Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Kershaw Health Karesh Long Term Care during CMS and state inspections, most recent first.
A resident with DM2, stroke, neurogenic bladder, and vascular dementia was observed in the day room with an uncovered foley catheter bag that was halfway full of yellow urine. Staff later stated the resident’s bag had been changed to a fig leaf privacy bag, and the DON said nurses should assess and replace the bag timely after nephrology appointments; the Staff Development Coordinator said staff are taught to use fig leaf catheter bags and position them out of view when possible.
A SW assistant discussed a resident’s urine testing, recent antibiotic use, and hearing aids while speaking in the resident’s room with the door open. The roommate was not present, but the conversation was overheard during a tour. Facility policy required resident issues not be discussed in front of others, and the DOSS stated the door should have been closed.
Missed Fall Risk Assessment for Resident After Falls: A resident with COPD, CHF, type 2 DM, and hallucinations had a fall risk evaluation showing high fall risk, but the required quarterly reassessment was not completed. The resident later had a fall with a closed femur fracture and another fall without injury. The DON gave inconsistent statements about when fall risk evaluations are done, and the MDS Coordinator said she did not know how the assessment was missed.
Improperly Secured Oxygen Cannister Holder: A resident with diagnoses including DM2, stroke, neurogenic bladder, and vascular dementia had an order for O2 at 2 LPM PRN for SOB. Surveyors observed the oxygen tank in a four-point cannister holder strapped incorrectly to the back of the wheelchair, with all straps shifted to one side and a tear in the bottom of the holder. The UM stated the oxygen had recently been changed to PRN and did not know why it was on and operating all day; the DON confirmed the holder was not positioned correctly and was torn.
A CNA entered a resident’s room under enteric precautions without hand hygiene, gown, or gloves, removed the resident’s lunch tray, and placed it with other dirty trays without washing her hands afterward. The resident had multiple chronic conditions and was on Transmission Based Precautions, while the posted sign and facility policy required gloves, gown, and soap-and-water hand hygiene. Surveyors also found PPE carts stocked with non-PPE items such as cards, a stethoscope, a BP cuff, lotion, briefs, and other personal items.
Surveyors found expired Hydroxyzine tablets and two bottles of Fluticasone nasal spray without caps stored on medication carts. Nursing staff confirmed the deficiencies, and interviews with the DON, pharmacist, and administrator indicated that medications without caps should be discarded and replaced, in line with facility policy.
The facility's Antibiotic Stewardship Program was found deficient due to inadequate documentation and adherence to criteria for antibiotic use. A resident with pneumonia was prescribed antibiotics without proper tracking of the type, duration, and criteria for use. Monthly reports showed antibiotics were started before necessary test results were obtained. The DON acknowledged areas needing improvement, but the Infection Preventionist was unavailable for comment.
The facility failed to follow infection control guidelines for Enhanced Barrier Precautions (EBP) for two residents and during a dressing change for another resident. One resident with a Foley catheter lacked EBP signage, and staff were unaware of the need for EBP for indwelling devices. Another resident on EBP had a CNA who did not wear the required PPE. Additionally, an LPN did not follow proper infection control during a dressing change, using personal scissors and failing to change gloves after cleaning the wound.
Uncovered Foley Catheter Bag Observed in Day Room
Penalty
Summary
The facility failed to maintain dignity for one resident when the resident’s foley catheter bag was observed uncovered in the day room. The resident, admitted with diagnoses including diabetes mellitus type 2, stroke, neurogenic bladder, and vascular dementia, had recently been seen by a nephrologist for a cystolitholapaxy, fulguration of bladder lesions, clot evacuation, and cystometrogram. During two observations, the resident’s foley catheter bag was halfway full of yellow urine and did not have a privacy bag while the resident was in the day room. Facility staff interviews showed that the DON stated there was no policy for providing a privacy covering for a foley catheter bag, and the Unit Manager later stated another nurse changed the resident’s foley bag from one without a privacy cover to a fig leaf bag about an hour before the interview. The DON also stated that when a resident returns from a nephrology appointment, nurses should assess the foley bag timely and replace it with the fig leaf bag if needed. The Staff Development Coordinator stated staff are taught about fig leaf catheter bags and positioning the catheter bag on the side of the bed that is not visible if the resident’s room door is open.
