Average — CMS composite of the measures below.
The next survey window likely opens around November 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 Fountain Inn Post Acute during CMS and state inspections, most recent first.
Improper Storage of Respiratory Equipment: The facility failed to store respiratory equipment appropriately for two residents. One resident with COPD, chronic respiratory failure, and nightly CPAP use had a CPAP mask left on the bedside table and not bagged, while another resident with COPD, asthma, and respiratory failure had an uncovered nebulizer machine and mask stored in the machine holder rather than covered. Staff, including the DON, Administrator, and IP, stated the equipment should be bagged when not in use.
A resident with severe cognitive impairment and multiple health conditions experienced a fall, after which the care plan was updated to require hourly rounding. However, there was no documentation that staff performed the required hourly rounding, and facility leadership confirmed the intervention was not implemented as directed.
Failure to Follow Ordered Fluid Restriction for a Dialysis Resident: A resident with ESRD, hemodialysis dependence, and moderate cognitive impairment had a physician-ordered fluid restriction of 1,200 ml per day, but records showed repeated instances where staff documented fluid intake above the ordered limits across multiple shifts. Interviews with an LVN, the DON, and the Administrator confirmed the resident was on fluid restriction and that staff were expected to monitor and adhere to the order.
Improper Disposal of Medication During Administration: An LVN preparing medication for a resident dropped a multivitamin with minerals capsule and placed it in the medication cart trash can. Facility policy required medications and biologicals to be securely stored and wasted doses to be disposed of in a manner that limits access by unauthorized persons. The LVN stated the capsule should have been placed in the medication cart sharps container, and the DON and Administrator stated wasted medications should be disposed of in a sharps container or drug disposal solution rather than a regular trash can.
The facility failed to ensure medications were free of expiration and properly labeled on two medication carts and one treatment cart. Observations revealed expired medications and missing labels or lot numbers. Interviews with LPNs and the DON confirmed these deficiencies, highlighting a lack of compliance with the facility's policy requiring proper medication labeling and storage.
Two residents in the facility were not provided with adequate ADL care, as required by facility policy. One resident, with Alzheimer's and legal blindness, was found with unkempt hair and lacking personal hygiene care, despite having a physician's order for anti-dandruff shampoo. The other resident, with vascular dementia and congestive heart failure, was observed with body odor and received only a few bed baths over a month, with no showers documented. Staff interviews revealed that refusals of care were not documented, contrary to facility policy.
A facility's medication error rate exceeded the acceptable threshold, reaching 7.69%. An LPN failed to administer two prescribed medications to a resident due to unavailability and did not document the incident or follow protocol for notifying the physician or the resident. The resident had multiple health conditions, and the Director of Nursing confirmed the LPN did not adhere to procedures.
The facility inaccurately submitted PBJ data for Quarter Three of 2024, omitting RN hours for 15 out of 19 days reviewed. This error was due to the previous staff member's failure to include hours for salaried employees like the DON. Despite the reporting error, the facility had adequate RN coverage during the period.
The facility failed to document the Medical Director's (MD) attendance at quarterly QAPI meetings for one of two quarters reviewed. The Administrator, recently hired, could not find sign-in sheets to verify the previous MD's attendance. The current MD confirmed attending a QAPI meeting, but no sign-in sheet was available.
A facility failed to follow infection control practices by not cleaning a glucometer after use on a resident. The RN assumed the glucometer was clean because it was stored in a container, and after performing a blood glucose test, the RN returned the glucometer to the medication cart without cleaning it. The DON initially stated glucometers should be cleaned before use but later corrected this to after use.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to store respiratory equipment appropriately for 2 residents, R66 and R5. The facility policy titled, Storage of Respiratory Equipment, required respiratory equipment to be stored in a clean, dry manner, off the floor, away from sinks and splash zones, protected from dust and moisture, and routinely inspected. R66 was admitted with diagnoses including COPD, chronic respiratory failure with hypoxia, and chronic bronchitis, and had intact cognition with a BIMS score of 15. R66’s care plan and active orders included nightly AVAPS/CPAP use. During observation, R66’s CPAP face mask was seen lying on the bedside table and not in a bag. R66 stated they used the CPAP every night and did not know whether staff ever placed the mask in a bag. Staff interviews indicated CPAP masks should be bagged and labeled, and the DON and Administrator stated the mask should be cleaned and stored in a bag when not in use. R5 was admitted with diagnoses including acute and chronic respiratory failure with hypoxia, COPD, and asthma, and had intact cognition with a BIMS score of 15. R5’s MDS indicated oxygen therapy, and the care plan identified the resident as at risk for respiratory complications and directed staff to administer nebulizer treatments as ordered. R5 had an active order for albuterol nebulization as needed for shortness of breath. During observations, R5’s nebulizer machine was uncovered at the bedside, and the nebulizer mask was stored in the machine’s built-in holder rather than covered. An LVN stated respiratory equipment should be covered when not in use, usually in a plastic bag, and the DON, Administrator, and Infection Preventionist stated the nebulizer mask should be stored in a bag when not in use.
