Average — CMS composite of the measures below.
The next survey window likely opens around December 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 Dr Ronald E Mcnair Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Medication administration errors exceeded the allowed rate when surveyors observed 3 errors in 27 opportunities. An RN prepared the wrong metformin strength for a resident with DM, another RN gave sennosides instead of the ordered sennosides-docusate sodium to a resident with constipation, and an LPN failed to prime a Novolog insulin pen before giving the dose to a resident with type 1 DM. Facility policy and manufacturer instructions required verification of the MAR and medication label, and priming the insulin pen before administration.
The facility failed to provide nail care for two dependent residents who needed assistance with ADLs. One resident had Parkinson’s disease, DM2, and neurocognitive disorder, and staff observed long fingernails curved toward the palms over multiple observations; staff said the resident was diabetic and a nurse should have trimmed the nails. The other resident had seizures, muscle spasm, and pain, and staff observed long, dirty fingernails with dried food under them; staff confirmed the resident was dependent on staff for nail care and that the nails needed trimming.
Medication storage and disposal practices were not followed when an RN left a medication cart unlocked in the hallway during a med pass and disposed of wasted and refused medications in the cart trash can instead of the sharps container. During observations, extra metformin, a dropped omeprazole tablet, and a cup of refused meds were all placed in the trash can, and the DON stated meds were expected to be discarded in the sharps container and the cart locked when out of the nurse's eyesight.
Failure to Follow EBP During Medication Administration: A resident with a gastrostomy tube and cognitive impairment was identified as requiring EBP, and signage on the door directed staff to wear gloves and a gown for high-contact care. During medication administration through the feeding tube, an RN donned gloves but did not wear a gown, despite acknowledging that a gown should have been used. The DON stated staff were expected to follow the PPE listed on the resident’s door signage when providing care.
The facility failed to properly label and date food items in the freezer and dry storage areas, leading to potential foodborne illness risks. Observations revealed unlabeled precooked items and expired products in the freezer, as well as items without expiration dates in dry storage. Staff interviews indicated a lack of awareness and adherence to the facility's food labeling policy, with the kitchen manager and dietary staff not consistently checking for expired items or labeling dry storage goods.
The facility failed to remove excessive lint from one of the clothes dryers, as required by their policy. The policy states that lint traps should be checked and cleaned hourly while in use, but logs did not confirm this was done. An observation found excessive lint obscuring wiring, and maintenance staff confirmed the issue without providing logs to verify lint removal.
The facility failed to ensure RN coverage for 8 hours on weekends, as required. Reviews of daily postings and RN time sheets for May and June 2024 showed multiple weekends without RN coverage. Interviews with staff confirmed the absence of RNs on weekends, with reliance on a nurse on call. The DON stated staffing is based on residents' needs, but the facility does not use contract staffing due to financial constraints, relying instead on nurses working overtime.
The facility failed to properly store medications and remove expired items in two medication rooms and three medication carts. Expired shampoos and hydrogen peroxide were found, and a refrigerator was below the recommended temperature. Opened MediHoney tubes labeled for single use and an undated Breyna inhaler were also discovered. LPNs confirmed these deficiencies.
The facility failed to ensure two residents were included in their care planning process, despite their expressed desire to participate. The MDS nurse did not document invitations or attendance for these residents, violating their right to be involved in their health care planning.
