Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bennettsville Health And Rehabilitation Center during CMS and state inspections, most recent first.
Surety Bond Did Not Cover Resident Trust Funds: The facility failed to ensure its surety bond covered the total amount in resident trust fund accounts. The Resident Trust Fund policy required bond coverage at least equal to resident funds and quarterly review by the BOM, but the current bond was $150,000 while monthly statements showed the resident fund balance exceeded that amount in most months reviewed. The BOM confirmed the bond was insufficient and stated the Regional Account Manager was aware, but no documentation of that notification was provided.
Medication storage and labeling were deficient in multiple areas of the LTC facility. In two medication carts and one medication room, several opened meds and biologicals, including inhalers, insulin products, and Tubersol, were found without open dates, while one expired Vitamin B12 supply was also observed. In addition, a medication room was left unsecured and confirmed by an RN.
Failure to Invite Resident to Care Plan Process: A resident with cerebral infarction and cognitive communication deficit, but with intact cognition on MDS, was not invited to participate in the care plan process. The EMR had no documentation of an invitation, and the resident stated they were not invited. The care plan coordinator said invitations are normally sent two weeks in advance and that this was an oversight.
An LPN failed to maintain a resident’s dignity when giving an insulin injection in the therapy area while other residents, staff, and visitors were present. The resident, who had DM type 2, hyperglycemia, dementia, and seizures, received the injection without privacy, and the LPN later agreed she should have asked the resident where she wanted the injection and provided privacy.
A resident's personal funds balance exceeded the Medicaid limit, but the facility did not provide documented written notification to the resident or representative as required by policy. The BOM said the family was aware of the issue and was trying to reach an agreement, but no documentation of that communication was available during the survey.
Surveyors found Building 2 had multiple environmental and equipment issues, including scraped paint, stained ceiling tiles, dark buildup at a bathroom threshold, damaged furniture, scarred doors, a loose bathroom vanity, and a wheelchair and geri chair with torn armrests. Records also showed Hall 200 floor cleaning documentation was missing for May, and the DON acknowledged the concerns during the environmental round.
A resident with anxiety disorder, depression, and paranoid schizophrenia had a PASARR Level I that identified MI indicators and recommended a Level II review, but the EMR had no Level II results tied to that recommendation. The only Level II in the record was an older document dated years earlier, and the Nurse Consultant said they did not know why another Level II had been recommended.
Two residents experienced misappropriation of their narcotic medications when an LPN, scheduled for a long shift, pre-pulled and incorrectly signed out narcotics, which were later found replaced with Excedrin. The LPN was observed behaving erratically and was terminated after the incident was reported and investigated by the DON.
A deficiency was identified when a resident's wound care was not consistently completed on days they attended dialysis, resulting in maggots being found in the wound. The resident had physician orders for wound care, but the Treatment Administration Record (TAR) showed missing signatures on several days, indicating incomplete treatments. The resident had a surgical wound from a toe amputation, but no comprehensive care plan was in place for the wound. Facility staff, including the DON, LPN, and Administrator, confirmed the presence of maggots and acknowledged the failure to perform the required dressing changes.
Surety Bond Did Not Cover Resident Trust Funds
Penalty
Summary
The facility failed to ensure that its surety bond covered the total amount of money in residents’ personal fund accounts. Review of the facility’s Resident Trust Fund policy showed the bond was required to be at least equal to the total amount of residents’ funds as of the most recent quarter, and that the BOM was to review the bond amount quarterly for adequate coverage. The facility’s current surety bond was $150,000, but review of monthly resident fund statements from 11/30/2025 through 05/19/2026 showed that six of seven months exceeded the bond amount. As of 05/19/2026, there were 101 resident accounts with monies. During interview, the BOM confirmed the bond did not cover the amount currently in the resident personal fund account and stated the Regional Account Manager was aware, but no documentation was provided showing notification to the Regional Account Manager.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with facility policy and accepted professional principles in 2 of 5 medication carts and in 1 of 2 medication rooms. Review of the facility policy stated that medications and biologicals must be stored safely and securely, with opened multi-dose products marked with the date opened and handled according to manufacturer or supplier expiration guidance. During observation of the 100 Unit Medication Cart, several items were found without open dates, including Trelegy Ellipta inhalers, Insulin Lispro, Lantus SoloStar, and Humalog Kwik Pen; Vitamin B12 tablets were also observed with an expiration date of 4/26. RN1 confirmed that medications should be dated when opened. During observation of the 500 Unit Medication Cart, a Ventolin HFA inhaler was found with no open date, and LPN2 confirmed the finding. In the 400/500 Medication Room, one Tubersol vial had an open date of 4/7/2026 while another Tubersol vial had no open date, and LPN3 confirmed the observation. The 100 Medication Room was also observed unsecured, and RN1 confirmed that the door was unsecured.