Failure to Implement and Document Fall Prevention Care Plan
Penalty
Summary
The facility failed to implement a comprehensive, person-centered care plan to address the fall risk for one resident with severe cognitive impairment and multiple medical conditions, including senile degeneration of the brain, atrial fibrillation, and hypertension. The resident required partial to moderate assistance with bed mobility and transfers and was identified as being at risk for falls due to factors such as altered balance, mental status, medication use, cardiovascular disease, decreased coordination, history of falls, unsteady gait, and visual impairment. Following an unwitnessed fall, the care plan was updated to include hourly rounding as an intervention to prevent further incidents. Despite this intervention being added to the care plan, there was no documentation in the resident's medical record to indicate that hourly rounding was being conducted as directed. Interviews with facility leadership confirmed the absence of evidence that staff were following the care plan's specified intervention. This lack of implementation and documentation of the care plan intervention constituted a failure to meet the resident's needs as outlined in facility policy and regulatory requirements.
Failure to Follow Ordered Fluid Restriction for Dialysis Resident
Penalty
Summary
The facility failed to provide care and services necessary to maintain or improve the highest practicable physical well-being of a resident receiving dialysis by not following physician-ordered fluid restrictions for one resident. The resident was admitted with diagnoses including end stage renal disease, hypotension of hemodialysis, and dependence on renal dialysis, and the MDS indicated a BIMS score of 11, showing moderate cognitive impairment. The care plan and active physician order both directed staff to limit fluids to 360 ml for breakfast, 240 ml for lunch, 240 ml for dinner, 180 ml for the 7:00 AM to 7:00 PM shift, and 180 ml for the 7:00 PM to 7:00 AM shift, for a total of 1,200 ml per day. Record review showed the resident exceeded the ordered fluid restriction on multiple dates across October, November, and December 2025, including documented intakes of 1,080 ml during both shifts on 10/16/2025, 700 ml during one shift on 10/17/2025, 840 ml during both shifts on 10/30/2025, and repeated instances in November and December when the resident received more than the ordered 180 ml during both shifts. During interviews, an LVN confirmed the resident was on fluid restriction and that there was a limit on the amount of fluids the resident could receive. Another LVN stated the resident should not be given more than 1,200 ml of fluids per day, and the DON and Administrator stated staff should monitor and adhere to the resident's fluid restriction.
Improper Disposal of Medication During Administration
Penalty
Summary
The facility failed to ensure appropriate storage and disposal of drugs and biologicals during medication administration observation for 1 of 5 residents observed, Resident 74. During the observation, an LVN prepared medication for Resident 74 and dropped one multivitamin with minerals capsule. The LVN placed the capsule into the medication cart trash can rather than disposing of it in a secure medication disposal method. Facility policy titled, Storage and Expiration Dating of Medications and Biologicals, stated medications and biologicals, including treatment items, should be securely stored in a locked cabinet, cart, or medication room inaccessible by residents and visitors. A separate facility policy titled, Disposal of Medications, stated wasted single doses of medications for disposal should be disposed of in a manner that limits access by unauthorized personnel or residents. During interview, the LVN stated he did not realize he disposed of the capsule in the medication cart trash can and stated medication should be disposed of in the medication cart sharps container. The DON stated she would expect wasted medications to be disposed of in a sharps container or drug disposal solution and not in a regular trash can. The Administrator stated he would expect nursing staff to dispose of medications in a sharps container or something biosafe.
Medication Labeling and Expiration Deficiencies
Penalty
Summary
The facility failed to ensure that medications were free of expiration and properly labeled on two of three medication carts and one treatment cart. The facility's policy, dated 2001, requires that discontinued, outdated, or deteriorated medications be returned or destroyed according to instructions from the dispensing pharmacy. The policy also mandates that medication labeling must comply with federal and state requirements and include essential information such as medication name, prescribed dose, strength, expiration date, resident's name, route of administration, and necessary instructions. However, observations revealed several instances of non-compliance, including expired medications and missing labels or lot numbers. During an observation of the treatment cart, it was found that Nystatin cream for a resident was labeled for seven days but lacked a lot number, and other medications like Mupirocin and Minerin Creme had expired. Similar issues were noted on the medication carts, where medications such as Oyster Shell Calcium, Levemir Flex Pen, and Tresiba Flex Touch Pen were either expired or lacked proper labeling, including open dates and expiration dates. Interviews with LPNs and the Director of Nurses confirmed that the medications were expired or improperly labeled, and it was noted that unit managers and nurses were responsible for conducting weekly audits and ensuring the carts were up to date.
