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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Martha Franks Baptist Retirement Center during CMS and state inspections, most recent first.
A cognitively impaired resident with dementia and depression, who was usually independent with toileting, became involved in an altercation with a CNA while the CNA was assisting with cleaning a soiled bathroom. The resident became agitated, spit on the CNA, and struck the CNA in the face with a BM-soiled washcloth. In retaliation, the CNA held the resident’s hands and struck the resident in the face with an open hand, later describing the action as a slap or “smudging” the resident’s face. The CNA admitted to multiple staff and law enforcement that she had put her hands on and slapped the resident. Staff assessments noted the resident was visibly upset but without visible injuries, and the resident could not recall the incident due to severe cognitive impairment. Surveyors determined this constituted non-compliance with abuse regulations and cited the facility for failure to ensure freedom from physical abuse.
Surveyors found that dietary staff did not consistently label or discard expired food items, including unlabeled shredded cheese, sundried tomatoes, carrots, coleslaw mix, spinach, and croutons. These items were not stored according to facility policy, which requires proper labeling, dating, and stock rotation. The CDM and Administrator confirmed that staff are responsible for these tasks and that expectations were not met.
A Laundry Aide failed to follow infection control protocols by not properly removing PPE or performing hand hygiene after handling soiled linens, and by placing contaminated items in a clean area, resulting in cross-contamination between soiled and clean laundry areas.
The facility failed to maintain cleanliness and proper food handling standards, with debris found on the kitchen floor and improper hair restraint by staff. Food items were not labeled or dated, and expired items were not discarded, posing potential health risks to residents. Personal items were also improperly stored in the nourishment room.
A resident's MDS assessment failed to accurately reflect their fall status, despite documented incidents and interviews confirming two falls. The facility's policy requires accurate assessments, but the MDS Coordinator did not code the falls, leading to a deficiency in the assessment process.
A resident with severe cognitive impairment and a history of Alzheimer's disease and dementia was observed wandering aimlessly and into other residents' rooms. Despite documentation of this behavior in progress notes, the facility failed to implement a care plan to address the wandering. Interviews with staff confirmed the lack of a care plan, which was required by the facility's policy.
A resident with severe cognitive impairment and diabetes did not receive proper nail care, as observed over several days. Despite facility policies requiring regular nail maintenance, the resident's nails were found untrimmed and dirty. Staff interviews revealed a lack of communication and adherence to care protocols, with CNAs failing to notify nurses about the need for nail care, especially given the resident's diabetic condition.
A facility failed to ensure staff wore appropriate PPE for a resident on enhanced barrier precautions (EBP) due to an indwelling urinary catheter. During a shower, a CNA wore only gloves, not a gown, contrary to the facility's EBP policy. The resident had a history of urinary issues and required EBP, as noted in their care plan and order history. Interviews confirmed the expectation for staff to follow the EBP policy.
Failure to Protect Cognitively Impaired Resident From Physical Abuse by CNA
Penalty
Summary
The deficiency involves a failure to protect a resident from physical abuse by a CNA. The facility’s abuse policy defines physical abuse as including hitting, slapping, and controlling behavior through corporal punishment. The resident involved was admitted with major depressive disorder and dementia with agitation, and a recent MDS showed a BIMS score of 7/15, indicating severe cognitive impairment. The resident was generally independent with toileting and transfers. On the day of the incident, the resident was on a locked dementia unit and had experienced bowel incontinence, leaving the bathroom soiled. A CNA entered the resident’s room to assist with cleaning the bathroom. During this interaction, the resident became agitated and combative, reportedly spitting on the CNA and striking the CNA in the face with a wet washcloth containing bowel movement. The CNA later reported that she responded by holding the resident’s hands above her head and then making contact with the resident’s face with an open hand, described as a slap or “smudging” the resident’s face. The CNA admitted to multiple staff, including the charge nurse, DON, Administrator, and Social Services, that she had put her hands on the resident and struck the resident in the face with an open hand in retaliation for the resident’s actions. A police report documented that the CNA admitted to assaulting the resident with an open-hand slap during a physical altercation. Staff who assessed the resident after the incident noted that the resident appeared visibly upset but had no visible injuries, and the resident was unable to recall the specific events due to severe cognitive impairment. The State Agency determined that the facility’s non-compliance with abuse regulations caused or was likely to cause serious harm and cited the facility under 42 CFR 483.12 for failure to ensure the resident was free from physical abuse.
Removal Plan
- Removed CNA3 from the resident care area after the incident.
- Interviewed CNA3 regarding the incident.
- Terminated CNA3 by the Administrator and DON.
- Notified law enforcement of the incident.
- Submitted a report to the Regional Ombudsman.
- Completed a nursing assessment and body audit of R1; no injuries found.
- Notified R1's family/responsible party of the incident.
