Below average — CMS composite of the measures below.
The next survey window likely opens around April 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 Peachtree Centre during CMS and state inspections, most recent first.
Menu Portions and Substitutions Not Followed: A dietary aide served smaller chicken portions than the posted menu required to several residents, including one resident with paraplegia, stage IV pressure ulcers, malnutrition, and significant weight loss who was ordered double portions for wound healing. Other residents were observed receiving only a wing, thigh, or small leg and stated they were still hungry, while an LPN/UM and the RD confirmed the portions were inadequate. Residents on one floor were also served corn instead of the posted vegetable, and the menu substitutions were not posted.
PPE was not available for laundry staff in the laundry room while sorting soiled resident clothing and bed linens. A Laundry Aide stated she only had disposable gloves and did not have access to gowns or industrial strength gauntlet gloves, and the IP verified there was no PPE in the soiled laundry shoot area. The facility’s policy stated the laundry area would provide PPE, and the DON stated laundry staff were expected to have access to PPE to prevent cross contamination.
Sticky Floors and Chipped Tables in Common Areas: The facility failed to maintain a safe, clean, comfortable, and homelike environment when the first- and third-floor common areas had sticky floors that caused staff shoes to stick and squeak as they walked. On the third floor, four dining tables were also observed with heavy chipping that exposed the wood underneath. The HS said the sticky floors had been an ongoing issue and the facility was aware of it, while the Administrator said the facility had an older floor-cleaning machine and had contacted the chemical vendor, but no work orders were provided.
Incomplete Care Plans for Nutritional and Behavioral Needs: The facility failed to develop person-centered, comprehensive care plans with measurable goals and interventions for two residents. One resident had a vitamin deficiency, severe cognitive impairment, and significant weight loss, but the care plan did not include the recent weight loss or RD recommendations. Another resident had anxiety and bipolar disorder, moderate cognitive impairment, gorging on food, and Topiramate ordered for binge eating, but the care plan did not address the behavior or related interventions.
A resident with cerebrovascular disease, DM, and moderately impaired cognition required assistance with ADLs and max assist for personal hygiene due to a stroke and hip fracture. Staff observed the resident with long, dirty fingernails on multiple occasions, and the resident said he wanted his fingernails cut. An LPN confirmed the nails were about 0.5 inches long and noted that nail care for the diabetic resident was to be done on shower days; the CNA said the resident did not refuse care and shower days were Tuesdays and Fridays.
Uncovered Damaged Wall in Resident Room: Staff failed to keep a resident’s room free of an accident hazard when a heavily scraped wall at the head of the bed remained uncovered for a time. The resident had severe cognitive impairment and a documented history of putting non-food items in her mouth, and CNA staff said she would peel and eat paint from the wall while several LPNs, the DON, and the Administrator were unaware of the behavior or had not been informed.
Medication Error Rate Exceeded 5 Percent: Surveyors found 2 medication errors in 28 opportunities, resulting in a 7.14% error rate. One resident received chewable aspirin instead of ordered enteric coated aspirin, and another resident’s Miralax was mixed with less fluid than ordered. The LPN and RN involved acknowledged the medication administration issues, and the DON confirmed the expected administration requirements for the medications.
Improper Food and Ice Storage in Nourishment Room: The facility failed to store and dispense food and ice under sanitary conditions in a second-floor nourishment room. An ice scoop was stored inside the ice chest, and the refrigerator had a broken thermometer, a 48 F temperature reading, expired and unlabeled items, an opened carton of milk, an unidentified milky white liquid in a bottle, eggs past the best-by date, an expired renal supplement, food debris on a shelf, and a gouged door. An LPN and the Dietary Manager confirmed several of these conditions.
Menu Portions and Substitutions Not Followed
Penalty
Summary
The facility failed to ensure that the planned menu was followed to meet the nutritional needs of five residents reviewed for nutrition. During lunch observations, the Dietary Aide served smaller portions of chicken than the menu indicated for R2, R151, R108, R168, and R37. R2 had diagnoses of paraplegia, stage IV pressure ulcer, and malnutrition, and his record showed significant weight loss and multiple wounds; the Registered Dietitian noted that weight gain was beneficial until the wounds healed and that R2 was ordered a regular diet with double portions at all meals due to significant weight loss and high protein needs for wound healing. R2 stated he did not get enough food and reported receiving only one chicken leg for lunch, which the RD confirmed was not enough for his needs. The other residents also received less protein than the menu portion size indicated. R151 was observed with one small chicken leg and said she was still hungry; the LPN/Unit Manager confirmed she received only one small chicken leg while others at the table received chicken breasts. R108 was observed with one chicken wing and stated he was still hungry, and the RD stated one wing did not meet his nutritional needs. R168 was observed with one chicken thigh and stated she was still hungry, and the RD stated she was not on a small portion diet. R37 was observed with one small chicken leg and stated she was still hungry. In addition, on the third floor, residents were served corn instead of the peas and carrots listed on the posted menu, and the menu substitutions were not posted as indicated; the Dietary Manager stated kitchen staff were to post alternates so residents would be aware of substitutions.
