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 Powdersville Post-acute during CMS and state inspections, most recent first.
Surveyors found widespread failures in food storage, labeling, and sanitary meal service. In the kitchen’s dry storage, coolers, and freezer, numerous food items were observed without required labels or use-by dates, with unclear or missing prep/open dates, improperly sealed packaging, visible debris, and in one case visible mold on bread. Prepared and ready-to-eat foods, including meats, salads, vegetables, and desserts, were stored without proper dating or labeling, and some frozen items showed ice accumulation and unclear dating. A staff member temping food reused the same alcohol wipe multiple times, and desserts on serving carts were held at 63°F. During meal service, a CNA dropped a milk carton on the floor and still served it to a resident with DM, Parkinson’s disease, recent aspiration pneumonia, and malnutrition risk, after also returning a water pitcher to the overbed table after it fell. Interviews with CNAs, the DON, dietary leadership, and the administrator confirmed that facility expectations and staff knowledge required proper labeling, dating, sealing, and discarding of food, and that items dropped on the floor should not be used, but these practices were not followed in the observed incidents.
The facility failed to maintain cold foods at safe temperatures during a lunch service, with several items found above the required 41 degrees Fahrenheit. Staff interviews revealed that frequent opening of the refrigerator and freezer during a delivery contributed to the issue, and there was a lack of proper temperature checks before serving.
The facility failed to properly store food in its main kitchen, with moldy cucumbers, mislabeled and unsealed canned peaches, and unidentified, unlabeled food items in the refrigerator. Additionally, opened bags of gravy mix and sugar were found in unsealed Ziploc bags in the kitchen cabinets. These issues were confirmed by the Food Service Director.
The facility did not remove expired medications and biologicals from storage, as observed in a medication room and two treatment carts. Expired items included Medline Suture Removal Trays, Influenza Vaccine Flucelvax, Medline Evencare G2 Glucose Control Solutions, and Acetaminophen suppositories. LPNs verified and discarded the expired items during the survey.
A resident with severe mental illness diagnoses, including schizophrenia and bipolar disorder, was not referred for a PASARR Level II evaluation as required by facility policy. The resident's PASARR Level I indicated the need for further evaluation, but miscommunication and lack of understanding among staff led to a delay in the referral process.
A facility failed to complete a Baseline Care Plan for a resident within 48 hours of admission, as required by policy. The plan was overdue by 21 days and did not include the resident's need for continuous oxygen therapy, despite physician orders. Observations showed the resident was not receiving oxygen, and interviews revealed a lack of policy familiarity among staff.
A resident at risk for falls due to multiple medical conditions did not have the prescribed Dycem under their wheelchair cushion, as outlined in their care plan. Despite a fall incident and subsequent care plan update, observations revealed the Dycem was missing, and staff interviews confirmed the intervention was not implemented.
A resident with multiple health issues received improper wound care when a Wound Nurse failed to change gloves and clean contaminated items during a dressing change. The nurse did not follow infection control protocols, such as using bleach wipes for cleaning and ensuring sterility of supplies, as confirmed by the DON.
A facility failed to manage and notify the physician of a resident's feeding tube complications. The resident, with complex medical conditions, had her feeding tube disconnected, and the feeding was started late and stopped early due to stomach pain. The nurse did not inform the physician about the late feeding, high blood sugar levels, or the resident's pain, despite the resident's history of abdominal surgeries. The NP and DON confirmed the need for physician notification in such cases.
The facility failed to follow physician orders for oxygen therapy for two residents. One resident, with multiple diagnoses, had an order for oxygen every shift, but observations showed the oxygen concentrator was not in use. Another resident, with respiratory failure and COPD, had an order for continuous oxygen, yet was not receiving it. Staff interviews confirmed the oversight, with the DON noting unclear orders and the NP expecting continuous monitoring.
