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 Bethea Baptist Healthcare Center during CMS and state inspections, most recent first.
A facility failed to include advance directives in the care plans for 14 of 18 residents, including residents with full code status and residents with DNR orders. Record review showed no care plan interventions or goals addressing these wishes, despite policy requiring advance directives to be identified and reviewed during the care planning process. The MDS Coordinator said she did not do advance directive care plans, the DON was unsure they were required, and the Administrator was unaware they needed to be addressed.
An LPN and a CNA failed to follow EBP for a resident with a wound and recent below-the-knee amputation. The resident’s room had an EBP sign requiring gloves and a gown for high-contact care, including wound care and changing linens, but the LPN performed wound care without a gown and the CNA changed linens without a gown or gloves. The LPN said she forgot the gown, and the DON and CNA gave conflicting statements about PPE use during linen changes.
A facility failed to ensure a resident was free of unnecessary medications, specifically using an antipsychotic without proper medical rationale or behavior monitoring. The resident, admitted with various diagnoses, was readmitted with an order for Seroquel XR, but lacked behavior monitoring orders. Interviews revealed staff were not fully aware of regulations, and the Medical Director did not have a process to reassess medication necessity post-hospitalization.
Failure to Address Advance Directives in Care Plans
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans related to Advance Directives for 14 of 18 residents, including residents whose wishes were to remain full code and residents whose advance directives indicated DNR status. Record review showed that multiple residents had advance directives documented, but their care plans did not address those wishes. Examples included residents with full code status and residents with DNR status whose care plans, including those reviewed after admission and during later reviews, contained no care plan interventions or goals related to advance directives. The facility policy stated that advance directives are to be determined on admission and reviewed during the care planning process, with decisions regarding advance directives and treatment periodically reviewed as part of comprehensive care planning. During interviews, the MDS Coordinator stated she did not do advance directive care plans and was not sure what the policy required, the DON stated she was not sure whether advance directive care plans were supposed to be implemented, and the Administrator stated he was unaware that residents' advance directives needed to be addressed on the care plan. The residents' advance directives were discussed during quarterly care conferences, but no advance directive care plans were in place for the affected residents.
Failure to Follow Enhanced Barrier Precautions During Wound Care and Linen Changes
Penalty
Summary
The facility failed to follow Enhanced Barrier Precautions (EBP) during two observed high-contact resident care activities for one resident with a wound. The resident had diagnoses of right and left below-the-knee amputations, with the most recent left lower extremity amputation on 01/02/26 and a wound at the surgical site. Physician orders were in place for wound care, and the resident’s room had a posted EBP sign stating that staff must wear gloves and a gown for high-contact resident care activities, including wound care and changing linens. During an observation on 04/23/26 at 10:35 AM, an LPN entered the resident’s room to perform wound care without donning a gown. The LPN performed wound care on the resident’s left below-the-knee amputation surgical site and then exited the room. In an interview shortly afterward, the LPN acknowledged the EBP sign, stated it was in place for infection prevention related to the resident’s wound, and said, “I forgot the gown.” Later that same day, at 11:15 AM, a CNA was observed changing the resident’s bed linens without wearing a gown or gloves. The DON stated it was her expectation that a gown and gloves be worn during a dressing change for a resident on EBP, but she also stated that gowns and gloves were not needed when changing linens only, which contradicted the posted EBP sign. The CNA stated she was uncertain whether gowns and gloves were required during linen changes for a resident on EBP.
Failure to Ensure Appropriate Use of Psychotropic Medication
Penalty
Summary
The facility and Medical Director failed to ensure that a resident was free of unnecessary medications, specifically involving the use of an antipsychotic and psychoactive medication without proper medical rationale, indication for use, and behavior and side effect monitoring. The facility's policy on the use of psychotropic medication requires that such drugs are only given when necessary to treat a specific condition, as diagnosed and documented in the clinical record, and that the medication is beneficial to the resident. However, this policy was not adhered to in the case of the resident in question. The resident, who was admitted with diagnoses including critical illness myopathy, acute and subacute infective endocarditis, and urinary tract infection, was readmitted to the facility with an order for Seroquel XR following a diagnosis of pneumonia and a mechanical fall. The resident's medical record did not include an order for behavior monitoring, and the care plan lacked a specific plan for behavior monitoring, although it did include a plan for psychoactive medication and risk for adverse reactions. Physician progress notes did not address the use of Seroquel or any behaviors, and the Medical Director was unsure if behavioral monitoring had been ordered. Interviews with facility staff revealed a lack of awareness and adherence to regulations regarding the use of antipsychotic medication. The Assistant Director of Nursing acknowledged the need for behavioral monitoring orders for residents on Seroquel XR, and the Medical Director admitted to being aware of FDA guidelines but did not have a process to determine if the medication was still needed after hospitalization. The Medical Director believed the resident needed Seroquel due to a diagnosis of dementia with behaviors, despite the absence of schizophrenia or bipolar disorder diagnoses.
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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 Darlington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Presbyterian Communities Of South Carolina-florenc | 1.9 mi | ★★★★★ | 0 | 0 |
| Oakhaven Nursing Center | 3.6 mi | ★★★★★ | 0 | 0 |
| Honorage Nursing Center | 4 mi | ★★★★★ | 0 | 0 |
| Medford Nursing Center | 4.2 mi | ★★★★★ | 3 | 0 |
| Faith Healthcare Center | 5.5 mi | ★★★★★ | 5 | 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.