Average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Presbyterian Home Of South Carolina-columbia during CMS and state inspections, most recent first.
Surveyors observed that food items in the main kitchen, including an opened bag of lobster and a bag of gluten multigrain sandwich bread, were not properly labeled or were past the required date, in violation of facility policy. Staff interviews confirmed that all food items should be labeled and expired or unlabeled items discarded, but these procedures were not followed.
A registered nurse failed to correctly prime an insulin pen before administering insulin to a resident with elevated blood glucose, as required by facility policy and manufacturer instructions. The nurse did not remove the needle cap or confirm insulin flow during priming, leading to a significant medication error.
Surveyors observed expired Lubricating Jelly and Prostat AWC stored with in-use medications and biologicals in a treatment cart and a medication cart. An LPN and an RN confirmed the expired status of these items, which were not removed from storage as required by facility policy.
The facility failed to transmit OBRA assessments for three residents within the required 14-day period. The MDS coordinator admitted responsibility for the delay, and the DON emphasized the importance of following regulatory guidelines for MDS data submission.
A resident with Alzheimer's and major depressive disorder was administered Risperidone without an appropriate clinical rationale. The facility's policy requires psychotropic medications to be prescribed for a diagnosed condition, but the resident's Medication Administration Record listed an inappropriate diagnosis of dementia with behavioral disturbances. Despite recommendations to update the diagnosis, the medication continued to be administered without proper justification, highlighting a deficiency in medication management practices.
Failure to Properly Label and Store Food Items in Kitchen
Penalty
Summary
The facility failed to ensure proper storage and labeling of food items in the main kitchen, as required by its own policy. During an observation of the kitchen, surveyors found an opened bag of lobster wrapped in cellophane that was unlabeled, and an opened bag of gluten multigrain sandwich bread that was labeled with a date several months prior. The facility's policy mandates that all food items must be labeled with the name of the food and the date by which it should be sold, consumed, or discarded, and that expired or unlabeled food must be discarded immediately. Interviews with the Certified Dietary Manager (CDM), Executive Chef, and Lead staff confirmed that it is the responsibility of all kitchen staff to ensure food items are properly labeled, rotated, and discarded according to policy. The Executive Chef and Lead staff both stated that labeling and rotation are checked daily, and that any expired or unlabeled items must be discarded immediately. Despite these procedures, the observation revealed noncompliance with the facility's food storage and labeling policy.
Failure to Properly Prime Insulin Pen Results in Medication Error
Penalty
Summary
A deficiency occurred when a registered nurse (RN) failed to properly prime an insulin pen before administering insulin to a resident. According to the facility's policy and the manufacturer's recommendations, insulin pens must be primed prior to each use by dialing a set number of units, removing the needle cap, and ensuring that at least one drop of insulin appears at the needle tip. During observation, the RN dialed the priming dose but left the needle cap on and held the pen horizontally, pressing the injection button without confirming that insulin appeared at the needle tip. The RN then proceeded to administer the prescribed insulin dose to the resident without verifying proper priming. The resident involved required 2 units of insulin due to a blood glucose level of 218. The RN confirmed during an interview that she was not in-serviced or checked off by the facility on the correct procedure for priming insulin pens and stated she followed the method taught in nursing school. The failure to follow established policy and manufacturer instructions resulted in a significant medication error, as the insulin pen was not properly primed prior to administration.
Expired Medications and Biologicals Found in Medication and Treatment Carts
Penalty
Summary
Surveyors found that the facility failed to ensure expired biologicals and medications were removed from storage and not stored with other medications and biologicals in use. During an observation of a treatment cart, three packets of Lubricating Jelly were found to be expired, which was confirmed by an LPN. In a separate observation of a medication cart, a bottle of Prostat AWC was found to be expired and stuck to the bottom of the storage bin due to dried spillage, which was confirmed by an RN. Both expired items were stored alongside medications and biologicals currently in use, contrary to facility policy and accepted professional principles.
Failure to Transmit MDS Assessments Timely
Penalty
Summary
The facility failed to ensure timely transmission of Omnibus Budget Reconciliation Act (OBRA) assessments for three residents, identified as R267, R268, and R269. According to the Resident Assessment Instrument (RAI) 3.0 manual, all Minimum Data Set (MDS) assessments must be submitted within 14 days of the MDS Completion Date. However, a review of the MDS 3.0 NH Final Validation Report revealed that the submissions for these residents were made more than 14 days after the completion date. During an interview, the MDS coordinator acknowledged her responsibility for transmitting the MDS and admitted to not submitting the data in a timely manner. The Director of Nursing (DON) expressed that it is her expectation for the MDS coordinator to adhere to regulatory guidelines concerning the submission of MDS data.
Inappropriate Use of Antipsychotic Medication Without Clinical Rationale
Penalty
Summary
The facility failed to provide an appropriate clinical rationale for the use of antipsychotic medication for a resident diagnosed with Alzheimer's Disease, major depressive disorder with psychotic symptoms, and dementia with behaviors. The resident was admitted to the facility with an order for Risperidone, an antipsychotic medication, which was administered routinely despite the resident showing no behaviors during the assessment period. The facility's policy requires that psychotropic medications be prescribed for a diagnosed condition and not for convenience or discipline, and that non-drug approaches be attempted prior to their use. The resident's Medication Administration Record (MAR) indicated that Risperidone was administered daily from March to May, with the diagnosis listed as dementia with behavioral disturbances. However, the Consultant Pharmacist flagged the medication order due to an inappropriate diagnosis and recommended updating it to major depressive disorder with psychotic symptoms. Despite this recommendation, the Director of Nursing did not provide comments or take action to update the diagnosis, and the medication continued to be administered without a proper clinical rationale. Interviews with the Physician Assistant and Consultant Pharmacist revealed that the resident was prescribed Risperidone during a previous hospital stay for psychotic features related to major depressive disorder. The Consultant Pharmacist admitted to being unaware that dementia with behaviors is not an appropriate diagnosis for Risperidone and did not have a clinical rationale for the resident's continued use of the medication. This lack of appropriate diagnosis and clinical rationale for the use of Risperidone constitutes a deficiency in the facility's medication management practices.
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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 Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare - Lexington | 1.1 mi | ★★★★★ | 1 | 0 |
| Millennium Post Acute Rehabilitation | 1.9 mi | ★★★★★ | 9 | 0 |
| St Andrews Operator, Llc | 2.1 mi | ★★★★★ | 0 | 0 |
| Opus Post Acute Rehabilitation | 2.5 mi | ★★★★★ | 1 | 0 |
| Still Hopes Episcopal Retirement Community | 4.8 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.