Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Patewood Post Acute during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and dysphagia was served meals on disposable plates with plastic utensils despite the resident shaking their head no when asked if this was okay. Facility records showed tray notes directing staff to use disposables when possible, and staff said the practice was used because the resident took a long time to eat and to avoid leaving dirty dishes in the room. The family denied requesting disposables, and the DON and ADM stated disposables were only expected for dish machine failure, infection control issues, or a resident/family request.
Residents self-administered medications without the required assessment and physician authorization. One resident with intact cognition and glaucoma was giving themself prescribed eye drops, but the care plan and order summary showed no approval for self-administration, and an RN knew the resident had been doing this without reporting it. Another cognitively intact resident kept miconazole antifungal powder at the bedside and applied it themself, even though staff and the DON stated there was no self-administration assessment or order in place.
A resident with intact cognition self-administered miconazole 2% antifungal powder kept in the room, even though there was no physician order for the product and no standing order for antifungals. A CNA said she assisted with application and that the powder was available from central supply for residents who needed it, while the DON and an LPN stated it required a physician order and could only be applied by a nurse.
Failure to Follow Physician Orders for Oxygen Therapy: Two residents with respiratory diagnoses had ordered continuous oxygen therapy, but staff did not maintain the prescribed flow rates. One resident was observed at 3 L/min instead of 4 L/min and later without oxygen when a CNA removed the tubing and turned off the concentrator. Another resident’s oxygen was observed at 2 to 2.5 L/min instead of the ordered 3 L/min, and an LPN confirmed the incorrect settings.
An LPN failed to verify a resident’s insulin order before drawing up Humalog and did not document the dose immediately after administration. The facility also did not ensure a resident with glaucoma received prescribed latanoprost eye drops, with staff repeatedly noting the medication was on order or awaiting delivery while not consistently contacting the pharmacy or provider.
A resident with glaucoma, diabetic retinopathy, and impaired vision did not receive prescribed latanoprost eye drops as ordered. The MAR showed multiple missed doses over two periods, while progress notes repeatedly said the medication was on order or awaiting pharmacy. Staff said they relied on day shift reports that the drops were coming and did not consistently contact the pharmacy, provider, or leadership, and the resident reported not receiving the eye drops and worried about losing vision.
A facility failed to keep medications securely stored when an LPN left prepared doses unattended on a locked med cart and when eye drops were placed on a resident’s bedside table. Two residents’ oral meds were found in cups on the cart, and a resident with intact cognition reported self-administering timolol eye drops after staff left them in the room.
Resident Served Meals on Disposable Tableware Without Supported Dignity Need
Penalty
Summary
The facility failed to ensure that a resident was not served meals on disposable tableware to protect dignity. The resident, admitted on 07/21/2024, had a medical history that included transient ischemic attack, cerebral infarction without residual deficits, and dysphagia. A quarterly MDS with an ARD of 03/28/2026 showed a BIMS score of 0 out of 15, indicating severe cognitive impairment, and the resident required setup or clean-up assistance with eating. The care plan identified the resident as at risk for malnutrition and directed staff to allow adequate time for meals. Facility records showed the resident’s meal service details included an alert for disposables and tray card notes stating to use disposables when possible for breakfast, lunch, and dinner. During observation, the resident was seen in bed eating lunch and breakfast from a disposable plate with a plastic spoon. When asked if receiving meals on disposable plate ware and utensils was okay, the resident shook their head from left to right on both occasions. A CNA stated the resident received disposable plate ware because the resident took a while to eat. Staff interviews showed the reason for the disposable tableware was not consistently known or supported by the resident’s or family’s request. A CNA said she had been told it was because of a family request, while the family member denied requesting disposable tableware and stated the resident was accustomed to regular plates at home and would like regular plates. The dietary manager stated staff asked for disposables because the resident took a long time to eat and dirty dishes would not be left in the room, and she added disposables to the tray ticket. The DON and administrator stated disposable tableware was expected only for dish machine failure, infection control issues, or a resident/family request, and not for staff convenience.
