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 Piedmont Post-acute during CMS and state inspections, most recent first.
Failure to Check Hot Food Temps During Meal Service: A DA placed new batches of fried chicken and macaroni and cheese on the tray line and plated them without checking temperatures, despite a facility policy requiring hot and cold food temps to be taken before each meal service. The ADD questioned the DA, who admitted the chicken temp had not been taken, and the Administrator stated that any additional food prepared must also have its temp checked.
Staff failed to follow infection control practices during trach care and wound care by not performing hand hygiene between dirty and clean tasks and by not changing gloves appropriately. Staff also failed to follow contact precautions for a resident with MRSA and C. diff history when delivering meal trays without PPE or hand hygiene. In addition, the facility’s Legionella water management program was incomplete and lacked required monitoring, control, and response elements.
Medication administration errors exceeded the allowed rate, with 6 errors in 44 opportunities. An LPN gave a resident the wrong famotidine dose, another LPN administered incorrect ferrous sulfate and fish oil doses to a resident with severe cognitive impairment, and a third LPN gave saline nasal spray instead of ordered fluticasone to a resident with intact cognition. Staff stated the medications given did not match the prescriber orders, and the DON and Medical Director confirmed the discrepancies.
Failure to remove a lidocaine patch per physician order. An LPN found a lidocaine 5% patch still on a resident’s sacrum during med pass and removed it before applying a new patch, even though the order required removal by the scheduled time. The resident had intact cognition and was receiving scheduled pain medication. Staff, including the DON, Medical Director, and consulting pharmacist, stated the patch was expected to be removed as ordered, and the pharmacist noted manufacturer guidance limiting use to 12 hours in a 24-hour period.
A resident with constipation, bowel incontinence, and declining cognition had no documented bowel movements for extended periods, despite bowel meds, standing orders, and a care plan requiring every-shift monitoring. Staff gave inconsistent accounts of who was responsible for tracking bowel activity, several nurses said they relied on CNAs or alerts, and the resident was not listed on the bowel alert reports. Hospice later noted constipation and added a suppository, after which the resident reported a hard bowel movement and said it had been about two weeks since the last one.
Failure to Provide Proper Catheter Care: A resident with an indwelling urinary catheter and intact cognition received catheter care that did not follow facility policy. During observation, a CNA cleaned the catheter area but did not separate the labia or cleanse the urethral meatus, and later stated she thought she had done so but had not. The Administrator stated staff were expected to follow the facility’s catheter care policy.
Inaccurate Documentation of Lidocaine Patch Removal: A resident with intact cognition and a scheduled pain regimen had a lidocaine patch ordered to be applied daily and removed on schedule. The MAR showed the patch was removed by an LPN, but during observation another LPN found the patch still in place, removed it, and applied a new one. An LPN later stated the patch should have been removed on the prior shift, while another LPN could not recall whether she removed it.
A resident sustained a head laceration requiring staples after a CNA transferred them alone using a mechanical lift, contrary to facility policy requiring two staff members. The resident, with a history of dementia and mobility issues, was dependent on staff for transfers. Despite being aware of the policy, the CNA did not seek assistance from available staff, leading to the incident.
Failure to Check Hot Food Temperatures During Meal Service
Penalty
Summary
The facility failed to ensure staff checked temperatures of all foods placed on the steam table for hot holding prior to meal service. A facility policy titled, Serving Temperatures for Hot and Cold Foods, effective 2020, stated that the cook will take temperatures of hot and cold food items using approved food thermometers prior to each meal service. During observation on 04/03/2026 at 12:36 PM, Dietary Aide (DA)21 placed a new batch of fried chicken on the tray line and plated a resident's meal without taking the chicken's temperature. When the Assistant Dietary Director asked whether the temperature had been taken, DA21 stated that it had not. During continued observation of lunch service on 04/03/2026 at 12:55 PM and 12:56 PM, a new pan of macaroni and cheese was removed from the oven, placed on the tray line, and plated without a temperature check, and another new batch of fried chicken was taken from the fryer, placed on the tray line, and plated without a temperature check. During interview, DA21 stated she had multiple batches of fried chicken because she liked the food to be fresh. The Administrator later stated that the dietary department was expected to meet all temperature guidelines and that if additional food was prepared, its temperature must also be taken.