Failure to Protect Resident Privacy During Care Discussion
Penalty
Summary
The facility failed to protect Resident 6’s privacy and confidentiality during a conversation held in the resident’s room. During the facility tour, the Social Worker Assistant was overheard speaking with Resident 6 about urine testing, prior antibiotic use, and hearing aids, while also making a personal comment about age. The resident’s roommate was not in the room at the time, but the room door was open during the discussion. Facility policy titled, Points To Remember In Respecting Dignity, stated not to discuss issues or care of residents in front of other residents, visitors, or staff members, and the Resident Rights policy stated residents are entitled to personal privacy during care and treatments. In interview, the Social Worker Assistant stated the wording should have been better and that the room door was open; the Director of Social Services stated the assistant should have made sure the door was closed before having the conversation.
Missed Fall Risk Assessment for Resident After Falls
Penalty
Summary
The facility failed to complete a fall risk assessment on admission and quarterly thereafter for one resident who was reviewed after a fall with major injury. The resident was admitted with diagnoses including COPD, CHF, type 2 diabetes mellitus, and hallucinations, and a Significant Change MDS showed a BIMS score of 15 out of 15, indicating no cognitive impairment. Review of the EMR showed a required fall risk evaluation completed on 01/22/26 that identified the resident as high risk for falls, with the next evaluation due on 04/22/26; however, the scheduled assessment was not completed. Record review also showed the resident experienced a fall with a closed fracture of the distal end of the left femur on 03/26/26, and another fall with no injury on 05/04/26. During interview, the DON first stated fall risk evaluations are completed on admission and after every fall and said there was no written policy, then later stated they are completed on admission and quarterly with the MDS and acknowledged that no fall risk assessment had been completed since 01/22/26. The MDS Coordinator stated the assessment was hers and that she did not know how it was missed.
Improperly Secured Oxygen Cannister Holder
Penalty
Summary
Facility failed to provide respiratory care in accordance with professional standards for one resident who had an order for oxygen at 2 LPM via nasal cannula as needed for shortness of breath and to keep oxygen saturation above 92 percent. During a tour and later observations, the resident was seen with an oxygen tank in a four-point oxygen cannister holder that was strapped incorrectly to the back of the wheelchair, with all straps positioned to the right side of the wheelchair. The holder was also observed to have a tear in the bottom. The resident’s record showed diagnoses including diabetes mellitus type 2, stroke, neurogenic bladder, and vascular dementia. The Unit Manager stated the resident’s oxygen had been discontinued approximately two days earlier and that the order had been changed to as needed, but also stated he did not know why the oxygen was on and operating all day and that someone did not pay attention. The DON confirmed the cannister holder was not positioned correctly on the wheelchair and verified the tear in the holder.
Failure to Follow Enteric Precautions and Maintain PPE Carts
Penalty
Summary
The facility failed to ensure proper hand hygiene and PPE use while a CNA retrieved a lunch tray from a resident on Transmission Based Precautions for enteric precautions. The resident had diagnoses including cellulitis of the left lower limb, diabetes mellitus type 2, atrial fibrillation, and congestive heart failure. The facility policy for Clostridium difficile required gown and gloves upon entering the room, hand hygiene before entering, and washing or sanitizing hands after removing gloves and before leaving the room. The enteric precautions sign on the resident’s door also directed staff to wear gloves and a gown when entering regardless of activity and to use soap and water. During observation, the CNA entered the resident’s room without washing her hands or applying a gown and gloves, removed the resident’s meal tray, placed it on the food cart with other dirty meal trays, and did not wash her hands before leaving the room or after handling the tray. The CNA confirmed she had not followed the posted precautions and stated she had gone in only briefly and did not always put the PPE on because she gets hot and has hot flashes. In addition, PPE carts were observed with items such as playing cards, a stethoscope, a blood pressure cuff, body wash, lotion, briefs, a neck pillow, and a leg brace, and the DON stated that nothing but PPE should be on those carts.