Residents Self-Administered Medications Without Required Assessment
Penalty
Summary
The facility failed to ensure residents who self-administered medications were assessed as safe to do so. Facility policy stated that the interdisciplinary team must determine whether self-administration is clinically appropriate and safe, and that this determination must be documented in the medical record and care plan. Another policy stated residents may self-administer medications only if the attending physician, with the interdisciplinary care planning team, determined they had the decision-making capacity to do so safely. One resident was admitted with a history of an unspecified displaced fracture of the surgical neck of the left humerus and had a BIMS score of 14 out of 15, indicating intact cognition. The resident had active orders for dorzolamide-timolol ophthalmic solution twice daily and latanoprost ophthalmic solution daily for glaucoma. The care plan and order summary contained no evidence that the resident was assessed or approved to self-administer medications. During interview, the resident stated they gave themself both glaucoma eye drops and said nurses told them it was all right, while an RN stated he knew the resident had been giving themself the eye drops and had not reported it. The unit manager stated the resident had not been assessed and should have been receiving the eye drops from staff. A second resident, admitted with diagnoses including acute respiratory failure with hypoxia, unspecified asthma, and anxiety disorder, had a BIMS score of 15 out of 15. The resident was observed with a bottle of miconazole 2% antifungal powder at the bedside and stated they applied it themself under their breasts. The resident said the facility had not assessed them to self-administer medications. Staff interviews showed mixed understanding: one unit manager stated the resident had not been assessed and the powder should not have been left in the room, while CNA staff stated the resident self-administered it and that it was acceptable. Other nursing staff and the DON stated residents could not self-administer medications without an assessment and physician order, and the DON stated this resident did not have the required assessment and should not have been allowed to apply the powder.
Unordered antifungal powder accessible and applied by non-licensed staff
Penalty
Summary
The facility failed to ensure medications were administered only by licensed staff and only with a physician's order for one resident who had medications in the room. The resident was admitted with diagnoses including acute respiratory failure with hypoxia, unspecified asthma, and anxiety disorder, and had intact cognition with a BIMS score of 15 out of 15. During observation, the resident was sitting up in bed with a bottle of Remedy clinical fungal powder (miconazole nitrate 2% antifungal) on the nightstand and stated they self-administered the powder under their breasts, usually after showers on Tuesdays and Fridays. The resident's care plan and active order summary contained no evidence of an antifungal powder order, and the facility's standing orders document did not include miconazole 2% antifungal powder. Staff interviews showed inconsistent understanding of the product and who could use it. A CNA stated the resident applied the powder as needed and that she assisted with application if asked, and also stated the powder was kept in central supply and could be obtained for any resident who needed it. The Administrator confirmed there were no standing physician orders for antifungals. An LPN stated no one should have access to the powder except the CSM, nurse manager, or nurses, and that the resident did not have a physician order for it. The CSM confirmed the powder was placed in clean utility rooms every Monday, Wednesday, and Friday and said he did not know who could use it, while the DON stated the powder could only be applied by a nurse because it was considered a medication and required a physician order; the DON also stated the resident did not have such an order. The Administrator later stated CNAs were not allowed to administer antifungal powder to residents.
Failure to Follow Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to ensure staff followed physician orders for supplemental oxygen for two residents, R26 and R114. Facility policy required verification of a physician order before oxygen administration, and the medication policy stated medications were to be administered safely, timely, and as prescribed. Both residents had intact cognition on recent MDS assessments and had active orders for continuous oxygen therapy related to respiratory diagnoses. R26 was admitted with diagnoses including acute respiratory failure with hypoxia, unspecified asthma, and anxiety disorder. The resident had an order for oxygen at 4 L/min via nasal cannula every shift, and the care plan directed staff to provide continuous oxygen. During observation, R26 was found with oxygen running at 3 L/min instead of the ordered 4 L/min. On another observation, R26 was sitting in bed without oxygen on, the concentrator was turned off, and the nasal cannula tubing was lying behind the resident under the right arm. R26 stated a CNA had removed the oxygen and turned off the concentrator to get the resident ready for activities. The CNA stated this was the normal procedure, that R26 did not wear oxygen when out of bed, and that CNAs were allowed to remove or turn off oxygen as needed. R114 was admitted with diagnoses including hypoxemia and adult failure to thrive. The resident had an order for oxygen at 3 L/min via nasal cannula every shift, and the care plan identified the resident as dependent on oxygen. During observations, the oxygen concentrator was set at 2.5 L/min and later at 2 L/min, both below the ordered 3 L/min. An LPN verified the order and stated the flow rate should have been 3 L/min. The DON and Administrator stated they expected staff to follow physician orders and monitor oxygen flow rates on rounds, and the DON verified the ordered rate for R114 was 3 L/min continuously to maintain oxygen saturation above 90%.