- Monitored residents for psychosocial distress or changes by nursing staff and Social Services.
- Provided 1:1 re-education for staff working in skilled nursing on abuse and appropriate response/intervention and workplace fatigue.
- Conducted an investigation and determined there was no physical evidence of abuse.
- Social worker interviewed all residents on Unit 3 regarding abuse, whether any abuse had been witnessed/experienced, and whether residents felt safe.
- Social worker interviewed residents on other skilled units regarding abuse and whether residents felt safe.
- Arranged for MD and PA to evaluate R1; MD issued new medication orders and PA checked on the resident.
- Obtained family consent for a psychiatric evaluation.
- Social worker contacted the family and obtained updates; family visited and reported no changes in mood/behavior/psychosocial status.
- Social worker checked in on R1 and monitored for changes.
- Initiated in-house education for all staff working in Skilled Nursing on types/definitions of abuse, dementia with abuse prevention, de-escalation of behaviors, and how to appropriately avoid these situations.
- Re-educated staff on who the Abuse Coordinator is and how to notify the Abuse Coordinator of concerns.
- Reviewed the abuse policy with staff.
- Obtained statements from all staff who work in Skilled Nursing.
- Continued education ongoing.
- Nursing management (DON, ADON, Unit Managers) to conduct rounding and audits for signs of abuse.
- Held QAPI and updated it regarding this issue.
Failure to Properly Label and Discard Expired Food Items
Penalty
Summary
The facility failed to properly label and discard expired food items in the main kitchen, as observed during a survey. In the main cooler, there was a 1-gallon Ziplock bag of shredded cheese not in its original packaging, unlabeled, and marked with a date of 9/17. Additionally, a 5-lb bag of sundried tomatoes was opened with no open date, two 5-lb bags of shredded carrots had a use-by date of 09/04/2025, and six 5-lb bags of coleslaw mix had a use-by date of 08/25/2025. In the salad/bar cooler, a metal pan of spinach was covered but not labeled, and a 1-gallon bag of shredded cheese was present with no label. In the dry storage closet, a Ziplock bag of croutons was not in its original packaging and not labeled. All these findings were confirmed by the Certified Dietary Manager (CDM) and the CDM in Training. Interviews with the CDM revealed that all dietary staff are responsible for inspecting food storage areas and ensuring leftover items are properly labeled and stored, with monthly in-service training on food safety practices. The CDM stated that leftovers are stored for no more than three days. The Administrator confirmed expectations that all food items should be free from expiration and properly labeled and dated. The facility's policy requires stock rotation, proper labeling, and dating of food items, but these procedures were not consistently followed, resulting in the observed deficiencies.
Improper Handling and Transport of Soiled Linens by Laundry Staff
Penalty
Summary
The facility failed to ensure proper handling and transport of resident linens in accordance with its infection prevention and control policies. During observation, a Laundry Aide (LA) was seen retrieving dirty laundry from the soiled utility room without properly doffing her washable blue gown and gloves or completing hand hygiene due to a lack of paper towels. The LA then walked through hallways and into the laundry room still wearing the soiled PPE. Additionally, the LA was observed folding and placing a soiled blue gown under the laundry table in the clean area of the laundry room, where disposable PPE was also found, indicating cross-contamination between soiled and clean areas. Interviews with the Housekeeping Supervisor and Maintenance/Environmental Director confirmed that the LA did not follow established procedures, which require donning disposable gowns and gloves, doffing them after handling soiled laundry, and performing hand hygiene. The Housekeeping Supervisor acknowledged the cross-contamination and stated that all laundry staff had previously received education on proper procedures. Despite ongoing education efforts, the improper handling and transport of soiled linens by the LA was observed, in direct violation of facility policy.
Deficiencies in Kitchen Cleanliness and Food Handling
Penalty
Summary
The facility failed to maintain cleanliness and proper food handling standards in the kitchen and nourishment rooms, which could potentially affect all residents receiving food from the kitchen. Observations revealed debris on the kitchen floor, including a sugar substitute packet, mayonnaise packet, and a dirty wet towel near the freezer entrance. Additionally, a cart near the refrigerator was found with dirt and a dried yellow stain. The Director of Food Services acknowledged these issues, and the Director of Nursing confirmed that the kitchen should be kept clean, swept, and mopped. Furthermore, a dietary aide was observed with hair hanging out of a hat, which was not compliant with the facility's policy requiring hairnets for kitchen staff. The facility also failed to ensure food items were properly labeled and dated, and expired items were discarded. Observations in various storage areas revealed undated containers of rice, pasta, and other food items, as well as expired milk cartons. The Director of Food Services and the Dietary Manager acknowledged these deficiencies, noting that the absence of labeling and dating could lead to residents consuming expired food, potentially causing illness. Personal items, such as a hairbrush and nail polish remover, were also found in the nourishment room, which the Administrator and Director of Nursing confirmed should not have been there.