A resident with severely impaired cognition expressed dissatisfaction with facial hair, which was not consistently addressed by the facility. Despite her preference for certain CNAs to assist with hair removal, the facility failed to ensure her grooming preferences were met, impacting her dignity. After the preferred CNA removed the facial hair, the resident reported feeling much better.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure the medication administration error rate remained below 5 percent. Surveyors identified 3 medication errors out of 27 opportunities during medication administration observations, affecting 3 residents and resulting in an 11.11% error rate. Facility policy required staff to verify the E-MAR/MAR, compare the medication label with the order, and confirm the resident, drug, strength, dose, route, and time before administration. The facility’s insulin policy and the Novolog manufacturer instructions also required priming the insulin pen needle with 2 units before selecting and administering the ordered dose. For one resident with type 2 diabetes mellitus, the physician order was for metformin 1,000 mg by mouth twice daily, but RN 3 prepared two 1,000 mg tablets. RN 3 handed the medication cup to the resident, then removed it and reviewed the E-MAR, physician order, and medication card after the surveyor requested a check. RN 3 stated she was confused by the order because she believed it called for two 500 mg tablets totaling 1,000 mg, and she had not realized she had pulled two 1,000 mg tablets. For a second resident with constipation, the order was for sennosides-docusate sodium 8.6 mg-50 mg one tablet by mouth twice daily, but RN 1 administered sennosides 8.6 mg instead. For a third resident with type 1 diabetes mellitus, the order was for Novolog FlexPen 3 units subcutaneously three times daily, but LPN 4 did not prime the insulin pen needle with 2 units before dialing and giving the dose. RN 1 and LPN 4 each acknowledged the medication administration errors during interview, and the DON stated staff were expected to verify the right resident, route, time, medication, dose, and date, and to prime the insulin pen before administration.
Failure to Provide Nail Care for Dependent Residents
Penalty
Summary
The facility failed to ensure nail care was provided for 2 residents who were dependent on staff for activities of daily living. The facility’s ADL policy stated that residents who are unable to carry out ADLs will receive the necessary services to maintain grooming and personal hygiene. Review of the records showed both residents had cognitive impairment and required staff assistance with personal hygiene and ADL care. One resident had diagnoses including Parkinson’s disease, type 2 diabetes mellitus, and neurocognitive disorder. The resident’s MDS indicated dependence on staff for all ADLs, including personal hygiene, and the service plan directed staff to provide and record assistance routinely. During multiple observations, the resident’s fingernails on both hands were long and curved inward toward the palms. Staff interviews confirmed the nails had not been trimmed in a long time, that the resident was diabetic, and that a nurse should have trimmed the nails as part of daily ADL care. The second resident had diagnoses including seizures, muscle spasm, and unspecified pain. The resident’s MDS showed substantial/maximal assistance was needed for personal hygiene, and the service plan directed staff to provide and record ADL assistance routinely. During multiple observations, the resident’s fingernails on both hands were long, dirty, uneven, and had dried food under them. Staff interviews confirmed the resident was dependent on staff for nail care, did not refuse ADL care, and that the fingernails needed to be trimmed. The DON and ADM stated staff were expected to trim residents’ fingernails, with nurses responsible for diabetic residents.
Medication Cart Left Unlocked and Wasted Medications Disposed Improperly
Penalty
Summary
The facility failed to ensure medications were secured in 1 of 3 medication carts when not attended by staff and failed to ensure proper disposal of medications during 2 of 5 observations during medication administration. Facility policy required all drugs and biologicals to be stored in locked compartments and, during a medication pass, to be under the direct observation of the person administering them or locked in the medication storage area/cart. The policy also stated that medications should be discarded in the sharps container by nurses during medication pass as indicated. During one medication pass, an RN prepared medications for a resident, entered the resident's room, and left the medication cart unlocked in the hallway while no other staff were observed in the unit hallway. The RN later stated she had forgotten to lock the cart. The RN also removed an extra metformin 1,000 mg tablet from the medication cup and disposed of it in the medication cart trash can instead of the sharps container. In the same observation, a cup containing 10 medications that had been refused earlier that morning was found in the medication cart trash can; the RN identified the medications and stated they should have been disposed of in the sharps container. During another observation, an RN dropped an omeprazole 20 mg tablet while preparing medications and disposed of it in the medication cart trash can, later stating it should have been discarded in the sharps container. The DON stated staff were expected to dispose of wasted medications in the sharps container and to lock the medication cart if it was out of the nurse's eyesight, and the Administrator stated staff were expected to follow facility policy for medication storage and disposal.