Insulin Order Not Verified and Eye Drops Not Obtained
Penalty
Summary
Safe insulin administration was not ensured for one resident with type 2 diabetes mellitus without complications. The resident had an active order for Humalog insulin lispro on a sliding scale, with six units to be given when blood glucose was 251 to 300. During a medication administration observation, an LPN stated the resident’s blood glucose was 253 and removed insulin lispro from the medication cart, but did not verify the resident’s insulin order before drawing up the dose. The LPN stated she knew the residents and relied on memory rather than checking the computer for the current order. The observation showed the LPN drew up six units of insulin and began walking toward the resident before being stopped and asked to verify the order. She then disposed of the insulin, went to a computer in the dining area, confirmed the dose, returned to the cart, drew up the insulin again, and administered it. After giving the insulin, she did not immediately document the administration in the MAR and instead walked to the nurse’s station and printed the census report. The LPN stated she recorded medications as given only after completing the medication pass. The facility also failed to ensure timely access and administration of prescribed latanoprost eye drops for another resident with glaucoma, diabetic retinopathy, decreased visual acuity, and a visual field deficit. The resident stated they had not received the eye drops for about a week and had asked multiple nurses about them. The MAR showed repeated entries that the medication was not given, with notes stating it was on order or awaiting delivery. Staff interviews showed nurses relied on each other’s statements that the medication was on order and did not contact the pharmacy, prescriber, or leadership consistently when the eye drops were unavailable.
Missed glaucoma eye drops
Penalty
Summary
The facility failed to ensure a resident was free from significant medication errors when prescribed glaucoma eye drops were not administered as ordered. The resident was admitted with a history that included type 2 diabetes mellitus, diabetic mononeuropathy, noninfective gastroenteritis and colitis, and hypertension. The resident’s assessments showed intact cognition, impaired vision, corrective lens use, glaucoma, diabetic retinopathy, decreased visual acuity, and a visual field deficit. The care plan directed staff to administer medications as ordered. The resident had an active order for latanoprost ophthalmic solution 0.005%, one drop in both eyes at bedtime for glaucoma. The MAR documented multiple doses as not given over two separate periods, and progress notes repeatedly stated the medication was on order, awaiting delivery, awaiting supply, or awaiting pharmacy. The resident stated on interview that they had not received the eye drops and had asked different nurses about them, and that staff told them there was an issue with the pharmacy. The resident also stated they had not had the glaucoma eye drops for the last week and expressed concern about losing vision if they did not receive them. Staff interviews showed the medication was not consistently followed up on when unavailable. An LPN stated she did not follow up with the pharmacy or physician because day shift staff said the eye drops were on order. An RN stated she passed the information to day shift and did not contact the physician, NP, or pharmacy because she was told the drops were on order. Other staff stated nurses should call the pharmacy when medications are missing and notify leadership or the provider, and the DON and administrator stated nurses should document accurately, contact the pharmacy, and notify the physician and family when there are pharmacy issues. The NP stated she was not made aware the resident was missing eye drops until later and that the medication was continued to prevent or slow worsening of eye disease.
Medications Left Unattended on Cart and in Resident Room
Penalty
Summary
The facility failed to ensure medications were stored safely and securely for two residents during the medication administration task and for one resident who had medications in the room. A facility policy titled, Storage of Medications, stated that the facility stores all drugs and biologicals in a safe, secure, and orderly manner and that nursing staff are responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. During observation of the 200 hallway, two medication cups were found stacked on a locked medication cart with medications in them. An LPN stated the medications should never be left out and unattended on the cart, and another LPN confirmed she had pulled the medications before going on break so they would be ready when she returned. The medications in the cups were identified as acetaminophen and gabapentin for one resident, and gabapentin and famotidine for another resident. The facility also failed to secure eye drops for a resident with intact cognition. The resident had a diagnosis of unspecified bilateral pre-glaucoma and an active order for timolol maleate ophthalmic solution to be instilled in both eyes twice daily for glaucoma. During interview, the resident stated that the nurse brought the eye drops into the room and placed them on the bedside table while the resident was in the bathroom. The resident stated they administered the medication themselves that day and were waiting for the nurse to return and get them. The resident also stated that staff typically administered the medication, but did not do so that day.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 81 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Linville Court At The Cascades Verdae | 1 mi | ★★★★★ | 0 | 0 |
| The Gables Of Pelham Skilled Nursing & Rehab | 1.2 mi | ★★★★★ | 0 | 0 |
| Promedica Skilled Nursing And Reh- Greenville West | 1.7 mi | ★★★★★ | 2 | 0 |
| Nhc Healthcare - Greenville | 2.7 mi | ★★★★★ | 0 | 0 |
| Rolling Green Village | 3.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Patewood Post Acute.
100% money-back within 48 hours.
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.