Below average — CMS composite of the measures below.
The next survey window likely opens around March 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 Nhc Healthcare - Charleston during CMS and state inspections, most recent first.
A resident with anxiety, depression, and no diabetes diagnosis was given insulin glargine on two occasions even though the order had no documented indication for use. The MAR showed the insulin was administered by nursing staff, and the resident reported she was not diabetic, felt sleepy after the second dose, and became more anxious afterward. Interviews and record review showed the insulin was entered in error and was not part of the resident’s treatment plan.
Improper storage of expired medications and biologicals was found in 2 medication rooms. Surveyors observed expired Augmentin bottles in active storage, an opened Aplisol vial that was not dated when opened despite manufacturer instructions to discard after 30 days, and expired fecal occult blood test kits on a shelf near the refrigerator. RN and LPN staff verified the expired items, and the DON stated the items should not have been left in active storage and that Aplisol should have been dated when opened.
A resident’s dignity was not protected when a CNA left him seated at a table in a common area with an uncovered urinary catheter bag hanging beneath his wheelchair and fully visible to staff, other residents, and a visitor. An RN confirmed the bag was not covered, and the DON stated urinary bags should be covered to protect resident dignity.
A resident who was cognitively intact and not diagnosed with diabetes was inadvertently given insulin glargine on 2 days after an erroneous order was entered. The MAR showed the insulin was administered, later NP documentation stated it was not a prescribed med for the resident, and the resident was upset that she had been given insulin. The MD said he was not notified until the NP contacted him several days later and stated he would have expected to be notified sooner.
The facility failed to ensure 4 of 4 missing OBRA MDS assessments were corrected, completed, and transmitted on time. The MDS Coordinator coded the assessments as completed, but they were not submitted to the state agency and remained only as completed in the computer system. The MDS Coordinator and AR Nurse confirmed the assessments had not been transmitted timely.
A resident was admitted to a hospital with severe bruising, multiple infected wounds, and a foul odor, later expiring in the hospital. The resident's medical history included conditions like depression and enterocolitis. Facility records showed healed skin tears, but the resident was found with numerous wounds and a staph infection. Interviews with staff revealed a lack of awareness and reporting of the resident's condition, contributing to neglect.
Unnecessary Insulin Administered Without a Valid Indication
Penalty
Summary
The facility failed to ensure that a resident’s drug regimen was free from unnecessary drugs when it administered insulin glargine to a resident who did not have a diagnosis or history of diabetes or blood glucose complications. The resident was admitted with diagnoses including bacterial pneumonia, hypertension, insomnia, major depressive disorder, and generalized anxiety disorder, and her MDS did not identify diabetes or any insulin use. Her care plan addressed anxiety and depression, but there were no care plan problems or interventions related to diabetes or insulin therapy. The resident’s medication record showed an order for Lantus Solostar U-100 Insulin, 10 units subcutaneously daily, entered with no diagnosis or indication for use. A second insulin glargine order also appeared in the record without a diagnosis or indication. The MAR showed that the resident received insulin on two separate days, while additional scheduled doses were refused. The psychiatric NP’s evaluation and follow-up notes reflected treatment for anxiety and depression, and the psychiatric provider reviewed the resident’s medications without any indication that insulin was part of her treatment plan. During interviews, the resident stated she was not diabetic and reported that after the second insulin injection she felt sleepy and believed the medication was an error. She also stated that her anxiety worsened after the incident and that she became concerned about receiving medications from nursing staff. The resident and her representative reported that the nurse did not check her blood sugar before giving the insulin. Facility staff acknowledged that the insulin order had been entered incorrectly and that the resident had received the medication despite lacking a diabetic diagnosis.
Improper Storage of Expired Medications and Biologicals
Penalty
Summary
Drugs and biologicals were not properly stored in 2 of 2 medication rooms. The facility policy titled MEDICATION STORAGE IN THE FACILITY, revised on 2/25/2025, states that medications and biologicals are to be stored safely, securely, and properly, following manufacturer or supplier recommendations, and that all expired medications are to be removed from active supply and destroyed in the facility. During observation on 03/31/2026 at approximately 10:55 AM in the 200 Hall Medication Room refrigerator, surveyors found 2 bottles of Augmentin 400 mg/5 ml in active storage that were labeled by pharmacy as Do No Use After 3/28/26 and Do Not Use After 3/27/26. The same refrigerator also contained 1 opened vial of Purified Protein Derivative/Aplisol 5 TU/1 ml that was approximately 20% full and had not been dated when opened, despite manufacturer labeling stating that once entered it must be discarded after 30 days. During interview, RN1 verified that the Aplisol vial had not been dated when opened and that the Augmentin bottles were expired. Later that day, during observation of the Hall 100 Medication Room, surveyors found 8 Fecal Occult Blood Tests Lab Kits with an expiration date of 12/03/2025 on a shelf near the refrigerator. LPN1 verified that the fecal occult blood tests had expired. During interview on 04/01/2026, the DON reviewed the medication storage findings and stated that those items should not have been left in active storage and that Aplisol should have been dated when opened.
Uncovered Urinary Catheter Bag Left Visible in Common Area
Penalty
Summary
Resident R9’s dignity was not protected when his urinary catheter bag was left uncovered and fully visible while he was seated in his wheelchair in a common area near the nursing station. During the initial tour, a CNA rolled R9 to a table in the common area and walked away, leaving him there with the catheter bag hanging beneath his wheelchair. The bag was observed approximately 3/4 full and remained uncovered and visible during a later observation while multiple staff members, other residents, and a visitor were in the immediate area. RN2 observed R9 and confirmed that the urinary bag was not covered and stated it should be covered. The facility policy stated that privacy, dignity, and confidentiality should be respected, and the DON stated that urinary bags should be covered to protect resident dignity.
