Average — CMS composite of the measures below.
The next survey window likely opens around April 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 Hallmark Healthcare Center during CMS and state inspections, most recent first.
Missing Beard Restraints During Food Prep: Two kitchen staff with facial hair were observed preparing breakfast without beard restraints, although they were wearing head covers. The staff donned facial hair covers only after the surveyor asked about them. The facility policy required appropriate hair restraints, including beard restraints, during food production, and the DM confirmed this requirement.
Failure to timely address resident council call light grievances: recurring complaints about call light response times were raised in resident council meetings over multiple months, but most were not documented on the grievance log or resolved in a timely manner. The AD reported the concerns to SS, the grievance coordinator confirmed only two call light grievances were logged as resolved, and the DON agreed all call light concerns should have been tracked and responded to promptly.
The facility failed to follow infection control guidelines by improperly storing clean laundry items, such as pillows and clothes, in the soiled linen room. The Laundry Director acknowledged the error, noting that clean items should not be stored there, and the Facility Administrator confirmed that the items needed to be moved.
The facility failed to maintain a washing machine in safe operating condition, as it was leaking water and chemicals from the rear. This was against the facility's policy requiring regular inspections and maintenance. The Laundry Director and Facility Administrator were unaware of the issue until it was observed during a survey.
The facility failed to remove expired and outdated medications and biologicals from three medication carts and one treatment cart, as required by their policy. Items such as Curad Packing Strips, Suture Removal Trays, Maxorb II dressings, and various medications were found expired or no longer sterile. These were confirmed by nursing staff and removed from storage.
A resident with mild cognitive impairment and multiple health conditions was observed over three days in a hospital gown, with an odor and facial hair, indicating a failure by the facility to maintain her dignity and hygiene. Despite the facility's policy to assist residents with ADLs, documentation showed the resident missed several baths, and staff interviews revealed they were too busy to shave her facial hair as requested.
A facility failed to refer a resident for a PASARR Level II after the resident developed new severe mental illness diagnoses and exhibited significant behavioral changes. Despite the facility's policy requiring such referrals, the resident, who showed moderate cognitive impairment and daily verbal behavioral symptoms, was not screened. The Social Services Director noted the lack of significant behaviors or treatment in the past two years as the reason for not conducting the referral.
A resident with severe cognitive deficits and multiple medical conditions, including stroke and dysphagia, was observed receiving medications via a feeding tube without prior verification of tube placement by an RN. The facility's policy requires checking tube placement before administering medications, but this step was omitted, leading to difficulty in medication administration.
Two residents in the facility had medication irregularities that were not identified or reported to the physician. One resident was prescribed hydrocodone-acetaminophen and venlafaxine with incorrect indications, while another was prescribed olanzapine with an incorrect indication. The errors were attributed to potential transcription mistakes, and the oversight was acknowledged by the DON and NP.
A resident with acute neurological changes and a history of falls experienced multiple falls resulting in injuries due to inadequate monitoring and communication of low blood pressure. Despite being at risk for falls, the resident's care plan was not effectively implemented, leading to continued falls and injuries. Facility staff interviews revealed inconsistent communication regarding the resident's low blood pressure, which may have contributed to the falls.
Missing Beard Restraints During Food Preparation
Penalty
Summary
The facility failed to provide sanitary meal service when two kitchen staff members who had facial hair were observed preparing breakfast without wearing facial hair covers. During a brief tour of the kitchen, both staff were seen wearing head covers but had not donned beard restraints before the surveyor asked whether facial hair covers were available. Each staff member put on a facial hair cover at that time. Review of the facility's Nutrition Policies and Procedures showed that dietary employees were required to follow a dress code that included appropriate hair restraints, including beard restraints, while involved in food production activities. The Dietary Manager later confirmed that a facial hair covering was required while preparing food for residents.
Failure to Timely Address Resident Council Call Light Grievances
Penalty
Summary
The facility failed to act promptly and provide documented responses to recurring grievances related to call light response times that were raised during resident council meetings. Review of resident council meeting minutes from April 2025 through April 2026 showed that call light response time complaints were discussed each month from June 2025 through March 2026, with no resolution documented in the minutes for 10 of those months. The facility policy on complaints and grievances stated that facility leadership acts promptly to understand and resolve complaints and grievances in a reasonable expected time frame, and that the grievance official is responsible for overseeing the grievance process and taking immediate action as necessary. Interviews confirmed that the concerns were known to facility staff but were not consistently tracked as grievances. The Activities Director stated she documented complaints brought up at resident council meetings and reported them to social services, but did not know why the call light concerns from June 2025 through March 2026 were not included on the grievance log, except for December 2025. The grievance coordinator confirmed there were two documented call light grievances resolved on the log and 10 months of call light concerns in resident council minutes that were not on the grievance log, and agreed that 10 months was not timely. The DON also confirmed that all call light concerns should have been on the grievance log and agreed that the concerns were not responded to in a timely manner.