Failure to Invite Resident to Care Plan Process
Penalty
Summary
The facility failed to afford Resident 86 the opportunity to participate in the development and implementation of the person-centered plan of care. The facility policy titled Care Plan Process, Person Centered Care states that the interdisciplinary team will invite participation from the resident and the resident's legal representative, if applicable, and document the invitation, participation, or lack of participation in the medical record when not practicable. Resident 86 was admitted with diagnoses including cerebral infarction and cognitive communication deficit. The admission MDS with an ARD of 02/24/26 showed a BIMS score of 14 out of 15, indicating intact cognitive function with minimal to no impairment. Review of the electronic medical record found no documentation that Resident 86 had been invited to participate in the care plan process. During interview, Resident 86 stated they had not been invited to participate, and the Care Plan Coordinator stated the normal procedure was to send care plan invitations two weeks in advance but that this was an oversight for Resident 86. The Care Plan Coordinator also stated a phone conference had been conducted with the resident's representative and a bedside review had been done with the resident on 5/20/26.
Failure to Maintain Resident Dignity During Insulin Administration
Penalty
Summary
The facility failed to promote dignity for R28 by administering an insulin injection in the therapy department while other residents, staff, and visitors were present. R28 was admitted with diagnoses including DM type 2, hyperglycemia, dementia, and seizures, and was scheduled to receive 30 units of Glargin insulin subcutaneously twice daily. During observation, an LPN approached R28 while she was receiving physical therapy, told her, "I need to give you your medications," pulled up her shirt, and gave the injection in the therapy area without privacy. The event occurred in the presence of other residents and visitors, and the LPN then walked away from the resident and returned to the medication cart. During interview, the LPN agreed that she should have asked the resident whether she wanted the injection in her abdomen or her arm and then provided privacy.
Failure to Notify Family of Resident Funds Above Medicaid Limit
Penalty
Summary
The facility failed to notify the resident and/or the resident's representative in writing when resident funds were at or above the Medicaid limit, as required by facility policy. Review of the Resident Trust Fund policy showed that residents or their legal representatives are to be notified in writing when the trust fund balance is within $200 of the Medicaid eligibility limits, and a copy of the notification is to be filed in the resident's financial file. Review of one resident's personal funds showed a balance in excess of $2,000 as of 05/18/26. During interview, the Business Office Manager stated the family was aware the personal funds account was above the limit and were trying to come to an agreement regarding the resident's personal funds, but no documentation was provided to show that the resident's family had been notified at the time of the survey.
Unsafe and Poorly Maintained Environment in Building 2
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment in Building 2. During initial rounds, surveyors observed scraped paint behind a bed, stained ceiling tiles, a build-up of dark substance at a bathroom threshold, a bedside table with damaged and rough edges, scarred closet doors, damage to a bathroom door, and a toilet plunger that was not covered. A geri chair outside of one room had torn and tattered armrests, and another room had an over-the-bed table with rough edges and a scarred closet door. Review of facility records showed the wheelchair maintenance policy required wheelchairs to be inspected and receive preventive maintenance as needed, and defective equipment to be removed from service. The wheelchair cleaning log showed wheelchairs in several rooms were cleaned on multiple dates, but the hall floor cleaning schedule showed Hall 200 had been cleaned on 04/22/2026 with no documentation for May 2026. During environmental rounds with the DON, surveyors also observed a bathroom vanity loose from the wall and a wheelchair with torn and tattered armrests. The DON acknowledged the concerns during the round and noted the closet doors were being repaired and repainted.