Failure to Provide Adequate ADL Care
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) care to two residents, R12 and R27, as observed and documented by surveyors. R12, who has Alzheimer's disease, legal blindness, and major depressive disorder, was found in bed on multiple occasions with unkempt hair and in need of personal hygiene care. Despite having a physician's order for anti-dandruff shampoo to be applied on specific shower days, there was a lack of documentation indicating that R12 received the prescribed showers or any refusal of care. The facility's policy requires that residents be offered showers at least twice a week and bed baths on other days, but R12's records showed only one shower and several bed baths over a month, with no refusals documented. R27, diagnosed with vascular dementia, congestive heart failure, and major depressive disorder, was observed in bed without a shirt and with noticeable body odor. Although R27's care plan indicated the need for assistance with bathing, the documentation revealed that he only received bed baths on a few occasions and no showers over a 30-day period. Staff interviews indicated that R27 often refused showers, but there was no documentation of these refusals in the medical records. The facility's policy requires staff to document refusals of ADL care, but this was not done for R27. The Director of Nursing (DON) confirmed the expectation that residents should be offered showers twice a week and bed baths on other days, with refusals documented. However, the lack of documentation and observations of unmet hygiene needs for both R12 and R27 indicate a failure to adhere to these policies. The facility's inability to provide consistent ADL care and document refusals as required led to the identified deficiencies in resident care.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of 5% or less, with an observed rate of 7.69%. During a medication administration observation, an LPN was unable to provide two prescribed medications, Floraster oral capsules and Donepezil 10 mg, to a resident due to their unavailability. The LPN informed the Unit Manager and Nurse Practitioner but did not document the incident in the nurse's notes or follow the facility's protocol for handling unavailable medications. The resident involved had multiple diagnoses, including acute respiratory failure with hypoxia, Type 2 diabetes, and chronic kidney disease. The LPN signed the medication administration record with a code indicating an issue but did not follow the required steps of contacting the physician or notifying the resident and their representative about the unavailability of the medications. The Director of Nurses confirmed that the LPN did not adhere to the established procedures for managing unavailable medications.
Inaccurate PBJ Submission Omits RN Hours
Penalty
Summary
The facility failed to accurately submit the Payroll Based Journal (PBJ) for Quarter Three of 2024, specifically omitting Registered Nurse (RN) hours for 15 out of 19 days reviewed. This deficiency was identified through interviews, record reviews, and examination of the facility's policy on reporting direct care staffing information. The facility's policy, last revised in August 2022, mandates that direct care staffing information be reported electronically to CMS in a complete and accurate manner. However, the PBJ Staffing Data Report for the specified quarter showed missing RN coverage on several dates. Interviews with the facility's Administrator revealed that the previous staff member responsible for submitting the PBJ data failed to include RN hours due to an error related to the unit managers and the Director of Nursing (DON) being salaried employees. This oversight resulted in the facility inaccurately reflecting RN coverage. Despite the error in reporting, record reviews confirmed that the facility did have adequate RN coverage during the months in question, utilizing the DON as RN coverage on most weekdays.
Lack of Documentation for MD Attendance at QAPI Meetings
Penalty
Summary
The facility failed to provide documentation that the Medical Director (MD) attended the quarterly Quality Assurance and Performance Improvement (QAPI) Program meetings for one of the two quarters reviewed. The facility's policy requires the development, implementation, and maintenance of an ongoing, facility-wide, data-driven QAPI Program focused on care outcomes and residents' quality of life. The Administrator, who was recently hired, was unable to locate sign-in sheets to verify the previous MD's attendance at these meetings. An interview with the current MD confirmed attendance at a QAPI meeting in July, but no sign-in sheet was available to document this attendance.
Failure to Clean Glucometer After Use
Penalty
Summary
The facility failed to adhere to proper infection control practices for cleaning a glucometer used by a resident. The facility's policy, dated 05/25/2019, requires that individual glucometers be cleaned prior to use or when visibly soiled. However, during an observation, a Registered Nurse (RN) did not clean the glucometer after using it for an accu check on a resident. The RN assumed the glucometer was clean because it was stored in a container for the resident. After performing the blood glucose test, the RN placed the glucometer back into the container without cleaning it and returned it to the medication cart. The RN later acknowledged that the glucometer should have been cleaned after use. The Director of Nurses initially stated that glucometers should be cleaned prior to use but later corrected this to indicate they should be cleaned after use.
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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 Fountain Inn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Simpsonville Post Acute | 4.3 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare - Mauldin | 9.1 mi | ★★★★★ | 0 | 0 |
| Southpointe Healthcare And Rehabilitation | 9.4 mi | ★★★★★ | 4 | 0 |
| Woodruff Manor | 10.5 mi | ★★★★★ | 3 | 0 |
| Rolling Green Village | 10.8 mi | ★★★★★ | 0 | 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.