Improper Food Storage, Labeling, and Unsanitary Meal Service Practices
Penalty
Summary
The deficiency involves the facility’s failure to store, label, date, and discard food in accordance with its own policies and professional standards, as well as a failure to maintain sanitary practices during food service. The facility’s policies on labeling and dating, dry food storage, and cold food storage require that all foods be labeled with item name, date of preparation/opening/removal from freezer, and a use-by date, and that foods be properly sealed, wrapped, and stored to prevent contamination. Surveyors observed numerous dry storage items without required use-by dates, with unclear or missing prep/open dates, and with visible debris. Examples included large containers of peanut butter, pudding and pie filling mixes, icing, cornmeal, pasta, and rice that were either missing use-by dates, missing content labels, or not properly sealed. A wooden rat trap was also observed in the dry food storage area at the base of the water heater. In the coolers and walk-in refrigerator, surveyors found multiple items that were not labeled, not sealed, or not dated according to policy. Items included chopped garlic, beef base, pimento spread, sweet pickle relish, mayonnaise, tomato soup, egg salad, peaches, lima beans, and other prepared foods with missing or unclear open/prep dates and/or missing use-by dates. Some containers were unlabeled, and some items, such as hot dog buns, were not sealed. Prepared foods such as chicken salad, omelets, and various meats and vegetables had prep dates but no use-by dates, or had unclear dating. In the reach-in cooler, milk and eggs were present with manufacturer dates that had passed or were not clearly addressed. In the walk-in freezer, surveyors observed opened and repackaged frozen items such as fish, Italian sausage, riblets, hashbrowns, peppers, coffee cake, and pepperoni with unclear or missing use-by dates, ice particles on some items, and a container full of debris. Bread products on a rack near the reach-in cooler included items with visible mold (a hot dog bun with fuzzy green substance) and multiple bread items with older dates and no use-by dates. The deficiency also includes unsanitary practices during food preparation and meal service. During kitchen observation, a staff member temping food for lunch service used the same alcohol wipe four times before discarding it. Dessert bowls with parfaits were observed on serving carts at 63°F. During a dining observation, a CNA delivering a lunch tray to a resident with significant medical issues—including infection of an amputation stump, osteomyelitis of the right ankle and foot, type 2 DM with hyperglycemia, Parkinson’s disease, recent aspiration pneumonia, and risk for malnutrition—knocked over the resident’s water pitcher, picked it up, and placed it back on the overbed table. When the resident refused the lunch tray and requested a peanut butter sandwich and milk, the CNA dropped the milk carton on the floor, picked it up, and proceeded to give it to the resident, who was observed drinking from it with a straw. A second CNA later brought a replacement milk carton. Multiple staff interviews, including with CNAs, the DON, the Dietary Manager, the District Dietary Manager, the dietitian, and the Administrator, confirmed that facility expectations and staff understanding were that items dropped on the floor should not be used and that food items should be properly labeled, dated, sealed, and discarded per time limits, but these expectations were not followed in the observed instances. Interviews further clarified that the Dietary Manager, who had completed coursework but not yet taken the certification exam, expected food in storage to be labeled with open and expiration dates, with cooked foods used within three days and open containers in coolers used within seven days. The District Dietary Manager stated that frozen items could be kept 30–60 days after opening, cooked items for three days, and prepared items for seven days unless frozen, and that all items should be properly sealed and labeled. The dietitian reported that she conducted kitchen walkthroughs to check storage areas and remove inappropriate items. CNAs and the DON described proper hand hygiene and tray service procedures, including discarding any item that falls on the floor and sanitizing hands between trays. Despite these stated expectations, the Administrator acknowledged there was no written policy on using items that fall on the floor and personally did not see an issue with a resident consuming a dropped milk carton, indicating that the resident drank the milk through a straw and that he did not view this as problematic. These observations and statements collectively demonstrate failures in food storage, labeling, dating, and sanitary serving practices that did not comply with facility policy and professional standards.
Cold Food Temperature Deficiency
Penalty
Summary
The facility failed to maintain cold foods at a safe temperature, as observed during a lunch service. The facility's policy requires cold foods to be held at temperatures less than 41 degrees Fahrenheit. However, during an observation, several cold food items, including green bean salad, potato salad, salad, and Caesar salad, were found to be at temperatures significantly higher than the safe limit, ranging from 53 to 84.7 degrees Fahrenheit. Additionally, an egg salad sandwich was not initially checked for temperature, and when it was eventually checked, it was found to be above the safe temperature at 43.2 degrees Fahrenheit. Interviews with the facility staff revealed that the refrigerator and freezer did not recover from a truck delivery due to frequent opening and closing, which contributed to the temperature issues. The Food Service Director acknowledged that cold foods should be temped before being placed on trays, and Cook1 admitted to assuming the food was at a safe temperature without verifying. The Administrator confirmed the importance of maintaining appropriate temperatures to prevent bacterial growth.