Failure to Follow Enhanced Barrier Precautions During Medication Administration
Penalty
Summary
The facility failed to maintain infection control practices by not properly implementing Enhanced Barrier Precautions (EBP) for one resident during medication administration. The facility policy stated that EBP were to be used for residents with wounds and/or indwelling medical devices, including feeding tubes. Review of the resident’s records showed the resident was admitted on 06/25/19, had a history of gastrostomy status, had moderate impairment in cognitive skills for daily decision-making, and received nutrition through a feeding tube during the assessment look-back period. The resident’s service plan also identified the resident as being on EBP because of the gastric feeding tube, chronic diagnoses that increased infection risk, and frequent antibiotic use related to aspiration pneumonia and urinary tract infection. During observation of medication administration, the RN removed medications, crushed them as needed, and entered the resident’s room after performing hand hygiene and donning clean gloves, but did not don a gown before administering medications through the resident’s gastrostomy tube. A sign on the resident’s door indicated the resident was under EBP and directed staff to wear gloves and a gown for high-contact resident care activities. The RN stated the resident was on EBP and that she should have donned a gown before administering the medications. The DON stated that staff should don the equipment listed on the signage posted on the resident’s door and expected nursing staff to don the appropriate PPE when administering medications through a gastrostomy tube. The Administrator stated she expected nursing staff to follow the DON’s expectations regarding EBP.
Deficiency in Food Labeling and Storage Practices
Penalty
Summary
The facility failed to ensure that food items were correctly labeled and dated in both the freezer and dry storage areas, which could potentially increase the risk of foodborne illnesses. During an observation of the facility's walk-in freezer, it was found that there were two Ziploc bags of precooked items that were not labeled with their contents, preparation date, or expiration date. Additionally, there were expired items, including a box of Stampede Boneless Beef Ribeye Steak and a box of Hormel Deli Bread Ready Premium Buffet Ham. In the dry storage area, several items, such as bottles of chocolate syrup, cans of tuna, and cans of mushroom pieces, were found without labeled expiration dates. Interviews with facility staff revealed a lack of awareness and adherence to the facility's policy on labeling and dating foods. The kitchen manager and dietary staff were responsible for checking the refrigerators and freezers, but they were unaware of the unlabeled and expired items. The Dietary Aide and Kitchen Manager admitted to not labeling dry storage items with receive-by or expiration dates, and the Certified Dietary Manager confirmed that it was her expectation for staff to discard expired food items and label all food items with expiration dates. The Administrator also expected the dietary team to follow the facility policy and conduct daily audits of storage areas to check for expired food items.
Failure to Remove Excessive Lint from Clothes Dryer
Penalty
Summary
The facility failed to ensure the removal of an excessive amount of lint from one of the three clothes dryers, as per their policy titled 'Lint Removal in Laundry.' The policy mandates that lint traps be checked frequently and cleaned by laundry staff at least hourly while the machine is in use. However, logs reviewed did not contain any documentation to confirm that lint had been removed since the start of the shift. An observation revealed an excessive amount of lint above the lint basket and hanging in a mass from the wiring, obscuring the wiring itself. During an interview, maintenance staff confirmed the presence of excessive lint and did not provide logs to verify that lint removal was performed after each load.
Failure to Ensure RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was scheduled for 8 hours on weekends, as required, according to the Payroll Based Journal (PBJ) for 3 out of 4 weekends reviewed. The review of facility daily postings and RN time sheets for May and June 2024 revealed multiple dates where there was no RN coverage, specifically on weekends. Interviews with staff, including a Licensed Practical Nurse (LPN) and the Director of Nursing (DON), confirmed the absence of RN coverage on weekends, with the facility relying on a nurse on call instead. The Director of Nursing stated that staffing patterns are reviewed daily, and assignments are made based on residents' needs and diagnoses. Despite this, the facility did not have RNs on weekends, as confirmed by the LPN. The Administrator mentioned that the facility does not use temporary or contract staffing due to financial constraints, instead relying on a group of nurses who take incentives and work overtime. This staffing approach led to the deficiency of not having an RN on duty for the required 8 hours on weekends.
