Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Angel Oak Nursing And Rehabilitation Center, Llc during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, muscle weakness, and dependence for transfers was identified as high risk for falls and had a care plan that included keeping the call light within reach, anticipating needs, and offering assistance to bed after dinner following a prior fall from a recliner. On a later evening, the resident was again left in a recliner after dinner and attempted to get up without assistance, resulting in an unwitnessed fall and a right rib fracture. Interviews showed that CNAs relied on nurse report for fall interventions, an LPN did not access care plans and believed only frequent checks were in place, and there was inconsistent understanding of how care plan updates and Kardex information were communicated to direct-care staff, leading to the fall-prevention intervention of assisting the resident to bed after dinner not being implemented.
A facility failed to follow proper hand hygiene procedures during wound care for a resident with a stage 4 pressure ulcer. Despite the facility's policy requiring handwashing and glove changes, a nurse did not remove gloves and wash hands after cleaning the wound and before applying a clean dressing. This was confirmed by the nurse during an interview.
An LPN in an LTC facility misappropriated medications belonging to two residents by removing five pills from the narcotic locked box for personal use. The incident was confirmed through video footage, and the LPN admitted to taking the medications. The residents involved had significant medical histories, but one did not appear to be in distress, and the other expressed concerns about addiction.
Failure to Communicate and Implement Fall-Prevention Interventions for High-Risk Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate supervision and accident prevention for one resident with a known high risk for falls, resulting in a right 11th rib fracture after a fall. Facility policy on "Accidents and Supervision" required identification of hazards and risks, implementation of interventions to reduce those risks, communication of interventions to all relevant staff, and documentation and monitoring of those interventions. The resident, admitted with diagnoses including muscle weakness, cognitive communication deficit, limitation of activities due to disability, and aphasia, had a Quarterly MDS showing a BIMS score of 4/15, indicating severe cognitive impairment, and was dependent on staff for transfers and ambulation. A Morse Fall Scale completed at admission identified the resident as high risk for falls, and the care plan included a focus on fall risk with interventions such as keeping the call light within reach, anticipating needs, and offering assistance to bed after dinner. The resident had a prior fall on 08/08/2025 when transferring from a recliner without assistance, which was documented by the DON. Following that fall, the interdisciplinary team determined an intervention to offer assistance to bed after dinner, and this intervention was added to the care plan. On 09/02/2025, the resident again fell while attempting to get out of a geriatric recliner without assistance after dinner. The fall was unwitnessed; the resident reported hitting their head and having shoulder pain, with a small amount of bleeding from the right ear and redness on the right side of the back noted. The MD, who encountered the resident sitting on the floor, assessed the resident and ordered transfer to the emergency room, where imaging showed a right 11th rib fracture and a urinary tract infection. Documentation indicated the resident had been seen sitting in a recliner around the time dinner trays were picked up and fell when attempting to get up without assistance. Interviews revealed that key fall-prevention interventions were not effectively communicated or implemented by staff. CNA2, who was assigned to the resident at the time of the fall, stated she learned about fall interventions from nurse report, had never been told to assist this resident to bed after dinner, and did not recall when she last saw the resident before the fall. CNA2 reported that the resident’s call light was on the bed next to the resident’s chair, within reach, but the resident had severe cognitive impairment. LPN1, who responded after the fall, stated she had never accessed care plans at the facility and relied on experience and knowledge of residents rather than reviewing care plans; she believed the only intervention in place was to check on the resident frequently and stated the resident could not use a call light appropriately or understand its purpose. The UM and MDS Coordinator described a process in which post-fall interventions were added to care plans and Kardexes, with an expectation that nurses would communicate changes to CNAs, but there were differing understandings about CNA access to care plans and Kardexes. The DON and ED stated they expected interventions, including new fall interventions, to be communicated to staff and implemented, and the DON acknowledged responsibility for ensuring fall interventions were updated and accessible. Despite the prior fall from a recliner and the care-planned intervention to assist the resident to bed after dinner, the resident was again left in a recliner after dinner without effective supervision or assistance, leading to another fall and injury.
Failure to Follow Hand Hygiene Protocol During Wound Care
Penalty
Summary
The facility failed to adhere to proper hand hygiene procedures during wound care for a resident with a stage 4 pressure ulcer. The facility's policy on hand hygiene, revised on 10/26/23, mandates that all staff perform proper hand hygiene to prevent infection spread, emphasizing that glove use does not replace hand hygiene. Additionally, the facility's dressing change policy outlines specific steps for handwashing and glove use during wound care. However, during an observation of wound care for a resident with paraplegia, neurogenic bladder, and multiple sclerosis, the registered nurse did not follow these procedures. During the wound care observation, the registered nurse initially followed the procedure by washing hands and applying gloves before removing the soiled dressing. However, after cleaning the wound, the nurse failed to remove gloves and wash hands before applying the clean dressing, as required by the facility's policy. This lapse in procedure was confirmed by the nurse during an interview, acknowledging the failure to remove gloves and wash hands after cleaning the wound and before applying the clean dressing.
Misappropriation of Resident Medications by LPN
Penalty
Summary
The facility failed to prevent the misappropriation of resident property involving two residents. An LPN removed five pills from the narcotic locked box, which belonged to two residents, without administering them. The facility's policy on abuse, neglect, exploitation, and misappropriation was not adhered to, as the LPN took the medications for personal use. The Director of Nursing (DON) confirmed the incident through video footage, which showed the LPN taking the medications and placing them in a cup, then entering a resident's room where neither of the medications was intended for. The LPN admitted to taking the medications for personal use after being confronted with the video evidence. The residents involved had significant medical histories, including cerebrovascular accident with hemiparesis and hemiplegia, chronic obstructive pulmonary disease, major depressive disorder, a fractured right femur, hemarthrosis of the right knee, and post-polio syndrome. Despite the misappropriation, one resident did not appear to be in distress or experiencing pain during observations, and the other resident expressed a desire to avoid pain medications due to concerns about addiction. The facility's investigation revealed that the LPN had taken the medications for personal use, leading to her termination.
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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 Myrtle Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare - Garden City | 5.8 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Conway At Conway Medical Center | 6.9 mi | ★★★★★ | 3 | 0 |
| Brightwater Skilled Nursing Center | 9.6 mi | ★★★★★ | 2 | 0 |
| Oak View Health And Rehabilitation | 10.8 mi | ★★★★★ | 0 | 0 |
| Myrtle Beach Manor | 11.6 mi | ★★★★★ | 2 | 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.