PPE Not Available in Laundry Room
Penalty
Summary
The facility failed to ensure personal protective equipment (PPE) was available for laundry staff in one of one laundry rooms while sorting soiled resident clothing and bed linens. Review of an undated American Healthcare Association document stated that PPE should be used when handling linens, including tear-resistant gloves for soiled linens and, when there is risk of splashing, gowns, gloves, and face protection. Review of the facility’s undated Laundry policy stated that the facility launders clothing in accordance with current CDC guidelines to prevent transmission of pathogens and that the laundry area will provide PPE. During observation and interview of the laundry room on 05/01/26 at 9:09 AM, Laundry Aide 1 stated she did not have access to PPE such as gowns and industrial strength gauntlet gloves when handling soiled facility linens and residents’ clothing, and that she only had access to disposable gloves. The Infection Preventionist stated she did not come to the laundry room area very often. Laundry Aide 1 then walked into the soiled laundry shoot area, where there was still no PPE available, and both Laundry Aide 1 and the Infection Preventionist verified this. During an interview on 05/01/26 at 9:33 AM, the DON stated her expectation was for laundry staff to have access to PPE to prevent cross contamination.
Sticky Floors and Chipped Tables in Common Areas
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment on the first and third floors. On the third floor, the dining/activity area and hallways were observed to have sticky floors, and staff shoes were sticking and making squeaking sounds while walking through the area. In the third-floor dining/activity area, four dining tables were observed with heavy chipping of the paint, exposing the wood underneath. The facility policy stated that it would provide a safe, clean, comfortable, and homelike environment and that furniture in disrepair should be reported promptly. Observations on multiple dates showed the first-floor hallways, dining room, and activity room floors were sticky and squeaked when staff and residents walked on them. The Housekeeping Supervisor stated the sticky floors on the third floor had been an ongoing issue and that the facility was aware of it. The Administrator stated the facility had an older machine to clean the floors and that she had contacted the chemical vendor in the last few months, but no work orders were provided prior to survey exit. The Sales Representative stated he was unaware the floors were sticky and had not been contacted by the facility about the issue.
Incomplete Care Plans for Nutritional and Behavioral Needs
Penalty
Summary
The facility failed to develop person-centered, comprehensive care plans with measurable goals and interventions for two residents. For one resident, the record showed admission with a vitamin deficiency, and the care plan dated 02/16/22 identified nutritional risk related to vitamin deficiency, gastroesophageal reflux, and hyperlipidemia, but did not address a recent significant weight loss or the registered dietitian’s recommendations. The annual MDS with an ARD of 02/02/26 showed a BIMS score of 6 out of 15, indicating severe cognitive impairment, and the CAA triggered nutrition and directed staff to develop a care plan. A Nutrition/Dietary Note dated 02/02/26 documented significant weight loss from 118 to 98 pounds, regular diet intake of 26 to 50 percent of meals, snacking throughout the day, provision of a nutritional treat at lunch and dinner, and monitoring of weight, meal intake, and fluid intake. During interview, the MDSC stated the RD did not create care plans for residents at risk for weight loss and confirmed the current recommendations were not present in the resident’s nutritional care plan. For the second resident, the record showed admission with anxiety disorder and bipolar disorder, current episode depressed, severe, without psychotic features. The quarterly MDS with an ARD of 02/18/26 showed a BIMS score of 12 out of 15, indicating moderate cognitive impairment. Orders included Topiramate 25 mg, ordered 12/04/25, which was used off label to treat binge eating. The care plan dated 07/28/25 did not address gorging on food or the use of Topiramate as treatment for that behavior. During interview, the LPN/Unit Manager stated the resident had significant issues with gorging on food and drinking four or more energy drinks per day and confirmed that the behavior had not been entered on the care plan with specific interventions. The DON stated the care plan should have been updated and individualized to address the resident being at risk for weight loss and that the resident’s specific behaviors and interventions should have been identified on the care plan.
