Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Medford Nursing Center during CMS and state inspections, most recent first.
Failure to provide needed nail care: A resident with severe cognitive impairment and dependence for ADLs had fingernails that extended past the fingertips during observations. A CNA said she gave the resident a shower but did not look at the fingernails, while an LPN and the DON described nail care as part of routine care or offered when needed. The ED stated CNA staff should assess nail length during routine care when a resident cannot express needs.
Medical Record Did Not Accurately Reflect Hearing Device Use: A resident with intact cognition and hearing difficulty had a care plan, physician orders, and TAR entries documenting hearing aids, but staff interviews confirmed the resident actually used hearing amplifiers. An LPN stated the resident never had hearing aids, the SSD said the resident had amplifiers, and the DON acknowledged the record should accurately reflect the care provided.
A resident with respiratory failure did not receive continuous oxygen therapy as ordered. During personal care, a CNA removed the resident's nasal cannula and did not replace it for 18 minutes, despite the resident's preference to keep it on. The DON confirmed the expectation was to keep the oxygen on unless the resident refused, which did not happen.
A facility failed to implement Enhanced Barrier Precautions (EBP) during incontinent care for a resident with an open gastrostomy stoma, increasing infection risk. Despite facility policy requiring PPE during high-contact activities, a CNA was observed providing care without a gown. The resident's care plan included EBP due to the open gastrostomy site, and both the Infection Preventionist and Director of Nursing confirmed PPE should have been used.
Failure to Provide Needed Nail Care
Penalty
Summary
The facility failed to ensure staff trimmed the fingernails of one resident who was unable to perform activities of daily living independently. The resident was admitted with diagnoses including vascular dementia and cognitive communication deficit, had a BIMS score of 0 out of 15 indicating severe cognitive impairment, and required substantial/maximal assistance with personal hygiene. The resident’s care plan directed staff to check nail length and trim and clean nails on bath day and as necessary, and to report changes to the nurse. During observations on 03/16/2026 and 03/17/2026, the resident was resting in bed with hands placed on the chest, and the fingernails on both hands were long and extended past the fingertips. A CNA stated she had provided a shower but did not look at the resident’s fingernails, and later observed that the fingernails needed to be trimmed. An LPN stated fingernails should be trimmed as part of the resident’s shower and expected CNA staff to ensure they were trimmed. The DON stated CNA staff primarily provided showers and bed baths, and that nail care was typically offered outside shower time if needed. The ED stated that if a resident could not make needs known, CNA staff should evaluate the need for nail care during routine care and that fingernails extending past the fingertips would be a good indicator they needed trimming.
Medical Record Did Not Accurately Reflect Resident’s Hearing Device Use
Penalty
Summary
The facility failed to ensure one resident’s medical record accurately reflected the resident’s use of a hearing amplifier. The resident was admitted with diagnoses including need for assistance with personal care and cognitive communication deficit, and the annual MDS indicated a BIMS score of 13 out of 15 with intact cognition and use of a hearing aid or other hearing appliance. The care plan identified the resident as at risk for complications or injury related to difficulty hearing and stated the resident wore bilateral hearing aids as tolerated, with interventions for staff to assist with placement, removal, and turning the hearing aids on and off. Physician orders directed staff to remove the resident’s hearing aids every night and place them on the nurses’ cart, then place the hearing aids in the resident’s ears every morning. The TAR for the reviewed month reflected staff initials documenting that these hearing aids were placed in the resident’s ears each morning and removed each night. However, during interviews, an LPN stated the resident did not have hearing aids and never had hearing aids, while the SSD stated the resident had hearing amplifiers and was unsure why the record contained hearing aid orders and a care plan for hearing aids. The DON stated the resident and responsible party had declined hearing aids, the facility ordered amplifiers, and she expected the care plan and medical record to be accurate.
Failure to Provide Continuous Oxygen Therapy
Penalty
Summary
The facility failed to provide continuous oxygen therapy for a resident with acute and chronic respiratory failure, as observed during a survey. The resident, who had a history of COVID-19 and pneumonia, was supposed to receive oxygen at 2 liters per minute via nasal cannula continuously, as per the care plan and physician's order. However, during a personal care session, the Certified Nurse Aide (CNA) removed the resident's nasal cannula and did not replace it for 18 minutes, leaving the resident without the prescribed oxygen therapy. The resident expressed a preference for keeping the oxygen on during care, as it made her feel better, but the CNA removed it to avoid tugging on the tubing. The Director of Nursing confirmed that the expectation was for the oxygen to remain on unless the resident removed it or refused it, which did not occur. Despite the resident's moderate cognitive impairment, she was aware of the oxygen removal and expressed discomfort with the situation. The facility did not provide an oxygen policy at the time of the survey exit.
Failure to Implement Enhanced Barrier Precautions During Resident Care
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) during incontinent care for a resident with an open gastrostomy stoma, which could potentially increase the risk of infection. The facility's policy on EBP, revised in March 2024, mandates the use of personal protective equipment (PPE) such as gowns and gloves during high-contact resident care activities to prevent the transmission of multidrug-resistant organisms. Despite this policy, a Certified Nurse Aide (CNA) was observed providing personal care to the resident without wearing the appropriate gown, even though the resident's room was marked with a green dot indicating the need for EBP. The resident in question had a significant change Minimum Data Set (MDS) indicating moderate cognitive impairment and was incontinent of bowel and bladder. The resident's care plan included the use of EBP due to the open gastrostomy site. During interviews, both the Infection Preventionist (IP) and the Director of Nursing (DON) confirmed that PPE should have been used during the resident's care. The CNA admitted to not wearing the gown and acknowledged the green dot's significance, indicating a lapse in adherence to the facility's infection control protocols.
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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 Darlington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakhaven Nursing Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Bethea Baptist Healthcare Center | 4.2 mi | ★★★★★ | 2 | 0 |
| Presbyterian Communities Of South Carolina-florenc | 6 mi | ★★★★★ | 0 | 0 |
| Honorage Nursing Center | 8.1 mi | ★★★★★ | 0 | 0 |
| Carlyle Senior Care Of Florence | 8.5 mi | ★★★★★ | 10 | 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.