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 Nhc Healthcare - North Augusta during CMS and state inspections, most recent first.
Missed Nasal Spray Doses Due to Medication Unavailability: A resident with no cognitive deficits and orders for scheduled nasal sprays did not receive the medication for three consecutive days because it was not available on the cart or in the emergency kit box and was waiting to come from the pharmacy. RN and UM interviews confirmed the medication was on order, and the DON stated staff are expected to contact the pharmacy when ordered medications are unavailable.
A resident with a history including AFib, CKD, and chronic aspirin use did not receive ordered Afrin and saline nasal sprays for three days because the meds were unavailable. The MAR documented the doses as drug/item unavailable and awaiting pharmacy delivery, and staff stated the sprays were not on the cart or in the emergency kit box and were waiting to come from the pharmacy.
A facility failed to ensure safe medication storage and proper assessment for self-administration, leading to medications being left unattended in residents' rooms. This included pills, topical creams, and inhalation medications, with staff unaware of the facility's policies and protocols not being followed.
The facility failed to ensure nebulizer masks for two residents were clean, labeled, and bagged when not in use, as per policy. Observations showed masks left on the floor or nightstand without proper storage. Staff interviews confirmed awareness of the policy but revealed non-compliance, leading to this deficiency.
A resident experienced a significant medication error when an LPN improperly managed an IV line during ertapenem administration via a PICC line. The LPN placed the uncapped, primed IV line on a blue chux and an alcohol packet, and failed to scrub the PICC line access for the required time. The LPN admitted to not remembering her last PICC training and acknowledged the expectation to use a clean technique.
A resident with severe cognitive impairment and multiple infections received intravenous antibiotic therapy via a PICC line, but the facility failed to follow infection control standards. An LPN improperly managed the IV line by placing the uncapped line on a blue chux and an alcohol packet, and did not scrub the PICC line access for the required time. The LPN admitted to not remembering her last PICC training, and the facility's policy on sterile technique was not followed.
Missed Nasal Spray Doses Due to Medication Unavailability
Penalty
Summary
The facility failed to ensure Resident 12 received his nasal spray according to physician orders for three consecutive days. Review of the facility medication administration policy stated that prescribed medications are to be administered in accordance with good nursing principles and practices, and that if a regularly scheduled dose is withheld, refused, not available, or given at a time other than scheduled, the MAR entry is to be initialed and circled, or documented per the electronic MAR manual. Resident 12 was admitted with diagnoses including spinal stenosis with neurogenic claudication, other spondylosis with radiculopathy, and chronic pain syndrome. His MDS showed a BIMS score of 15 out of 15, indicating no cognitive deficits, and his care plan stated he may self-administer nasal sprays, with medications kept in the medication cart. Physician orders included saline nasal spray four times daily and Afrin No Drip nasal spray three times a week. During interviews, RN1 stated the medication was not available because the order was entered over the weekend and the pharmacy did not deliver on weekends, and that the medication was available Monday. RN1 also stated the nasal spray was not on the medication cart or in the emergency kit box on February 23 and was waiting to come from the pharmacy. The UM stated that when a medication is on order but unavailable, it is documented as unavailable on the MAR and waiting for pharmacy, and the DON stated staff are expected to call the pharmacy to determine when medications will be available if they are on order or back order.
Failure to Provide Ordered Nasal Sprays
Penalty
Summary
Pharmaceutical services were not provided to meet the needs of one resident when Afrin nasal spray and Saline nasal spray ordered by the physician were not administered for three days because the medications were unavailable. The facility policy stated that if a medication with a current, active order could not be located in the medication cart, medication room, or other areas, the pharmacy was to be contacted or the medication removed from the night box/emergency kit. The resident had diagnoses including long term current use of aspirin, paroxysmal atrial fibrillation, and hypertensive heart and chronic kidney disease, and was cognitively intact with a BIMS score of 15 out of 15. The resident’s physician ordered Afrin oxymetazoline nasal spray three times daily for one week and Saline nasal spray four times daily for one month. The MAR showed the resident did not receive either nasal spray for three days because the items were documented as drug/item unavailable and awaiting arrival from pharmacy. During interviews, RN1 stated the nasal spray was not available on the medication cart or in the emergency kit box and was waiting to come from the pharmacy. RN1 also stated the pharmacy knew the medication was not there and that the order had been entered over the weekend when the pharmacy did not deliver. The UM stated that if medications were unavailable they were documented as such on the MAR while waiting for pharmacy, and the DON stated staff were expected to call the pharmacy to see when medications would be available.