Infection Control and Water Management Failures
Penalty
Summary
Staff failed to follow infection control practices during tracheostomy care for a resident with acute and chronic respiratory failure and tracheostomy status. The resident had intact cognition and an order for tracheostomy care every shift. During observation, the respiratory therapist performed hand hygiene and donned clean gloves, but did not perform hand hygiene before putting on sterile gloves from the kit. After removing the dressing from around the resident’s neck and the tracheostomy collar, the therapist continued the procedure with the same gloves and did not change gloves or perform hand hygiene before cleaning the tracheostomy area. The therapist stated that hand hygiene was expected between glove changes and that after touching the dressing, a new pair of sterile gloves should have been donned. Staff also failed to follow infection control practices during wound care for a resident with stage IV pressure ulcers. The resident had intact cognition and an order for daily and as-needed wound care to the right lateral leg. During observation, the LPN performed hand hygiene and donned clean gloves, removed a dirty dressing, and then cleaned the wound while wearing the same gloves. The LPN also discarded one glove during the procedure and donned another clean glove without performing hand hygiene first. The LPN stated that hand hygiene was required between glove changes and before moving from a dirty procedure to a clean procedure. Staff failed to follow contact precautions for a resident with MRSA wound infection and a history of C. diff. The resident had an order for contact precautions and for care and therapy to be provided in the room. During observations, a CNA entered the resident’s room to deliver a meal tray without PPE, and on another occasion a CNA took the meal tray into the room without PPE and left without performing hand hygiene. Staff interviews showed mixed understanding of the PPE requirements, although the DON, ADON, DSD/Infection Preventionist, and Administrator stated that gown and gloves were expected when entering the room and delivering meal trays. The facility also failed to implement a complete Legionella water management program. The water management binder contained only a basic water description and did not include monitoring methods, control measures, control limits, a monitoring system, a response plan when limits were not met, or evidence of review. The Maintenance Director stated he did not monitor water unless something was brought to his attention and did not have written documentation showing monitoring points or risks for waterborne illness.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to maintain a medication error rate of 5% or less, with 6 errors out of 44 opportunities for a rate of 13.64% during medication administration observations for 3 residents. Facility policy stated medications are to be administered in accordance with prescriber orders, including any required time frame. For one resident with GERD and intact cognition, the order was for famotidine 20 mg daily, but an LPN administered one famotidine 10 mg tablet during the observed medication pass. The LPN stated the resident should have received two tablets for a total of 20 mg and acknowledged she was expected to follow the physician's orders. The DON and Administrator also stated the resident should have received two tablets instead of one. For another resident with muscle weakness and hyperlipidemia and severe cognitive impairment, the orders included ferrous sulfate 324 mg every Monday, Wednesday, and Friday and fish oil 1200 mg daily. During observation, an LPN administered ferrous sulfate 325 mg and fish oil 500 mg, two capsules by mouth. The LPN stated the facility did not have the ordered medications in stock and that the fish oil order had been changed after she spoke with the NP, but she acknowledged the medications were administered incorrectly. For a third resident with muscle weakness, infection, and COPD and intact cognition, the order was for fluticasone propionate nasal spray 50 mcg, but an LPN administered saline nasal spray 0.65% instead. The LPN stated she was told the saline spray was not the same as the ordered medication, and the Medical Director and DON stated the nurse should have checked with the NP and resident and documented that the ordered fluticasone was not available.
Failure to Remove Lidocaine Patch per Physician Order
Penalty
Summary
The facility failed to follow a physician’s order for a lidocaine external patch for one resident. The resident had diagnoses that included infection and inflammatory reaction due to an indwelling urethral catheter and muscle weakness, and the quarterly MDS showed a BIMS score of 15 out of 15, indicating intact cognition. The resident had an active order for a lidocaine 5% patch to be applied once daily for pain and removed per schedule, with the MAR transcribed to apply the patch at 9:00 AM and remove it at 8:59 PM. During medication administration observation, an LPN found a lidocaine patch dated the prior day still on the resident’s sacrum and removed it before applying a new patch. The LPN stated the patch should have been removed during the night shift per the physician’s order. Another LPN stated she could not remember whether she removed the patch, but said she was expected to remove it as ordered and that the patch was to be placed by day shift and removed by night shift. The Medical Director, Consulting Pharmacist, DON, and Administrator all stated staff were expected to follow physician orders for medication administration, and the pharmacist noted the manufacturer’s guidance that the patch should be removed after 12 hours and used only 12 hours within a 24-hour period.
