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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pruitthealth- Bamberg during CMS and state inspections, most recent first.
Improper food storage and milk temperature control were observed in the facility. A resident refrigerator on the hall contained expired, undated, and spoiled items, including food with visible mold, and the DM and Administrator confirmed the findings. During lunch service, milk placed on a resident tray in a meal cart measured 56.1 degrees F, above the facility’s required 41 degrees F or below for cold foods on the tray line.
Survey results, certifications, complaint investigations, and plans of correction were not readily accessible to residents or family members. Staff and resident council leadership were unsure where the information was posted, resident council minutes did not show it was reviewed, and observations found the wall cabinet labeled for annual survey results empty while public areas had no posted survey information.
A facility failed to accurately code MDS assessments for two residents. One resident’s quarterly MDS did not reflect a feeding tube or intake by an artificial route despite MARs, physician orders, and observation showing continuous enteral feeding via G-tube, and another resident’s admission MDS did not reflect a sacral pressure ulcer over a boney prominence even though wound records showed the ulcer was present on admission and still present later. The MDSC confirmed both coding errors and noted the facility did not have a policy for accurate MDS completion.
A resident with quadriplegia, anxiety, MDD, and epilepsy, who was fully dependent for ADLs and cognitively intact, repeatedly requested transfer to another SNF closer to family. The EMR showed one prior social services note and later care plan meetings where the resident again asked for referrals, but there was no ongoing documentation of referrals or updates from SSD. The resident reported frustration that she was not hearing back, and the SSD confirmed recent communication was mostly verbal with no saved emails or recent progress notes.
Failure to provide ordered finger foods for a resident with CCHO, NAS, and mech soft diet orders. The resident had DM, lack of coordination, and vascular dementia with severe cognitive impairment, and was observed receiving ground meat and pie that were not in a finger-food form, while only the biscuit and dinner roll were eaten with her fingers. The DM stated the resident should have been served sliced bread with the ground meat and a donut instead of pie, and the DM and RD said the facility had no policy for finger foods.
The facility did not provide pharmaceutical services to meet each resident's needs and failed to employ or obtain the services of a licensed pharmacist, as required.
Surveyors identified multiple failures in food safety and sanitation, including staff not wearing required hair coverings, improper stacking of wet kitchen equipment, lack of labeling and dating on opened food items, personal items on food prep surfaces, and improper sanitizing of thermometers between food items. These actions were inconsistent with facility policies and professional standards.
The facility did not ensure that food served to residents was palatable or maintained at a safe and appetizing temperature. Several residents reported that meals were cold, unrecognizable, or unappetizing. Observations confirmed that food temperatures dropped significantly before reaching residents, and test trays were found to be cool and lacking in flavor, despite staff stating that food should be served at higher temperatures.
A resident with impaired cognition and a history of psychiatric conditions was found with an ibuprofen tablet stuck to her gown, despite facility policy requiring staff-administered medications and secure storage. The resident did not recognize the pill, and an LPN confirmed it likely fell from the resident's mouth during administration, indicating staff did not ensure the medication was fully ingested as required.
A resident with severe cognitive impairment and hemiplegia was found to have a femur fracture of unknown origin. The facility did not report the injury to the SSA within the required two-hour window, instead submitting the report nearly 24 hours after discovery due to a misclassification of the incident by the Administrator.
The facility did not ensure accurate MDS assessments for two residents: one was documented as not receiving antipsychotic medication despite daily administration, and another was incorrectly marked as receiving dialysis without any supporting orders or evidence. Errors were acknowledged by staff responsible for MDS completion and review.
Staff and a visitor did not use required PPE, such as gowns and gloves, when entering the room of a resident on contact precautions for a wound infection. Despite signage and facility policy, both staff and a family member entered the room without proper PPE, and the PPE cabinet lacked necessary supplies. The Infection Preventionist had not provided education to the visitor or recent staff training on transmission-based precautions.
Improper Food Storage and Milk Temperature Control
Penalty
Summary
The facility failed to store food properly in one of the resident refrigerators on the 100 hall. During an observation with the Dietary Manager present, the refrigerator contained multiple items that were expired, undated, or spoiled, including shredded cheese with an expired use-by date, margarine spread with an expired use-by date, coffee creamer with an expired use-by date, and several resident-labeled containers of food that were either undated or had visible mold growth. One container dated 02/26/26 held rice, carrots, meat, and potatoes with visible mold growth, and another container held rutabagas with mold growth. The Dietary Manager confirmed the outdated, undated, and spoiled food, and the Administrator also observed and confirmed the same items. The facility policy required resident personal food to be labeled and dated, and required refrigerated foods to be stored in the nursing unit nourishment refrigerators or individual room refrigerators, with opened foods discarded after 48 hours. The Administrator stated housekeeping staff were responsible for checking the food stored in the 100-hall resident refrigerator twice a week and discarding expired, spoiled, or unlabeled food. The Environmental Service Manager stated she was not aware staff were supposed to check the food inside the refrigerator and believed staff only needed to check the internal temperatures of the residents' refrigerators. The facility also failed to serve milk at 41 degrees Fahrenheit or below from the kitchen lunch tray line. During lunch meal observation, milk was not being monitored on the tray line, and cartons of milk had already been placed on resident meal trays in meal delivery carts. When the Dietary Manager later checked a carton of milk intended for a resident's lunch tray, it measured 56.1 degrees Fahrenheit. The Dietary Manager stated milk should be served from the kitchen at 41 degrees Fahrenheit or below, and later explained that only a few residents requested milk at lunch, so cartons were placed on trays in the meal delivery carts rather than being kept on ice on the tray line.
