Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Pocotaligo River Health And Rehab during CMS and state inspections, most recent first.
A resident with multiple comorbidities, moderate cognitive impairment, high fall risk, and a care plan requiring use of a sit‑to‑stand lift for all transfers was instead moved to bed by a CNA using a manual stand‑pivot technique and lifting under the arms. During this transfer, a loud noise was heard, which the CNA attributed to shoe straps, and no immediate pain was reported. By the next morning, the resident reported severe leg and foot pain and stated their foot had been injured during the prior night’s transfer. Assessment showed swelling and tenderness of the left ankle and foot, and imaging confirmed oblique fractures of the distal tibia and fibula, after which the resident was hospitalized and underwent intramedullary rod insertion. The deficiency involves failure to follow the established transfer care plan and use of required lift equipment, resulting in fractures to the resident’s left lower extremity.
Staff failed to perform hand hygiene before handling clean dishes in multiple kitchens, and kitchenware was stored while still wet, contrary to facility policy. These deficiencies had the potential to affect nearly all residents receiving dietary services.
A resident and their representative were not given a written bed hold notice that included the required current per diem rate when the resident was transferred to a hospital. Although the bed hold policy and rate changes were reviewed at admission and mailed to representatives, the specific rate was not included on the notice at the time of transfer, leaving the resident without all necessary information.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
A resident with cognitive impairments was verbally abused by a CNA, who used profanity and yelled during care. The incident was witnessed by an LPN and reported to the DON. The resident reported frequent verbal abuse by the CNA, although no physical bruising was observed. Other residents did not report similar concerns.
The facility failed to ensure accurate labeling and dating of foods and maintaining safe temperatures for cold foods. Observations revealed opened food items without discard dates and cold food items served at unsafe temperatures. Staff interviews indicated a lack of consistent temperature checks once food leaves the kitchen, and the Registered Dietician admitted uncertainty about the functionality of hot plates used to maintain food temperatures.
The facility failed to properly clean a glucometer after use and did not ensure staff used appropriate PPE when handling soiled laundry. A nurse did not disinfect a glucometer after testing a resident's blood sugar, and laundry staff handled soiled linens with gloves but without aprons, contrary to facility policy. Interviews revealed a lack of adherence to infection control protocols.
A facility failed to develop a comprehensive care plan for a resident requiring dialysis, despite the resident's diagnoses of end-stage renal disease and dependency on dialysis. The care plan did not address dialysis treatment, and the issue was exacerbated by a system change that led to the loss of care plan files, causing delays in rewriting them manually.
A resident experienced significant weight loss due to the facility's failure to implement and monitor nutritional interventions. The resident's weight decreased from 156 to 142 pounds, and a prescribed nutritional supplement was discontinued prematurely. Documentation of meal intake was inconsistent, and the Registered Dietitian had not updated the resident's records. The Director of Nursing cited a transition to a new computer system as a reason for documentation errors.
The facility did not complete performance reviews for 4 out of 5 staff members, as required by their policy. The reviews lacked competency type and staff signatures. The DON acknowledged the oversight, attributing it to a busy day.
A facility failed to ensure a resident was free from unnecessary psychotropic medication. The resident was prescribed Seroquel for sleep without a documented diagnosis justifying its use, contrary to facility policy. Interviews revealed inconsistencies in the resident's diagnoses and the rationale for the medication, with the Medical Director admitting an oversight in not conducting a gradual dose reduction. The Administrator confirmed that every medication should have a diagnosis, but could not specify the timeframe for medication reviews upon admission.