Failure to Monitor and Document Bowel Movements
Penalty
Summary
The facility failed to ensure sufficient bowel monitoring for a resident with a history of constipation, major depressive disorder, and cognitive communication deficit. The resident was admitted in 2019 and later readmitted in 2025. The resident’s MDS showed the resident required substantial to maximum assistance with toileting and was always incontinent of bowel. A later significant change MDS showed severe cognitive impairment and hospice services. The care plan identified the resident as at risk for gastrointestinal problems related to constipation and GERD and directed staff to administer medications per orders, monitor and document bowel movements every shift, and monitor for signs and symptoms of gastrointestinal problems. The resident had active orders for GlycoLax in the morning for constipation, sennosides twice daily for constipation, and side effects monitoring for antidepressant medication every shift including constipation. Facility standing orders also included Colace or MOM for constipation. However, the resident’s MAR showed Colace and MOM were not administered during March 2026. The resident’s bowel documentation showed no bowel movements recorded from 03/12/2026 through 03/19/2026 and again from 03/21/2026 through 04/01/2026. The bowel continence task record also showed no bowel movements documented during those periods, with only isolated entries showing soft stool on 03/20/2026 and later hard stool and loose stool on 04/02/2026. Interviews showed inconsistent monitoring and communication among staff. Several nurses stated they relied on CNAs to report bowel movements or constipation concerns, while others stated they checked electronic reports or expected alerts to appear in the system. The unit supervisor stated she reviewed bowel movement reports and thought the resident may have been on the list on 03/27/2026 and 03/30/2026, but she did not document notifying a nurse. Other staff stated they were not notified that the resident had not had a bowel movement, and the resident was not listed on the alert reports during the periods reviewed. Hospice documentation later noted constipation and added a Dulcolax suppository, and the resident stated after the suppository that the bowel movement was hard as a rock and that it had been two weeks since the last bowel movement. The medical director stated it was disturbing that someone may have gone a two-week period without a bowel movement and no one knew about it.
Failure to Provide Proper Catheter Care
Penalty
Summary
The facility failed to ensure appropriate catheter care was provided for one resident with an indwelling urinary catheter. The resident had a history of neuromuscular dysfunction of the bladder and muscle weakness, and the annual MDS indicated intact cognition with a BIMS score of 15 out of 15. The resident’s care plan identified a risk for urinary system complications related to the indwelling catheter and directed staff to provide catheter care and empty the catheter every shift and as needed. An active order also required indwelling urinary catheter care every shift and as needed. During an observation of catheter care, a CNA gathered supplies, performed hand hygiene, donned PPE, and began care using warm water, liquid soap, and a clean washcloth. The CNA cleaned the Foley catheter from the outside of the labia to the area where the catheter was attached to the resident’s leg, but did not separate the labia or cleanse the urethral meatus. In interview, the CNA stated she thought she had cleansed the meatus but remembered that she had not. The Administrator stated staff were expected to follow the facility’s policy and procedures for catheter care.
Inaccurate Documentation of Lidocaine Patch Removal
Penalty
Summary
The facility failed to ensure that a resident’s medical record accurately reflected the removal of a physician-ordered lidocaine patch. The resident was admitted with a history that included muscle weakness and had intact cognition, with a BIMS score of 15 out of 15. The resident also received a scheduled pain medication regimen. The physician’s order directed that a lidocaine external patch 5% be applied daily for pain and removed per schedule, with the MAR transcribed to show application at 9:00 AM and removal at 8:59 PM. The MAR for March showed that an LPN initialed the record to indicate the patch was removed at 8:59 PM. However, during medication administration observation, another LPN found a lidocaine patch still on the resident’s sacrum, removed the dated patch, and applied a new one. In interview, that LPN stated the patch she removed should have been taken off during the night shift per the physician’s order. A second LPN stated she could not remember whether she removed the patch, but said she was expected to remove it as ordered and that day shift applied the patch while night shift removed it.
Failure to Follow Mechanical Lift Protocol Results in Resident Injury
Penalty
Summary
The facility failed to ensure that two staff members assisted with a mechanical lift transfer for a resident, resulting in the resident sustaining a laceration to the head. The facility's policy required at least two nursing assistants to safely move a resident with a mechanical lift, but this protocol was not followed. The incident occurred when a Certified Nursing Assistant (CNA) transferred the resident alone, and the sling bar of the lift swung and hit the resident on the head, causing a 3 cm laceration that required three staples to repair. The resident involved had a medical history that included dementia, anxiety disorder, bipolar disorder, schizophrenia, morbid obesity, muscle weakness, and abnormalities of gait and mobility. The resident was dependent on staff for chair-to-bed transfers and had intact cognition as indicated by a Brief Interview for Mental Status (BIMS) score of 15. The care plan for the resident specified the use of a mechanical lift with two staff members for transfers, but this was not adhered to during the incident. Interviews with staff revealed that the CNA was aware of the requirement for two staff members but did not ask for assistance from the day shift staff, who were available at the time. The Director of Nursing (DON) and the Administrator confirmed that the CNA transferred the resident alone, which was against facility policy. The facility was not short-staffed, and the day shift staff were available to assist if requested. The incident was investigated, and it was determined that the failure to have two staff members present during the transfer led to the resident's injury.
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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 Piedmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Presbyterian Home Of Sc - Foothills | 7.8 mi | ★★★★★ | 6 | 0 |
| Powdersville Post-acute | 7.8 mi | ★★★★★ | 0 | 0 |
| West Village Post Acute | 9.7 mi | ★★★★★ | 7 | 0 |
| Magnolia Manor - Greenville | 10.2 mi | ★★★★★ | 0 | 0 |
| Fleetwood Post Acute | 11.1 mi | ★★★★★ | 0 | 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.