Below average — CMS composite of the measures below.
The next survey window likely opens around February 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 Carlyle Senior Care Of Blackville during CMS and state inspections, most recent first.
Improper bed rail installation and maintenance affected three residents with bed rail orders and consents. A resident with quadriplegia reported EMS had to cut a zip tie to lower a rail during transfer, and staff confirmed bilateral rails on three beds were secured with zip ties. The Administrator and Maintenance staff stated the facility altered the beds without using the manufacturer’s spare parts or recommendations, and the MD said the rails were not able to move up or down safely.
The facility failed to ensure 5 of 5 CNAs received the required 12 hours of annual in-service training. Their files showed participation in the annual skills fair, but lacked evidence of the required in-service hours. The DON stated she was unaware the facility needed to track CNA in-service education hours and could not provide the facility policy for CNA in-service education.
A resident with intact cognition and multiple medical conditions reported an allegation of sexual abuse to facility staff, who promptly notified the Administrator and Abuse Coordinator. However, the Administrator did not report the incident to the state survey agency within the required timeframe, resulting in a delay of notification until the following day.
Two CNAs assisted a resident back into bed after a fall without notifying an LPN beforehand, as required by facility policy. The resident, who had multiple medical conditions and required staff assistance for transfers, was not assessed for injuries until the following day when the incident was self-reported. The nurse was not informed of the fall at the time, and no immediate documentation or assessment was completed.
A deficiency was cited due to the facility's failure to keep an area free from accident hazards and to provide adequate supervision to prevent accidents. Surveyors observed that the environment did not meet safety standards and lacked proper oversight.
The facility failed to ensure proper sanitization of soiled laundry, as washing machines did not maintain adequate hot water temperatures and detergent pumps were malfunctioning. This deficiency, identified as Immediate Jeopardy, posed a potential infection risk to all residents due to inadequate oversight and maintenance of laundry equipment.
The facility failed to provide required financial quarterly statements to residents and their representatives, affecting three residents reviewed for personal funds. The Business Office Manager, who began in October, could not confirm if statements were sent before their tenure, and proof of notification lacked postal date/time stamps. One resident's representative had not received a statement since September, while another was unaware of the account balance. A recently discharged resident's representative was only informed of the financial account during discharge.
The facility failed to notify residents and their representatives about account balances exceeding Medicaid eligibility limits, potentially affecting their Medicaid services. Three residents had balances over the SSI resource limit, and their representatives were unaware of this issue. The facility's policy requires notification when balances approach the limit, but this was not followed.
A resident with a history of schizophrenia, subdural hemorrhage, and other medical conditions, who was assessed as high risk for elopement, managed to leave the facility unsupervised. The resident, known for wandering behaviors and disorientation, was found outside with injuries including skin tears and a head laceration. The facility's elopement policy and care plan were not effectively implemented, and lapses in monitoring and response procedures were identified. Staff interviews indicated that the alarm system for wander guards was not effectively utilized during the incident.
Improper Bed Rail Installation and Maintenance
Penalty
Summary
The facility failed to ensure correct installation, use, and maintenance of bed rails for 3 of 3 residents reviewed for bed rail use: R4, R56, and R72. The facility policy titled Proper Use of Bed Rails stated that bed rails would be used with a person-centered approach and that the facility would ensure correct installation, use, and maintenance before use, including checking manufacturer compatibility, inspecting for possible entrapment areas, and regularly checking that rails remained correctly installed and had not shifted or loosened. The policy also stated the facility would follow manufacturer recommendations regarding disabling or tying rails down. R4 was admitted with quadriplegia and an unspecified cervical spinal cord injury, had a BIMS score of 15, and had a care plan calling for 1/2 side rails to promote bed mobility and full and/or half side rails up per physician order for safety during care provision and to assist with bed mobility. R4's informed consent for bed rails documented risks associated with rail use and noted verbal consent because he was unable to sign. R56 was admitted with quadriplegia, had a BIMS score of 0, was total care for ADLs, and had a care plan intervention for bilateral padded 1/2 side rails for positioning and bed mobility. R56's informed consent for bed rails also documented the risks and recorded verbal consent by the POA. R72 was admitted with schizophrenia, Guillain-Barre syndrome, and a disorder of the brain, had a BIMS score of 15, and had informed consent for bed rails signed by the responsible party. During interview, R4 stated that when EMS came to transfer him to the gurney, the bed rail would not come down because a zip tie was holding it in the up position, and EMS had to cut the zip tie to lower the rail. During observation and interview, the Maintenance Assistant confirmed that bilateral bedrails were secured by zip ties on R72's bed, R56's bed, and R4's bed. The Administrator and Maintenance Assistant confirmed the facility altered the beds by using zip ties to hold the bed rails up and down without using the bed manufacturer's spare parts and recommendations. The Maintenance Director stated that the zip ties had been placed incorrectly, that the side rails were supposed to be able to move up and down, that none of the bed rails could be moved up or down safely, and that the bed was in disrepair when the rails could not be brought up or down safely.