Medication Storage and Self-Administration Deficiency
Penalty
Summary
The facility failed to ensure a safe environment free from potential accident hazards related to medications at the bedside for four residents. Specifically, medications were found unattended in the rooms of residents who had not been assessed for self-administration. This included a medication cup with several pills left on the bedside table of a resident with a BIMS score indicating no cognitive impairment, but without an order for self-administration. The resident took the medication without the presence of a nurse, contrary to facility policy. Another resident's room was found to have a Nervive roll-on cream and IcyHot Max Lidocaine on the bedside table, as well as an unopened box of Nervive cream on the bookshelf. This resident also had not been assessed for self-administration, and there was no physician order for the topical medication. Similarly, a third resident had Nystatin powder on their dresser, which should have been secured on the medication cart according to the Director of Nursing. The fourth resident had an inhalation medication left open and unattended on a dresser, with no open or use-by date on the medication. Interviews with facility staff, including LPNs and the Assistant Director of Nursing, revealed a lack of awareness and adherence to the facility's policies regarding medication storage and self-administration. The staff acknowledged that medications should be administered at the bedside and watched, and that there is a protocol for assessing residents' competency to self-administer medications. However, the protocol was not followed, and the facility's leadership was not fully aware of the medications being left in residents' rooms, indicating a systemic issue in policy enforcement and staff education.
Failure to Properly Store Nebulizer Masks
Penalty
Summary
The facility failed to provide respiratory care in accordance with professional standards by not ensuring that nebulizer masks for two residents were clean, labeled, and bagged when not in use. Observations revealed that the nebulizer masks were left on the floor or on the nightstand without being dated or stored in a bag, contrary to the facility's policy. The policy requires that after treatment, nebulizer equipment should be rinsed, dried, and stored in a labeled bag. Interviews with staff, including the Director of Nursing (DON) and a Licensed Practical Nurse (LPN), confirmed awareness of the policy but indicated non-compliance in practice. Resident 69, who has a history of chronic obstructive pulmonary disease and other health conditions, was observed with a nebulizer mask not properly stored after a treatment. Similarly, Resident 389, who also has chronic respiratory conditions, had a nebulizer mask left on the floor. The DON acknowledged the expectation for respiratory equipment to be bagged and dated, and the LPN admitted to not following the proper procedure after administering a treatment. The facility's failure to adhere to its own policy on respiratory care led to this deficiency.
Improper IV Line Management Leads to Medication Error
Penalty
Summary
The facility failed to ensure that a resident, identified as R95, was free from significant medication errors during the administration of ertapenem via a PICC line. The Licensed Practical Nurse (LPN1) responsible for the administration did not adhere to the facility's policy for safe and effective medication administration. Specifically, LPN1 improperly managed the intravenous (IV) line by placing the primed, uncapped IV line on a blue chux and then on the outside of an alcohol packet before administering it to the resident. Additionally, LPN1 did not scrub or wipe the top of the PICC line access for the required minimum of 15 seconds, completing the task in less than 10 seconds before starting the infusion. Interviews conducted during the investigation revealed that the Director of Nursing expected staff to follow protocol and infection control guidelines during medication administration. However, LPN1 admitted to not remembering her last PICC training and acknowledged the expectation to use a clean technique when accessing a PICC line. She also admitted to the improper handling of the IV line and recognized that she should have discarded the line and started over before administering it to the resident. The Competency Standard Skills Checklist for PICC lines was reviewed, showing LPN1's name and signature, but it was not dated, while the DON's signature was dated November 21, 2023.
Infection Control Breach in Medication Administration via PICC Line
Penalty
Summary
The facility failed to adhere to infection prevention and control standards during the administration of medication to a resident, identified as R95, who was receiving intravenous antibiotic therapy via a PICC line. The deficiency was observed when LPN1 improperly managed the intravenous line by placing the primed, uncapped IV line on a blue chux and then on the outside of an alcohol packet before administering it to the resident. Additionally, LPN1 did not scrub the top of the PICC line access for the required minimum of 15 seconds, completing the task in less than 10 seconds, which is against the facility's policy. R95, a resident with severe cognitive impairment and multiple diagnoses including osteomyelitis and infections caused by Escherichia coli and other bacteria, was receiving ertapenem reconstituted solution via PICC line. The facility's policy requires that medications be administered safely and effectively, with specific procedures for PICC line management. However, LPN1 admitted to not remembering her last PICC training and acknowledged the improper handling of the IV line, which should have been discarded and replaced before administration. Interviews with the Director of Nursing and the Assistant Director of Nursing/Infection Preventionist confirmed that staff are expected to follow sterile and clean techniques as per policy, but the training had not been reinforced since the last skills fair in November 2023.
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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 North Augusta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth- North Augusta | 3.7 mi | ★★★★★ | 2 | 0 |
| Stevens Park Health And Rehabilitation | 6.7 mi | ★★★★★ | 5 | 0 |
| Pruitthealth - Augusta Hills | 7 mi | ★★★★★ | 3 | 0 |
| Azalea Health Center By Harborview | 7.9 mi | ★★★★★ | 10 | 0 |
| Place At Martinez, The | 8.6 mi | ★★★★★ | 17 | 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.