Improper Food Storage in Main Kitchen
Penalty
Summary
The facility failed to properly store food in its main kitchen, as evidenced by several observations. During an inspection, a case of cucumbers was found covered with a grayish/white fuzzy substance, resembling mold, in the refrigerator. Additionally, a six-pound can of peaches was mislabeled as pears and was not properly sealed. In a standalone refrigerator, there were unidentified food items wrapped in aluminum foil that were neither labeled nor dated. Furthermore, in the kitchen cabinets, an opened bag of gravy mix and an opened bag of sugar were found in their original packages placed in unsealed Ziploc bags. These observations were confirmed by the Food Service Director during an interview, who acknowledged the concerns with food storage.
Expired Medications and Biologicals Not Removed
Penalty
Summary
The facility failed to ensure the removal and disposal of expired medications and biologicals from storage areas, as observed in one medication room and two treatment carts. The facility's policy, revised in November 2020, mandates that all drugs and biologicals be stored safely and securely, with discontinued, outdated, or deteriorated items returned to the dispensing pharmacy or destroyed. During an observation, expired items such as Medline Suture Removal Trays and Influenza Vaccine Flucelvax were found in the medication room. Additionally, expired Medline Evencare G2 Glucose Control Solutions and Acetaminophen suppositories were discovered on the 100 Hall and 300 Hall Medication Carts, respectively. Licensed Practical Nurses verified the expired items and discarded them during the survey.
Failure to Refer Resident for PASARR Level II Evaluation
Penalty
Summary
The facility failed to refer a resident for a Preadmission Screening and Resident Review (PASARR) Level II after the resident received a new diagnosis of a severe mental illness. The facility's policy requires that if a Level I screen indicates a possible mental disorder, the resident should be referred to the state PASRR representative for a Level II evaluation. However, this process was not followed for one resident who had been diagnosed with schizophrenia, bipolar disorder, and PTSD, among other conditions. The resident's PASARR Level I indicated the need for further evaluation, but this was not completed in a timely manner. Interviews with facility staff revealed a lack of understanding and communication regarding the PASARR process. The Social Services Director was unsure about involving the Department of Health and Human Services for a Level II screening, and the Director of Nursing was not familiar with the PASARR process, indicating that it was the responsibility of the Social Worker. The Administrator also expressed uncertainty about the PASARR process, leading to a delay in the necessary referral for the resident's Level II evaluation.
Failure to Complete Timely Baseline Care Plan and Address Oxygen Therapy Needs
Penalty
Summary
The facility failed to complete a Baseline Care Plan for a resident, identified as R309, within the required 48-hour timeframe following admission. The facility's policy mandates that a person-centered baseline care plan be developed within 48 hours to address the resident's immediate needs. However, the Baseline Care Plan for R309 was marked as 'In progress' and was overdue by 21 days. Additionally, the care plan did not include the resident's need for oxygen therapy, despite physician orders indicating continuous oxygen at 4 liters via nasal cannula for acute hypoxemic respiratory failure and chronic heart failure. Observations and interviews further highlighted the deficiency. During an observation, R309 was not receiving the prescribed oxygen therapy, as the oxygen machine was stored away from the resident. An interview with the Director of Nursing revealed a lack of familiarity with the policy, and the MDS Coordinator, responsible for completing the Baseline Care Plan, was unavailable for comment. These actions and inactions contributed to the failure to meet the resident's immediate care needs as required by the facility's policy.
Failure to Implement Fall Prevention Measures for Resident
Penalty
Summary
The facility failed to implement interventions outlined in the care plan for a resident identified as R31, who was at risk for falls due to multiple medical conditions including epilepsy, heart disease, and bilateral above-knee amputations. The care plan, dated October 13, 2023, included an intervention to add Dycem under the resident's wheelchair cushion to prevent slipping, which was added after a fall incident on June 24, 2024. However, observations on July 24 and 25, 2024, revealed that the Dycem was not present under the wheelchair cushion, and the resident reported it had been missing for three weeks. Interviews with staff, including a CNA and the Director of Nurses, confirmed that the Dycem was not in place as recommended post-fall. The CNA stated that they did not add anything to the wheelchair cushion unless requested by the resident, and the Maintenance Director indicated that modifications to wheelchair cushions were not part of their responsibilities. The Director of Nurses acknowledged that the Dycem should have been implemented as part of the resident's care plan.