PASARR Level II Not Completed After Level I Recommendation
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not followed for one resident. The facility policy stated that when a PASARR Level I screen indicates a possible ID, DD, or MI diagnosis, the state-specific process for completion of a Level II evaluation must be followed. Resident 17 was admitted with diagnoses including anxiety disorder, depression, and paranoid schizophrenia. A PASARR Level I dated 01/16/20 identified MI indicators and recommended a Level II PASARR, but the resident's EMR contained no Level II results from that recommendation. The only Level II provided was dated 12/28/11, which predated the Level I screen and listed recommendations for medication management, assistance with ADLs, crisis intervention services, and support networks. During interview, the Nurse Consultant stated they did not know why another Level II had been recommended and that Social Services was looking into the matter, but no further documentation was provided during the survey.
Misappropriation of Narcotic Medications
Penalty
Summary
The facility failed to protect two residents from the misappropriation of their narcotic medications. Resident 1, who has severe cognitive impairment, and Resident 2, who is cognitively intact, both had orders for hydrocodone/acetaminophen. On November 9, 2024, discrepancies were noted in the Controlled Drug Receipt/Record/Disposition Forms for both residents, indicating that narcotic medications were signed out incorrectly by staff members. The investigation revealed that on the day in question, an LPN was observed behaving erratically and was reported to be inebriated. This LPN was scheduled to work a 16-hour shift and was found to have pre-pulled medications, including narcotics, which is against facility policy. The LPN signed out narcotics for Resident 1 and Resident 2 at times when she was not present in the facility, and the medications were later found to have been replaced with Excedrin. Interviews with staff, including the DON and other nurses, confirmed the misappropriation of the narcotics. The DON was informed of the pre-pulled medications and later discovered that the narcotics had been replaced with non-narcotic medications. The LPN responsible for the misappropriation was terminated following the incident.
Wound Care Inconsistencies Lead to Maggot Infestation in Resident's Foot
Penalty
Summary
The facility failed to ensure wound care was completed on days when Resident (R)2 went out to dialysis, resulting in maggots being found in the wound of her left foot. The deficiency was identified during a survey conducted in response to a complaint, revealing that R2's wound care orders were not consistently followed. Despite having physician orders for wound care, there were missing signatures on the Treatment Administration Record (TAR) for several days when R2 was at dialysis or unavailable, indicating that the prescribed treatments were not completed as ordered. Review of R2's medical records showed that she had undergone an amputation of the great toe and had a surgical wound to the right great toe. However, there was no comprehensive care plan in place specifically addressing the care and treatment of R2's amputation. The wound note documented seropurulent drainage and an open area on the wound, which was being managed with Dermal Wound Care (DWC) as per physician orders. Despite the presence of maggots in the wound, the facility staff had not encountered such a situation before and were taken aback by the discovery. Interviews with the Director of Nursing (DON), Licensed Practical Nurse (LPN)1, and the Administrator confirmed the presence of maggots in R2's wound and the subsequent actions taken, including cleaning the wound, contacting the orthopedic physician, and transferring R2 to the hospital. The facility staff acknowledged the failure to complete the dressing changes as required and expressed surprise at the presence of maggots in the wound.
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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 Bennettsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Scotia Village - Snf | 10.2 mi | ★★★★★ | 0 | 0 |
| Scottish Pines Rehabilitation And Nursing Center | 12.3 mi | ★★★★★ | 6 | 0 |
| Cheraw Healthcare | 17.9 mi | ★★★★★ | 9 | 1 |
| Rehab Center Of Cheraw | 18.7 mi | — | 10 | 0 |
| Richmond Pines Healthcare And Rehabilitation Cente | 19.6 mi | ★★★★★ | 7 | 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 October 2026) and official state health department websites.