Failure to Follow Transfer Care Plan Results in Resident Fractures
Penalty
Summary
The facility failed to ensure a safe transfer for a resident who required staff assistance and use of a sit‑to‑stand lift for functional transfers. The resident had multiple medical conditions including rheumatoid arthritis, osteoarthritis, muscle weakness, repeated falls, unsteadiness of feet, low back pain, radiculopathy, and dementia, and had a BIMS score of 9 indicating moderate cognitive impairment. The resident’s MDS documented dependence on staff for transfers and moving from sitting to standing, and the care plan directed staff to complete functional transfers using a sit‑to‑stand lift due to impaired balance. A fall risk evaluation identified the resident as high risk for falls, and the Kardex and care plan identified the resident as a “lift stand transfer.” Despite these documented needs and interventions, a CNA transferred the resident to bed using a stand‑pivot technique from the wheelchair to the bed instead of using the ordered sit‑to‑stand lift. The resident later reported that during this transfer the staff member lifted them under the arms and around the chest to place them in bed, and that a loud noise occurred at that time, which the resident described as sounding like a gunshot. The CNA reported hearing a noise during the transfer and believed it was the Velcro strap on the resident’s shoes, and the resident did not complain of pain at that time. No documentation in the report indicates that the CNA verified the resident’s transfer status or used the required mechanical lift during this transfer. The next morning, the resident complained of severe left leg and foot pain to an LPN, stating they thought their leg was broken and attributing the injury to the transfer the previous night when their foot hit the side of the bed. Subsequent nursing assessment identified swelling and tenderness of the left ankle and foot. An x‑ray of the left ankle revealed oblique fractures of the distal tibia and fibula with modest displacement and minimal callus formation. The resident was later admitted to the hospital with a diagnosis of closed fracture of the left tibia and fibula and underwent intramedullary rod insertion of the left tibia. The deficiency centers on the failure to follow the resident’s care plan and transfer requirements by not using the sit‑to‑stand lift during the transfer, which was associated with the resident sustaining fractures to the left ankle region.
Failure to Ensure Hand Hygiene and Proper Drying of Kitchenware
Penalty
Summary
Staff in four out of five facility kitchens failed to perform adequate hand hygiene while washing dishes, as observed during multiple instances. Dietary aides were seen moving from handling dirty dishes to removing clean dishes from the dishwasher without washing their hands. This was confirmed by both direct observation and staff interviews, where dietary aides acknowledged not performing hand hygiene before touching clean dishes. Facility policy required staff to wash hands before handling clean dishes, a requirement confirmed by both the Dietary Manager and Dietary Manager Assistant. Additionally, in the main kitchen, metal pans and plastic lids were observed to be stored while still wet, with water standing on them, indicating they were not thoroughly air-dried prior to storage. Both the Dietary Manager and Dietary Manager Assistant confirmed that all dishes were expected to be dry before being placed on storage shelves, and that there should be a designated area for items needing additional air-drying. These failures had the potential to affect 74 of 77 residents receiving dietary services.
Failure to Provide Complete Bed Hold Notice Including Current Per Diem Rate
Penalty
Summary
The facility failed to provide a resident or their representative with a written notice specifying the duration of the bed hold policy and the current rate for the reserve bed payment at the time of the resident's transfer to a hospital. Record review showed that the "Bed Hold Notice" given to the resident did not include the basic per diem rate, which is necessary information for decision-making regarding bed hold during a hospital stay. The facility's policy requires that written information about bed hold practices, including reserve bed payment, be provided to all residents and/or their representatives both in advance and at the time of transfer. Interviews with facility staff confirmed that the Social Services Director was responsible for completing the "Bed Hold Notice" forms and acknowledged that the basic per diem rate was omitted from the notice provided to the resident. Although the bed hold rates were reviewed with residents and representatives at admission and rate increases were mailed to representatives, this information was not included on the "Bed Hold Notice" at the time of the resident's transfer. The omission left the resident without all necessary information regarding the bed hold policy and associated costs.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence or inadequacy of a comprehensive infection prevention and control program, but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Verbal Abuse Incident Involving CNA and Resident
Penalty
Summary
The facility failed to protect a resident, identified as R1, from verbal abuse by a Certified Nursing Assistant (CNA). The incident involved the CNA using profanity and yelling at R1 during care, which was witnessed by a Licensed Practical Nurse (LPN). The facility's policy on abuse clearly states that residents have the right to be free from all types of abuse, including verbal abuse, which is defined as the use of language that includes disparaging and derogatory terms. Despite this policy, the CNA was reported to have used abusive language towards R1, which was corroborated by multiple staff members. R1, who was admitted to the facility with diagnoses including dementia, anxiety disorder, and mild intellectual disabilities, was moderately cognitively impaired but able to understand and respond to verbal communication. During the incident, R1 was in a wheelchair and became upset, prompting the LPN to call for assistance. The CNA, who was known to be loud and rough, was reported to have yelled and cursed at R1, causing further distress. The LPN attempted to calm R1 and later reported the incident to the Director of Nursing (DON). Interviews with other staff members, including another LPN who overheard the incident over the phone, confirmed the CNA's inappropriate behavior. R1 also reported that the CNA frequently cursed at her, although no physical bruising was observed by the surveyor. Other residents on the same hall did not report any concerns of abuse, indicating that the issue may have been isolated to the interaction between the CNA and R1.