Delayed physician notification after inadvertent insulin administration
Penalty
Summary
The facility failed to ensure that Resident 24’s Medical Doctor/Medical Director was informed in a timely manner after an inadvertent administration of insulin. The facility policy required the charge nurse to notify the physician or physician extender immediately when a patient’s condition changed, and to contact the Medical Director if the attending or alternate physician was unavailable. Resident 24 was admitted with diagnoses including bacterial pneumonia, primary hypertension, primary insomnia, major depressive disorder, and generalized anxiety disorder, and her admission MDS showed a BIMS score of 13, indicating she was cognitively intact. The MDS also showed she was not diagnosed with diabetes mellitus and did not receive injections, including insulin, during the assessment period. Despite this, the MAR showed an order for insulin glargine 10 units subcutaneously daily beginning 03/25/26, and the medication was administered on 03/26/26 and 03/27/26. A nurse practitioner note later stated that insulin glargine was not a prescribed medication for this patient and that the order should be disregarded. Another NP note documented that the resident was upset that she had been inadvertently given insulin and that her family was aware and the issue had already been addressed by the DON. During interview, the Medical Director stated he was not notified until 04/01/26 by the resident’s NP, even though the NP had been aware of the incident since 03/30/26, and he stated he would have expected to be notified sooner.
Missing OBRA Assessments Not Transmitted
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments for 4 of 4 residents listed on the Missing OBRA Assessment Report were corrected, completed, and transmitted in a timely manner. Review of the CMS LTC Facility Resident Assessment Instrument 3.0 showed that required MDS 3.0 sections, including the CAA Summary and all tracking or correction information, must be transmitted as part of the assessment record. The State Agency’s Missing OBRA Assessment report identified 4 residents with missing assessments, and review of those assessments showed they were coded as completed by the MDS Coordinator but were not submitted after completion. During interview, the MDS Coordinator and the Assistant Regional Nurse confirmed that the missing OBRA assessments had been completed but were not sent to the state agency timely and were only showing in the computer system as completed, not transmitted.
Neglect Leads to Severe Health Deterioration in Resident
Penalty
Summary
The facility failed to protect a resident from neglect, resulting in severe health deterioration. The resident was admitted to a local hospital with severe bruising, multiple infected wounds, and a foul odor, and later expired in the hospital. The resident's medical history included conditions such as a history of falling, macular degeneration, depression, and enterocolitis due to Clostridium difficile. Upon admission to the facility, the resident was cognitively intact and did not have any unhealed pressure ulcers or injuries. The facility's records indicated that the resident had a skin tear on the right lower forearm, which was documented as healed. However, subsequent observations revealed skin tears on both arms and legs, with no open lesions or wound infections noted. Despite these observations, the resident was later found at the hospital with abnormal bruising, multiple wounds with greenish pus, and a foul smell. The hospital records indicated the presence of numerous skin tears, fractures, and a staph infection, leading to sepsis. Interviews with facility staff, including the Wound Care Nurse, Registered Nurse, and Director of Nursing, revealed a lack of awareness and reporting of the resident's deteriorating condition. The staff consistently reported that the resident only had minor skin tears and bruising, with no severe wounds or pressure sores. This lack of proper assessment and reporting contributed to the neglect and subsequent severe health issues experienced by the resident.
Removal Plan
- All patients in certified beds had a skin audit performed for any new, known or worsened skin breakdown to include skin tears and pressure injuries. Any newly identified or worsened area were immediately reported to the patient's provider and responsible party. Skin audits completed by nursing management team with no new areas of concerns identified.
- Education was provided to all licensed nurses on how to perform a skin assessment, proper treatments based on physician orders, and proper documentation. All in-house nursing partners educated by Assistant DON and remaining nurses education will be completed by ADON and designee.
- Education to all certified nurse aides on how to observe skin while performing ADL care as well as provide skin care and pressure relief. All in-house nursing partners educated by Assistant DON and remaining CNA education will be completed by ADON and designee.
- For ongoing monitoring, the DON or designee will review all patients with skin treatments to review for changes in wound appearances. Any new admission will be included in this monitoring. Changes in skin condition will be reported to the patient's provider. Daily x2 weeks, twice per week for 2 weeks, Weekly for 1 month and Monthly until deemed no concerns by the QA committee.
- A QAPI meeting was held with the Administrator, DON, Assistant DON, Nurse Manager, Assistant Regional Nurse, Social Worker Director, HIM Director, and Dietary Manager. The alleged events were discussed in detail and processes that need to be completed and implemented to assure resident safety from situations of neglect are followed up on appropriately. The processes will be communicated to all partners through the in-service listed above. Compliance of the above was achieved.
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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 Charleston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashley River Healthcare | 1.9 mi | ★★★★★ | 6 | 0 |
| Riverside Health And Rehab | 4.3 mi | ★★★★★ | 4 | 0 |
| Kempton Of Charleston | 5.4 mi | ★★★★★ | 0 | 0 |
| Bishop Gadsden Episcopal Health Care Center | 6.6 mi | ★★★★★ | 0 | 0 |
| Johns Island Post Acute | 7.3 mi | ★★★★★ | 16 | 3 |
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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.