Missing Required CNA In-Service Training Documentation
Penalty
Summary
The facility failed to ensure that 5 of 5 CNAs (CNA5, CNA7, CNA8, CNA9, and CNA10) received the required 12 hours of annual in-service training. Review of each employee file showed evidence that the CNAs participated in the facility’s annual skills fair, but the files did not contain evidence of the required annual in-service training hours. The CNAs reviewed had dates of hire of 03/17/23, 03/29/23, 09/13/10, 01/26/24, and 11/01/23. During an interview on 03/31/26 at 12:22 PM, the DON stated she was unaware the facility needed to track the hours of in-service education provided to the CNAs. She also failed to provide a copy of the facility policy for CNA in-service education.
Failure to Timely Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to timely report an allegation of sexual abuse involving a resident with intact cognition and multiple medical diagnoses, including chronic obstructive pulmonary disease, muscle weakness, anxiety disorder, depression, and adult failure to thrive. According to the facility's policy, all alleged violations involving abuse or resulting in serious bodily injury must be reported to the state agency and other required authorities immediately, but not later than two hours after the allegation is made. On the date of the incident, the resident informed the Medical Records Clerk that a staff member had raped them. The MR Clerk immediately notified the Administrator, and an LPN also reported the allegation to the Abuse Coordinator and Administrator shortly thereafter. Despite being promptly informed of the allegation, the Administrator did not submit a reportable incident to the state survey agency on the same day. Instead, the facility notified the state survey agency of the allegation the following day, exceeding the required reporting timeframe outlined in facility policy. The Administrator acknowledged during an interview that the report should have been made immediately but was delayed until the next day.
Failure to Notify Nurse and Assess Resident After Fall
Penalty
Summary
Certified nurse aides (CNAs) failed to notify a nurse before assisting a resident who had fallen back into bed, contrary to facility policy. On the date of the incident, two CNAs found a resident on the floor in a kneeling position by their bed and, at the resident's insistence, helped them back into bed without first alerting the nurse on duty. The nurse was only informed after the resident was already back in bed, and the reason for the check was not disclosed at that time. The facility's Fall Prevention Program policy requires that when a resident experiences a fall, staff must assess the resident, including a full body audit, before moving them. The resident involved had a history of muscle weakness, required assistance with personal care, and was dependent on staff for transfers. The resident also had moderate cognitive impairment and was at risk for falls due to multiple medical conditions, including confusion, deconditioning, gait and balance problems, and chronic illnesses. Interviews with the CNAs confirmed that they were aware of the policy to notify a nurse before moving a resident after a fall but did not follow it in this instance. The nurse on duty was not made aware of the fall until the following day, after the resident self-reported the incident. There was no documentation of the fall in the resident's medical record at the time of the incident, and the required assessment was not performed immediately after the fall.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which could contribute to accidents occurring. Specific actions or inactions leading to this deficiency include the lack of proper oversight and the presence of hazards in the area, as directly observed by surveyors.
Inadequate Laundry Sanitization Poses Infection Risk
Penalty
Summary
The facility failed to ensure that soiled laundry was washed and appropriately sanitized, which could potentially lead to the spread of infection. The washing machines in the facility did not maintain adequate hot water temperatures necessary for proper sanitization. Specifically, the washing machine was unable to maintain a temperature of at least 160°F for a minimum of 25 minutes, as required by CDC guidelines. Additionally, there were no visible thermometer gauges on the washing machines to detect the water temperature, and the facility had no process in place to conduct temperature checks. Furthermore, the facility did not maintain a process to ensure that washing machines and chemical products were assessed appropriately. During observations, it was noted that the detergent pumps were not functioning correctly, resulting in no visible detergent or suds during the wash cycle. The facility was unable to provide documentation for sanitization levels for the year 2025, indicating a lack of oversight and monitoring of the chemical sanitization process. The deficiency was identified as Immediate Jeopardy (IJ) due to the potential risk of infection spread among residents. The facility's policies on equipment inspections, preventative maintenance, and safety were not effectively implemented, as evidenced by the lack of regular inspections and maintenance of the washing machines. The failure to ensure proper sanitization of laundry posed a significant risk to the health and safety of all residents in the facility.
Removal Plan
- The laundry staff stopped doing laundry when they realized that the water temperature was not 160 degrees and that the dispenser for detergent was not dispensing appropriately.