Deficiencies in Food Labeling and Temperature Control
Penalty
Summary
The facility failed to ensure accurate labeling and dating of foods, as well as maintaining safe temperatures for cold foods. During an observation in the kitchen, it was noted that several food items in the walk-in cooler, such as romaine lettuce and cucumbers, were opened and labeled with an open date but lacked a discard date. This is contrary to the facility's policy, which requires all ready-to-eat, potentially hazardous foods to be re-dated with a use-by date according to safe food storage guidelines. The Registered Dietician confirmed that staff are trained on proper procedures for receiving, labeling, rotating, and discarding items. Additionally, during a temperature check of cold items being served for lunch, several food items, including beets, chicken salad, and salads, were found to be at temperatures above the safe range. It was also discovered that food temperatures were not recorded prior to service for various wings of the facility. Interviews with the Dietary Aide and Homemaker revealed that when food temperatures are not in range, the procedure is to notify the manager or Registered Dietician for further instructions. However, it was noted that foods are not checked for temperature once they leave the kitchen and are brought to satellite kitchens, and the Registered Dietician admitted that they do not verify if the hot plates used to maintain temperatures are functioning properly.
Infection Control Deficiencies in Glucometer Use and Laundry Handling
Penalty
Summary
The facility failed to ensure the proper cleaning and disinfection of a glucometer during a medication pass observation. A registered nurse used an Assure Platinum glucometer to test a resident's blood sugar but did not clean or disinfect the device after use, contrary to the facility's policy and manufacturer recommendations. The nurse stated that the glucometer was not typically wiped since each resident had their own, indicating a misunderstanding or disregard for the infection control protocol. Additionally, the facility did not ensure that staff used appropriate personal protective equipment (PPE) when handling soiled laundry. Observations revealed that a laundry aide and the laundry supervisor handled soiled linens with gloves but without aprons or other necessary PPE. The laundry supervisor admitted that aprons were only worn during infection control outbreaks, which contradicts the facility's policy requiring PPE to prevent the spread of infection. Interviews with the Director of Nursing and the Infection Preventionist highlighted the expectation that staff should wear PPE at all times when handling soiled linens to prevent exposure to blood and body fluids. The facility's failure to adhere to these protocols was evident in the observed practices, which did not align with the stated policies and procedures for infection prevention and control.
Failure to Develop Comprehensive Care Plan for Dialysis
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident, identified as R79, who required dialysis treatment. Despite the facility's policy mandating the creation of a person-centered care plan with measurable objectives and timeframes, the care plan for R79 did not address dialysis treatment and care. This oversight was discovered during a review of R79's comprehensive care plan, which lacked any mention of dialysis, despite the resident's diagnoses of end-stage renal disease, diabetes insipidus, diabetes mellitus, diabetic chronic kidney disease, acute kidney failure, and dependency on renal dialysis. The deficiency was further compounded by a change in the facility's computer systems on July 1, 2024, which led to the loss of care plan files. The Care Plan Coordinator admitted that the care plans were converted to PDF files but could not be located after the system change. As a result, the care plans were being manually rewritten, causing delays. The Administrator confirmed that all care plans were printed before the system change, with the intention of updating them as they became due, but the care plan for R79 was not updated to include dialysis treatment.