Improper Storage of Clean Linens in Soiled Room
Penalty
Summary
The facility failed to adhere to infection control guidelines as outlined in their policy titled 'Laundry' dated March 2006. The policy specifies that linens must be handled safely to prevent contamination and that clean and soiled linens should never come into contact with each other. Additionally, the laundry facilities are required to be kept clean and free of debris. During an observation and interview, it was found that clean laundry items, including pillows and containers of clothes, were improperly stored in the soiled linen room. The Laundry Director acknowledged that clean items should not be stored in the soiled room and mentioned the availability of an outside shed for storing extra clean items. Furthermore, the Facility Administrator confirmed that clean laundry should not be in the soiled room and indicated that the items needed to be moved.
Deficiency in Equipment Maintenance
Penalty
Summary
The facility failed to maintain equipment in safe operating condition, specifically with one of the two washing machines in the laundry room. The machine was observed leaking water and chemicals from the rear, which was not in compliance with the facility's policy on Clinical Equipment Management. This policy requires inspections and maintenance to comply with governing agencies and manufacturer's recommendations to ensure safe operation. During an observation, the Laundry Director acknowledged the issue but had not noticed the water leakage before. The Facility Administrator was also unaware of the malfunctioning washer until informed during the survey.
Expired Medications and Biologicals Found in Facility
Penalty
Summary
The facility failed to ensure that expired and outdated medications and biologicals were removed from use, as evidenced by findings on three medication carts and one treatment cart. The facility's policy mandates that medications and biologicals be stored safely and securely, following manufacturer recommendations, and that outdated or deteriorated items be immediately removed and disposed of. However, during a review of the Sweetgrass Unit Treatment Cart, several items were found to be expired or no longer sterile, including Curad Plain Packing Strips, a Suture Removal Tray, Maxorb II Alginate wound dressing, Tegaderm transparent film dressing, and Sofsorb pads. These items were confirmed by an LPN to be expired or no longer sterile and were subsequently removed from the cart. Further inspection of the Palmetto Medication Cart revealed additional expired medications, including Furosemide tablets and Albuterol Sulfate vials, which were confirmed by an RN and removed from storage. Additionally, expired Nestle Arginaid Powder and Sureprep protective wipes were found on the same cart and confirmed by another LPN. These findings indicate a failure to adhere to the facility's policy on medication and biological storage, leading to the presence of expired and potentially unsafe items in areas where they could be accessed for resident use.
Failure to Maintain Resident's Dignity and Hygiene
Penalty
Summary
The facility failed to ensure that a resident, identified as R57, was clean, dressed appropriately, and free from facial hair, which compromised the resident's right to be treated with respect and dignity. R57, who was admitted to the facility with diagnoses including congestive heart failure, hypertension, generalized anxiety disorder, rash, and urinary tract infection, was observed on multiple occasions over a three-day period lying in bed in a hospital gown, emitting an odor, and with facial hair on her chin. The facility's policy on Activities of Daily Living (ADLs) requires staff to provide necessary care to residents who are unable to perform ADLs independently, ensuring proper grooming and hygiene. However, documentation revealed that R57 did not receive a bath on 11 days within a month, and on three additional days, only partial bed baths were documented. During interviews, R57 expressed that she usually has her facial hair shaved during baths, but staff seemed too busy to attend to this. The resident's Comprehensive Care Plan indicated that she required assistance with ADLs due to weakness and deconditioning, and staff were directed to assist with bathing, dressing, grooming, and hygiene as needed. Despite these directives, observations confirmed that R57 remained in a hospital gown with an odor and facial hair for three consecutive days. An LPN, who was also the Unit Manager, acknowledged that R57 preferred bed baths but did not provide an explanation for the resident's unkempt state.