Medication Storage and Expiration Deficiencies
Penalty
Summary
The facility failed to ensure that medications were properly stored and expired medications were removed from active stock in two medication rooms and three medication carts. During an inspection of the Hall 200 Medication Room, expired therapeutic shampoos were found on a storage shelf, and the refrigerator temperature was recorded at 28 degrees F, which is below the recommended range of 36-40 degrees F. The Maintenance Director confirmed the refrigerator temperature was 30 degrees F, but did not have a facility thermometer to verify the reading. In the Hall 100 Medication Room, an expired bottle of hydrogen peroxide and urine specimen containers were improperly stored alongside medications in the refrigerator. Further inspections revealed additional deficiencies in medication storage. On the 200 Hall Treatment Cart, an opened tube of MediHoney labeled for single use only and an expired bottle of hydrogen peroxide were found. On the 200 Hall Medication Cart 2, an opened Breyna inhaler was not dated as required by the manufacturer's instructions. Similarly, the Hall 100 Treatment Cart contained two opened tubes of MediHoney labeled for single use only. These findings were confirmed by various LPNs who acknowledged the improper storage and labeling of medications.
Failure to Include Residents in Care Planning Process
Penalty
Summary
The facility failed to ensure that two residents, R47 and R58, were afforded the right to participate in the planning process of their care. According to the facility's policy, the MDS nurse is responsible for notifying residents and/or their representatives about scheduled care plan meetings and documenting their attendance. However, the review of records and interviews revealed that R47, who has no cognitive deficits, was not invited to care plan conferences after attending one in January 2024, despite expressing a desire to be included. Similarly, R58, who has mild cognitive deficits but is able to understand and be understood, was not listed as attending any care plan conferences, and there was no documentation to ensure he was invited or included in the process. The facility's policy and the residents' rights state that residents have the right to participate in the planning of their health care, including attending care plan conferences. Despite this, the facility did not adhere to its policy, as evidenced by the lack of documentation and the residents' statements. The MDS Coordinator's records showed that responsible parties were informed of care plan meetings, but there was no evidence that the residents themselves were invited or included, leading to the deficiency in ensuring resident participation in their care planning.
Failure to Maintain Resident Dignity in Grooming Preferences
Penalty
Summary
The facility failed to uphold the dignity of a resident by not addressing her facial hair preferences. The resident, who has a severely impaired cognition with a BIMS score of 06, expressed dissatisfaction with the facial hair on her chin and above her lip. Despite her preference to have the facial hair removed, the facility did not consistently ensure this was done. The resident's care plan indicated she required limited assistance with personal hygiene, yet there was no specific documentation of resident care related to her grooming preferences. Observations and interviews revealed that the resident sometimes refused assistance with facial hair removal, but she had specific CNAs she preferred for this task. On the day of the survey, the resident expressed her desire to have the facial hair removed and identified a preferred CNA to perform the task. After the facial hair was removed, the resident reported feeling much better. The facility's failure to consistently honor the resident's grooming preferences and ensure her dignity was maintained led to the deficiency.
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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 Lake City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake City Scranton Healthcare Center | 6.3 mi | ★★★★★ | 0 | 0 |
| Carlyle Senior Care Of Kingstree | 12.5 mi | ★★★★★ | 7 | 0 |
| The Palms At Florence | 19.2 mi | ★★★★★ | 0 | 0 |
| Veteran Village | 23.9 mi | ★★★★★ | 0 | 0 |
| Southland Health Care Center | 24 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.