Infection Control Lapses During Wound Care
Penalty
Summary
The facility failed to adhere to proper infection control practices during the wound care of a resident with pressure ulcers. The resident, who was admitted with multiple diagnoses including collapsed vertebra, paraplegia, and chronic kidney disease, was observed during a sacral wound dressing change. The Wound Nurse did not change gloves after removing the soiled dressing and proceeded to pour Dakin's solution directly onto gauze without maintaining sterility. Additionally, the nurse used an alcohol prep pad to clean scissors instead of the recommended bleach or sani wipes. After completing the dressing change, the Wound Nurse placed contaminated items such as the Dakin's solution, wound cleanser, and calcium alginate back into the treatment cart without cleaning them. The Director of Nurses confirmed that the nurse should have washed her hands after removing the soiled dressing and should not have placed items directly onto the overbed table. The failure to follow proper procedures was acknowledged by the Wound Nurse during an interview, highlighting lapses in infection control practices.
Failure to Notify Physician of Feeding Tube Complications
Penalty
Summary
The facility failed to manage and notify the physician of a resident's complications related to a feeding tube. The resident, who was admitted with multiple complex diagnoses including malignant neoplasm of the nasal cavity, dysphagia, and gastrostomy, was observed with her gastrostomy tube disconnected and the feeding pole across the room. The feeding bottle, which was supposed to be administered from 8:00 PM to 8:00 AM, was hung late at 10:00 PM, and the feeding was turned off early due to the resident's complaint of stomach pain. The nurse did not notify the physician about the late feeding start, the resident's high blood sugar levels, or the stomach pain. Interviews with the nursing staff revealed that the feeding was hung late due to the resident returning late from a pass, and the nurse decided to administer insulin before starting the feeding. However, the nurse did not document the rechecked blood sugar levels or inform the physician about the resident's condition. The Nurse Practitioner expressed the need to be informed about any changes in the feeding schedule or the resident's high blood sugar levels, as well as any stomach pain, due to the resident's history of multiple abdominal surgeries. The Director of Nurses confirmed that the physician should have been notified of these issues, especially given the resident's complex medical condition.
Failure to Follow Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to adhere to physician orders for oxygen therapy for two residents, R5 and R309, as observed during a survey. R5 was admitted with multiple diagnoses, including cerebral infarction and peripheral vascular disease, and had a physician's order for oxygen at 2 liters per minute via nasal cannula every shift. However, observations on multiple occasions revealed that R5's oxygen concentrator was not plugged in or turned on. Interviews with staff, including an LPN and the Director of Nursing (DON), confirmed the oversight, with the DON noting that the order was unclear and should have indicated continuous oxygen use. Similarly, R309, who was admitted with acute and chronic respiratory failure, COPD, and other conditions, had a physician's order for continuous oxygen at 4 liters via nasal cannula. Despite this, observations showed that R309 was not receiving oxygen, with the oxygen machine stored away from the resident. Interviews with the resident, the Nurse Practitioner (NP), and the DON revealed that the oxygen was not being administered as ordered, with the DON acknowledging that the order should have been discontinued due to the resident's physical therapy activities. The report highlights the facility's failure to follow physician orders for oxygen therapy, as evidenced by the lack of continuous oxygen administration for both residents. The staff interviews and observations indicate a lack of clarity and adherence to the prescribed oxygen therapy, leading to deficiencies in the care provided to R5 and R309.
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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 Easley
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 | 0.1 mi | ★★★★★ | 6 | 0 |
| Fleetwood Post Acute | 3.5 mi | ★★★★★ | 0 | 0 |
| West Village Post Acute | 6.5 mi | ★★★★★ | 7 | 0 |
| Piedmont Post-acute | 7.8 mi | ★★★★★ | 7 | 0 |
| Magnolia Manor - Greenville | 8.1 mi | ★★★★★ | 0 | 0 |
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