Failure to Maintain Nutritional Status of Resident
Penalty
Summary
The facility failed to ensure that interventions were in place to maintain the nutritional status of a resident, identified as R79, who experienced significant weight loss. Upon admission, R79 weighed 156 pounds, but over the course of several weeks, the resident's weight decreased to 142 pounds. Despite this weight loss, no interventions were implemented to prevent further decline. The facility's policy on weight monitoring emphasizes the importance of maintaining acceptable nutritional parameters and outlines a systemic approach to optimize nutritional status, which includes identifying risk factors, implementing interventions, and monitoring their effectiveness. However, these steps were not adequately followed for R79. The resident was prescribed a nutritional supplement, Nepro with Carb Steady, to be administered three times daily, but the supplement was discontinued prematurely on 07/18/24, and not reordered until 07/24/24, after further weight loss was noted. Additionally, there was a lack of documentation regarding the resident's meal intake on several days, and the Registered Dietitian had not made any notes in the medical record since 06/17/24. The Director of Nursing attributed some of these issues to a transition to a new computer system, which resulted in documentation errors, including the omission of the supplement administration.
Incomplete Performance Reviews for Staff Members
Penalty
Summary
The facility failed to provide completed performance reviews for 4 out of 5 staff members reviewed for employee performance. According to the facility's policy titled 'Competency Evaluation,' each employee is to be evaluated to ensure appropriate competencies and skills for their job and to meet the needs of facility residents. These competency forms are supposed to be maintained in the Staff Development Coordinator's office and then forwarded to the Human Resource Director for inclusion in the employee's personnel file. However, a review of 5 employee personnel files revealed that current performance reviews were missing for 4 of the staff members. Additionally, the Nurse Aide Competency Performance Reviews for these staff members lacked the competency type and the staff member's signature. During an interview, the Director of Nursing (DON) mentioned that the performance reviews would be brought shortly and explained that competencies are assessed based on patient acuity by unit managers, the Assistant Director of Nursing (ADON), and the DON. In a follow-up interview, the DON admitted to not knowing why the evaluations were unsigned, suggesting it was an oversight due to a busy day.
Failure to Ensure Resident Free from Unnecessary Psychotropic Medication
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary psychotropic medication. The resident, identified as R22, was admitted with diagnoses including orthopedic aftercare, Parkinsonism, and chronic obstructive pulmonary disease. However, there was no documented diagnosis justifying the use of Seroquel, an antipsychotic medication, which was prescribed for sleep. The facility's policy requires that psychotropic drugs are only given when necessary to treat a specific condition, and the medication's benefits must be documented. Despite this, R22's care plan did not include any diagnoses that required antipsychotic medication or a plan to monitor adverse effects. Interviews with the Medical Director (MD) and Registered Nurse (RN) revealed inconsistencies in the resident's diagnoses and the rationale for the medication. The MD admitted that the resident did not have a true diagnosis of dementia, which was initially used to justify the medication, and acknowledged an oversight in not conducting a gradual dose reduction. The RN also noted that the resident was taking Seroquel for behaviors, despite the absence of a documented diagnosis of dementia. The Administrator confirmed that every medication should have a diagnosis and that pharmacy conducts monthly drug reviews, but could not specify the exact timeframe for medication reviews upon admission.
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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 Manning
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Marion Nursing Facility | 12.4 mi | ★★★★★ | 1 | 0 |
| Oak Hollow Of Sumter Rehabilitation Center | 13.1 mi | ★★★★★ | 7 | 0 |
| Sumter East Health & Rehabilitation Center | 15.2 mi | ★★★★★ | 10 | 0 |
| Nhc Healthcare - Sumter | 15.9 mi | ★★★★★ | 1 | 0 |
| Carlyle Senior Care Of Kingstree | 23.9 mi | ★★★★★ | 7 | 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.