Improper Medication Storage and Failure to Remove Expired Medications
Penalty
Summary
Surveyors identified that the facility failed to properly store medications and remove expired medications from three of seven medication carts reviewed. Specifically, expired Hydroxyzine HCl tablets were found on one medication cart, and the medication was confirmed as expired by an LPN before being removed from storage. Additionally, Fluticasone Propionate Suspension nasal inhalation bottles were observed on two separate medication carts without caps on the nasal nozzles, with the boxes left open. These deficiencies were confirmed by nursing staff during interviews, who acknowledged the absence of caps and, in one case, stated the intention to discard and reorder the medication. Interviews with the DON, pharmacist, and administrator revealed that the facility's expectation is for medications without caps to be discarded and replaced, as replacement caps are not available. The facility policy requires that outdated, contaminated, or deteriorated medications be immediately removed from stock and disposed of according to procedures. Despite monthly checks by the pharmacist, these issues were present during the survey, indicating lapses in adherence to medication storage and labeling protocols.
Deficiency in Antibiotic Stewardship Program
Penalty
Summary
The facility failed to maintain a functional Antibiotic Stewardship Program, as evidenced by the lack of documentation and adherence to established criteria for antibiotic use. The facility's policy outlined roles for the Medical Director, Director of Nursing (DON), and Infection Preventionist in overseeing antibiotic prescribing practices and infection control. However, the monthly Antibiotic Stewardship Tracking logs from July 2023 to April 2024 did not include necessary details such as the type of antibiotic used, duration of therapy, and whether criteria for antibiotic usage were met. Additionally, the Antibiotic Stewardship Monthly Meeting reports indicated that residents were started on antibiotics before receiving urinalysis and culture and sensitivity results. Resident 119, who was admitted with pneumonia and acute respiratory failure with hypoxia, was prescribed Levaquin for ten days. The July 2024 Antibiotic Stewardship Monthly Tracking log listed another resident but failed to indicate whether the criteria for antibiotic use were met, which antibiotic was used, and for how long. During an interview, the Administrator and DON acknowledged the deficiencies in tracking, trending, and ordering antibiotics for Resident 119's pneumonia, noting that improvements were needed. The Infection Preventionist was unavailable for comment on the failure to ensure criteria were met as indicated in the Antibiotic Stewardship logs.
Infection Control Deficiencies in EBP and Wound Care
Penalty
Summary
The facility failed to adhere to infection control guidelines for Enhanced Barrier Precautions (EBP) for two residents. One resident, who had a Foley catheter, did not have the required EBP signage on their door, and staff members were not aware that EBP was necessary for residents with indwelling medical devices. Interviews with various staff members, including the LPN, Unit Manager, Assistant Director of Nursing, and Director of Nursing, revealed a lack of understanding and inconsistent application of EBP protocols, as they incorrectly believed EBP was only necessary for residents with active infections. Another resident, who was on EBP due to a Foley catheter, had the appropriate signage, but a Certified Nursing Assistant (CNA) failed to wear the required personal protective equipment (PPE) during care. The CNA initially believed that PPE was only necessary for residents with active infections, indicating a misunderstanding of the EBP requirements. This was later acknowledged by the CNA during a follow-up interview, where they admitted to the oversight. Additionally, the facility did not follow proper infection control guidelines during a dressing change for a resident with a stage four pressure ulcer. The LPN performing the wound care did not wait for the appropriate dry time after cleaning the overbed table, used personal scissors cleaned with an alcohol prep instead of a bleach wipe, and failed to change gloves after cleaning the wound. These actions were contrary to the facility's policy and were confirmed as incorrect by the Assistant Director of Nursing and the Director of Nursing during interviews.
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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 Camden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springdale Healthcare Center | 4.6 mi | ★★★★★ | 8 | 3 |
| Pruitthealth- Ridgeway | 8.9 mi | ★★★★★ | 10 | 0 |
| Ridgeway Manor Healthcare Center | 17.2 mi | ★★★★★ | 13 | 0 |
| Mccoy Memorial Nursing Center | 20.8 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Blythewood | 20.9 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 August 2026) and official state health department websites.