Failure to Provide Nail Care for a Dependent Resident
Penalty
Summary
The facility failed to provide nail care for a resident who was unable to complete activities of daily living and needed assistance with personal hygiene. R109 was admitted and readmitted with diagnoses of cerebrovascular disease and diabetes mellitus. The Medicare 5-day MDS dated 04/05/26 showed a BIMS score of 8 out of 15, indicating moderately impaired cognition, and documented that the resident required assistance from another person to complete ADLs. The care plan stated that R109 required maximum assistance of one for personal hygiene due to a stroke and right hip fracture dated 01/02/26. On 04/28/26, R109 was observed with long fingernails on both hands with visible dark substance underneath. On 05/01/26, the resident was again observed in bed with long fingernails and stated that he wanted his fingernails cut. During interview, the LPN/Unit 4 Mgr. confirmed the nails were approximately 0.5 inches long on both hands and stated that because the resident was diabetic, a nurse must perform nail care on shower days. The CNA stated that R109 did not refuse care and that shower days were Tuesdays and Fridays. The DON stated her expectation was that nails should be cut on shower days or whenever needed.
Uncovered Damaged Wall in Resident Room
Penalty
Summary
The facility failed to ensure that one resident’s room was free from an accident hazard when a heavily scraped and peeled painted wall at the head of the resident’s bed was left uncovered for a period of time. The resident had been admitted with late onset Alzheimer’s disease and had a BIMS score of 3, indicating severe cognitive impairment. The resident’s care plan documented a history of intentionally placing non-food items in her mouth, including blankets, socks, and clothing, and the MDS indicated no bilateral extremity impairments. During interviews, CNA staff stated that the resident would peel and eat the paint off the wall and that they had reported this to nurses, while multiple LPNs stated they were not aware of the behavior or had not been informed. One LPN/UM acknowledged awareness that the resident peeled paint but said she was unaware the resident ate it. On a later observation, a plexiglass cover had been placed over the damaged area, and the Maintenance Director stated he had been asked to install it the previous day and had not been told about the wall damage before then. The DON, Clinical Consultant, and Administrator stated they were unaware of the resident’s behavior of peeling and eating the paint, and the Administrator stated there was a system for reporting environmental issues that was not used.
Medication Error Rate Exceeded 5 Percent
Penalty
Summary
The facility failed to ensure a medication error rate of less than 5 percent. Surveyors identified 2 medication errors out of 28 opportunities for error, resulting in a 7.14% error rate. One error involved a resident with dementia, CHF, and protein-calorie malnutrition who had an order for enteric coated aspirin 81 mg daily; the resident was observed receiving chewable aspirin 81 mg instead of the ordered enteric coated aspirin. The LPN who administered the medication stated she was aware of the difference between chewable and enteric coated aspirin and said she missed the designation for enteric coated on the MAR. A second error involved a resident with a left radius fracture, bipolar disorder, and malnutrition who had an order for Miralax 17 grams mixed in 4 to 6 ounces of fluid every other day. The resident was observed receiving Miralax mixed in a five-ounce cup with only 2 to 3 ounces of water added, and no additional fluid was provided during the medication pass. The RN who administered the medication stated she thought Miralax needed to be mixed with eight ounces of water and believed the cup used held eight ounces. The UM confirmed Miralax needed to be given in at least 4 ounces of fluid and stated the cups on the medication carts were not large enough to accommodate that amount.
Improper Food and Ice Storage in Nourishment Room
Penalty
Summary
The facility failed to store and dispense food and ice under sanitary conditions in one of four nourishment rooms, the second-floor nourishment room. During observation on 04/28/26 at 11:29 AM, an ice scoop was stored directly inside the ice chest, and CNA9 confirmed at 11:30 AM that the scoop was not supposed to be stored inside the chest. At 11:33 AM, the refrigerator in the second-floor nourishment room was observed with a broken thermometer and several expired and unlabeled items, including a plastic-wrapped salad dated 04/15/26, one opened carton of 2% milk, and a water bottle containing an unidentified milky white substance with no name, label, or date. Further inspection of the same refrigerator found an egg carton with four eggs remaining that had a best by date of [DATE], a box of renal supplement with a use by date of 02/18/26, and the second shelf covered in red, blue, and white food debris. The refrigerator door was observed to be gouged. On 05/01/26 at 11:47 AM, LPN9 used the broken thermometer and stated the refrigerator temperature was 48 degrees Fahrenheit. LPN9 stated the eggs should be thrown away because residents could get food poisoning. During interview on 04/28/26 at 12:35 PM, the Dietary Manager stated the fridge door shelf was gouged and could cause cross contamination, the ice scoop should not be stored inside the machine, and food should be labeled and dated and thrown out after three days.
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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 Gaffney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palmetto Patriots | 1.1 mi | ★★★★★ | 0 | 0 |
| Brookview Healthcare Center | 2.4 mi | ★★★★★ | 6 | 1 |
| Skylyn Nursing And Rehabilitation Center | 8.7 mi | — | 0 | 0 |
| Peak Resources- Shelby | 13.7 mi | ★★★★★ | 7 | 0 |
| White Oak Manor-shelby | 15.4 mi | ★★★★★ | 6 | 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.