consultant Pharmacist could not review the hospital discharge orders at the time of the medication review. The resident did not experience any adverse effects from missing the warfarin doses.
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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 Wadesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Anson Health And Rehabilitation | 2 mi | ★★★★★ | 0 | 0 |
| Pruitthealth-rockingham | 17.1 mi | ★★★★★ | 1 | 0 |
| Rehab Center Of Cheraw | 18.2 mi | — | 8 | 0 |
| Autumn Care Of Marshville | 18.4 mi | ★★★★★ | 4 | 0 |
| Cheraw Healthcare | 19.3 mi | ★★★★★ | 9 | 1 |
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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.