- The Ecolab technician repaired the detergent dispenser.
- The Ecolab technician has been asked for a service visit to check all our chemicals to be sure that they are dispensing appropriately and in correct amounts. He will inspect and provide a written report.
- We have signed a contract with a Laundry Service, [NAME] Laundry Service, who will start service and have pick up scheduled.
- The laundry staff were in-serviced by the housekeeping supervisor and the nurse consultant regarding checking the dispensers when washing clothes to be sure that chemicals are dispensed properly, and if not, they are to notify the housekeeping supervisor or the maintenance supervisor immediately.
- Any newly hired housekeeping staff will be trained during their orientation period regarding checking the dispensers to be sure that chemicals are dispensed properly.
- The administrator will monitor monthly to assure that Ecolab has made monthly visits and will review the dispenser function logs and the washing machine temperature logs on a weekly basis.
- The Administrator will bring all Ecolab reports, temperature logs, and dispenser logs to be reviewed in QA monthly and then quarterly until it is determined that the deficient practice is not likely to occur.
Failure to Provide Financial Statements to Residents
Penalty
Summary
The facility failed to provide financial quarterly statements to residents and/or their representatives for three out of four residents reviewed for personal funds. The facility's policy requires that residents who deposit personal funds with the facility receive quarterly statements and have access to their individual financial records. However, the review revealed that residents and their representatives did not receive these statements as required. For instance, the representative of a resident with schizophrenia and intellectual disabilities reported not receiving a statement since September 2024. Another resident, who was unable to complete an interview due to cognitive impairment, also had a representative who did not receive the necessary financial statements and was unaware of the resident's account balance. The Business Office Manager, who started in October 2024, was unable to confirm if statements were sent before their tenure and relied on copies of envelopes as proof of notification, which lacked postal date/time stamps. Additionally, a resident who was cognitively intact and recently discharged was only informed of their financial account during the discharge process, marking the first time their representative received a statement. The facility's administration could not provide documentation of quarterly statement notifications prior to October, indicating a systemic issue in managing and communicating residents' financial information.
Failure to Notify Residents of Excess Account Balances
Penalty
Summary
The facility failed to notify residents and their representatives about account balances exceeding the Medicaid eligibility limit, which could potentially disqualify them from Medicaid services. This deficiency was identified for three residents. The facility's policy requires notifying residents receiving Medicaid benefits when their account balance reaches $200 less than the Supplemental Security Income (SSI) resource limit. However, the facility did not adhere to this policy, as evidenced by the account balances of the residents reviewed. Resident 44 had a balance of $5,036.12, Resident 51 had a balance of $4,375.40, and Resident 52 had a balance of $8,023.50, all exceeding the SSI resource limit. Interviews with the residents' representatives revealed that they were unaware of the excess balances, as the facility had not informed them. The Business Office Manager and Administrator acknowledged the issue and stated that they were in the process of communicating with residents and their families about the account balances.
Inadequate Supervision Leads to Resident Elopement and Injury
Penalty
Summary
The facility failed to ensure adequate supervision of Resident (R)4, who was at risk for elopement, leading to an incident where R4 eloped from the facility on 02/24/24 at approximately 6:30 AM. R4 had a history of diagnoses including schizophrenia, nontraumatic subdural hemorrhage, insomnia, anorexia, bacterial meningitis, severe sepsis with septic shock, and muscle weakness. R4 exhibited wandering behaviors and was assessed to be at high risk for elopement due to disorientation, wandering tendencies, and medications affecting mental status. Despite being identified as an elopement risk, the facility did not provide adequate supervision to prevent R4 from leaving the premises unauthorized. The deficiency was further highlighted by the fact that R4 was found outside the facility with injuries, including skin tears on both elbows and a swelling/laceration to the back of the head. The facility's policy on elopements and wandering residents emphasized the need for adequate supervision to prevent accidents and elopements, but the failure to ensure proper monitoring led to the elopement incident. Staff interviews revealed lapses in monitoring and response procedures, with staff members noting that the alarm system for wander guards was not effectively utilized in this instance. Despite the facility's policies and care plan addressing R4's elopement risk, the breakdown in supervision and response protocols resulted in R4 leaving the facility unsupervised.
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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 Blackville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carlyle Senior Care Of Williston | 8.9 mi | ★★★★★ | 5 | 0 |
| Pruitthealth- Barnwell | 10.5 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Bamberg | 14.4 mi | ★★★★★ | 1 | 0 |
| Edisto Post Acute | 23.7 mi | ★★★★★ | 8 | 0 |
| The Oaks Post Acute | 24 mi | ★★★★★ | 8 | 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.