Failure to Refer Resident for PASARR Level II After New Mental Illness Diagnoses
Penalty
Summary
The facility failed to refer a resident for a Preadmission Screening and Resident Review (PASARR) Level II after the resident received new diagnoses of severe mental illness and experienced a significant change in status related to their mental illness. The facility's policy requires that any resident with a newly evident or possible serious mental disorder must be referred to the appropriate state-designated mental health authority for review. However, the resident in question, who had been admitted with no prior mental illness diagnoses, later developed conditions including psychotic disorder, delusional disorders, major depressive disorder, and generalized anxiety disorder. Despite these changes, the facility did not make the necessary referral for a Level II PASARR. The resident's records indicated moderate cognitive impairment and daily verbal behavioral symptoms directed toward others. Progress notes documented incidents of the resident yelling and cursing at others, and an increase in such behaviors was noted by the resident's physician. Despite these observations, the Social Services Director confirmed that the resident had not been screened for a Level II PASARR, citing the absence of significant behaviors or treatment in the past two years as the reason. This oversight represents a failure to comply with the facility's policy and regulatory requirements for mental health assessments.
Failure to Verify Feeding Tube Placement Before Medication Administration
Penalty
Summary
The facility failed to ensure proper placement of a feeding tube before administering medications to a resident, identified as R45, who was observed receiving medications via a feeding tube. The facility's policy on administering medications through enteral feeding requires licensed nurses to verify the correct placement of the tube before administration. However, during an observation, RN1 did not check the placement of the feeding tube before flushing it with water and inserting oral medications. Instead, RN1 proceeded to administer the medications without confirming the tube's placement, which is against the facility's policy. R45 was admitted to the facility with multiple diagnoses, including stroke with hemiplegia and hemiparesis, protein-calorie malnutrition, vascular dementia, dysphagia, and aphasia. The resident's comprehensive plan of care indicated the need for a feeding tube due to poor oral intake and weight loss, with specific instructions to check the placement and patency of the feeding tube before each feeding or medication administration. Despite these instructions, RN1 did not verify the tube's placement, and the medications did not go down freely, requiring RN1 to apply pressure to administer them. This incident highlights a failure to adhere to established protocols for feeding tube management.
Medication Irregularities Not Reported for Two Residents
Penalty
Summary
The facility failed to ensure medication irregularities were identified and reported to the physician for two residents. Resident 28 was prescribed hydrocodone-acetaminophen and venlafaxine with incorrect indications of use documented in their medical records. The hydrocodone-acetaminophen was incorrectly indicated for hypothyroidism, and venlafaxine was indicated for alcohol dependence, despite the resident's diagnoses of post-traumatic stress disorder, major depressive disorder, anxiety disorder, borderline personality disorder, chronic pain, fibromyalgia, and alcohol dependence. The medication regimen review conducted on 03/03/25 did not identify any concerns with these medications. Similarly, Resident 43 was prescribed olanzapine with an incorrect indication of use documented as restlessness and agitation. The Director of Nursing confirmed that the medications for both residents did not have accurate indications for use, attributing the errors to potential transcription mistakes when orders were entered into the Medication Administration Record. The Nurse Practitioner acknowledged the oversight in medication orders, indicating a lapse in the medication review process upon admission.
Failure to Prevent Falls and Injuries in Resident with Neurological Changes
Penalty
Summary
The facility failed to ensure a resident, who was experiencing acute neurological changes, was free from continued falls and injuries. The resident, admitted with multiple diagnoses including schizoaffective disorder, heart disease, and a history of falling, experienced several falls over a short period. The resident's care plan identified a risk for falls due to incontinence and other medical conditions, but despite this, the resident suffered multiple falls, some resulting in injuries such as a hematoma and rib fractures. The resident's medical records indicated low blood pressure and changes in mental status during these incidents. Interviews with facility staff revealed a lack of consistent communication and monitoring regarding the resident's low blood pressure, which may have contributed to the falls. The LPN and DON indicated that while the Nurse Practitioner was notified of the falls, it was unclear if the low blood pressure readings were specifically communicated. The Nurse Practitioner stated that had they been aware of the low blood pressure, they would have taken different actions, such as sending the resident to the emergency room or adjusting medication. This lack of communication and monitoring contributed to the resident's continued falls and injuries.
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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 Summerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakbrook Health And Rehabilitation Center | 0.7 mi | ★★★★★ | 4 | 0 |
| Presbyterian Communities Of South Carolina-summerv | 4.6 mi | ★★★★★ | 2 | 0 |
| White Oak Manor - Charleston | 5.1 mi | ★★★★★ | 1 | 0 |
| Life Care Center Of Charleston | 5.8 mi | ★★★★★ | 4 | 0 |
| The Reserve Healthcare And Rehabilitation | 7.4 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.