Inaccurate MDS Assessment of Resident's Fall Status
Penalty
Summary
The facility failed to ensure that a Minimum Data Set (MDS) assessment accurately reflected the fall status of a resident, identified as R31, among 22 sampled residents. The deficiency was identified through observation, interviews, record reviews, and policy reviews. The facility's policy on resident assessments, revised in March 2022, mandates that the resident assessment coordinator ensures timely and appropriate assessments. However, the MDS for R31, with an Assessment Reference Date (ARD) of May 24, 2024, incorrectly indicated that the resident had no falls since admission or the last assessment. This was despite the resident having experienced two falls, one in the dining room and another in their bathroom, as documented in event reports and confirmed by the resident during interviews. R31, who was admitted to the facility in August 2021, had a medical history of Alzheimer's disease, muscle weakness, and lack of coordination, and was identified as being at risk for falls. The resident's care plan, initiated in February 2022, acknowledged this risk. Interviews with the MDS Coordinator and the Director of Nursing revealed that the MDS should have been coded to reflect the two falls. The Administrator also confirmed that the falls should have been included in the MDS. The failure to accurately document the resident's fall status on the MDS represents a deficiency in the facility's assessment process.
Failure to Develop Care Plan for Wandering Behavior
Penalty
Summary
The facility failed to develop a care plan to address the wandering behavior of a resident with severe cognitive impairment. The resident, who was admitted with a medical history including Alzheimer's disease and dementia, was observed wandering aimlessly around the unit and into other residents' rooms. Despite multiple entries in the resident's progress notes documenting this behavior, no care plan was implemented to address the wandering. Interviews with facility staff, including a CNA, RN, MDS Coordinator, and the Director of Nursing, confirmed the resident's wandering behavior and the lack of a care plan. The MDS Coordinator acknowledged that the resident should have had a care plan in place, and the Director of Nursing stated that a care plan should have been implemented as soon as the wandering behavior was observed. The facility's policy required comprehensive, person-centered care plans with measurable objectives and timetables, which were not developed for this resident.
Failure to Provide Adequate Nail Care to a Resident
Penalty
Summary
The facility failed to provide adequate nail care to a dependent resident, identified as R26, who was reviewed for activities of daily living (ADL). The resident, who had a medical history of Alzheimer's disease, diabetes mellitus, and dementia with behavioral disturbance, was admitted to the facility in May 2018. The resident's care plan, initiated in January 2022, required assistance with ADLs due to cognitive impairment and other health issues, including the provision of fingernail care. However, observations on multiple occasions revealed that R26 had untrimmed and dirty fingernails with dark debris underneath, indicating a lack of proper nail care. Interviews with facility staff, including CNAs and an LPN, confirmed that nail care was not performed as expected. CNA1 and CNA2 acknowledged that nail care should be checked daily, especially during showers, but admitted that they did not notify the nurse when nail care was not completed. CNA2 specifically mentioned that due to the resident's diabetic condition, CNAs were not permitted to cut nails, and this task should be performed by a nurse. The LPN and the Director of Nursing both stated that nail care should have been part of the resident's shower routine, and the Administrator emphasized that CNAs should report to the nurse if nail care was not completed. Despite these expectations, the deficiency in nail care for R26 was evident, as the resident's nails remained uncleaned and untrimmed over several days of observation.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that staff adhered to the infection prevention and control program, specifically regarding the use of personal protective equipment (PPE) for a resident on enhanced barrier precautions (EBP). The facility's policy required staff to wear gloves and gowns during high-contact resident care activities for residents with indwelling medical devices, such as urinary catheters. However, during an observation, a Certified Nurse Assistant (CNA) was seen providing a shower to a resident with an indwelling urinary catheter while only wearing gloves and not a gown, as required by the facility's EBP policy. The resident involved had a medical history that included urinary tract infection, retention of urine, obstructive and reflux uropathy, bladder neck obstruction, and the presence of urogenital implants. The resident's care plan and order history indicated the need for EBP due to the indwelling urinary catheter, with specific instructions for staff to wear gloves and gowns during high-contact activities. Interviews with the CNA, the Director of Nursing (DON), and the Administrator confirmed the expectation for staff to follow the EBP policy, which was not adhered to in this instance.
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What surveyors actually found near you
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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 Laurens
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare - Laurens | 0 mi | ★★★★★ | 0 | 0 |
| Presbyterian Communities Of South Carolina- Clinto | 8.7 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare - Clinton | 9.2 mi | ★★★★★ | 2 | 0 |
| Fountain Inn Post Acute | 16.5 mi | ★★★★★ | 4 | 0 |
| Woodruff Manor | 17.3 mi | ★★★★★ | 3 | 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.