Survey Results Not Posted or Reviewed With Residents
Penalty
Summary
The facility failed to ensure that reports of the most recent Federal or State survey inspection results, certifications, complaint investigations, and any plans of correction from the three preceding years were readily accessible to residents and family members. Review of the past six months of Resident Council meeting minutes showed no documentation that this information was discussed with residents or that residents were told where it was posted for review. Observations of the facility’s public areas, including the front entrance, reception area, nursing stations, activity room, and dining rooms, showed no posted State survey results. A brown box cabinet mounted on the wall by the left side of the 100 nurses’ station was labeled "Annual Survey Results Inside," but it was empty during multiple observations. The Resident Council president stated she did not know where the survey information was posted and said it was not reviewed during resident council meetings. The Activity Director stated she was not sure where the information was and had never reviewed it with residents. The DON stated the survey binder should be in the wall cabinet but found it empty, and the Administrator stated the book should be there and that she had the book in her office, but it could not be located in her office during the interview.
Inaccurate MDS Coding for Feeding Tube and Pressure Ulcer
Penalty
Summary
The facility failed to ensure accurate MDS coding for two residents. For R67, the quarterly MDS with an ARD of 04/10/26 indicated the resident did not have a feeding tube and had not received intake by an artificial route, even though the resident’s MAR from 04/04/26 through 04/10/26 showed continuous enteral feeding at 50 ml per hour via gastrostomy tube each day, the physician orders included enteral feeding via gastrostomy tube at 50 ml per hour, and an observation on 05/27/26 found the resident in bed receiving enteral feeding through a feeding pump and gastrostomy tube. R67’s diagnoses included parkinsonism, dysphagia, and altered mental status. For R77, the admission MDS with an ARD of 05/13/26 indicated the resident did not have a pressure ulcer on a boney prominence, although the facility’s wound management report stated the resident had a sacral pressure ulcer when admitted and that it was still present on 05/27/26. During interview and record review, the MDSC confirmed the assessment was inaccurate because it did not reflect the pressure ulcer over a boney prominence and stated the resident had the sacral pressure ulcer when admitted and when the assessment was completed. The MDSC also stated the facility did not have a policy for the accurate completion of MDS assessments and used the RAI manual for MDS issues.
Lack of Ongoing Social Services Communication and Transfer Documentation
Penalty
Summary
The facility failed to ensure ongoing communication and documentation regarding discharge planning, referrals, and transfer updates for one resident. The resident had diagnoses including quadriplegia C1-C4 complete, anxiety disorder, major depressive disorder, and epilepsy, and required total assistance for all ADLs. The quarterly MDS indicated the resident had a BIMS score of 15 out of 15, participated in MDS and goal setting, and had no active discharge planning already occurring to return to the community. Review of the EMR showed a Social Services progress note stating the resident wanted to transfer to another skilled nursing facility and that Social Services had been made aware that admission there would soon resume, placing the resident on a list of needed transfers with top priority. After that note, the record contained no ongoing documentation of communication, referrals made on the resident's behalf, or Social Services updates to the resident about her wishes to transfer closer to family. Two later care plan conferences documented the resident again asking for referrals to facilities closer to her children and family, but the EMR still did not contain documentation of any referrals or communication from Social Services regarding those requests. During interview, the resident stated she had been trying to get to another facility for three years, had spoken with Social Services many times, and was frustrated that she did not receive updates or hear back about referrals. The Social Services Director stated that placement had not been found, that referrals had been sent to other facilities over the years, but that recent communications were mostly verbal, emails had not been saved, and there were no recent progress notes or documentation. The SSD also confirmed that the resident had asked during the last care plan conference for updates and referrals, and stated, 'Honestly, I have not done anything with that.'
Failure to Provide Ordered Finger Foods
Penalty
Summary
The facility failed to provide food in a form designed to meet the needs of one resident who had a physician order for a controlled carbohydrate, no added salt, mechanical soft diet with special instructions to please send finger foods. The resident had diagnoses including type 2 diabetes mellitus, lack of coordination, and vascular dementia, and the quarterly MDS indicated severe cognitive impairment with a BIMS score of 5 out of 15. The care plan also directed staff to follow the ordered diet and send finger foods. During observation on 05/27/26, the resident was eating lunch in her room without staff present and was served a biscuit that she could eat with her fingers, but the tray also included ground chicken that she did not attempt to eat. During observation on 05/28/26, the resident again ate a dinner roll with her fingers, but was served ground pork that she did not attempt to eat and cherry pie with whipped topping, which she tried to eat with a spoon and spilled onto her hand. The Dietary Manager stated the resident enjoyed sandwiches and should have been served sliced bread with the ground meat so she could eat it as a sandwich, and also stated she should have received a donut instead of the pie so she could pick it up with her fingers. The DM and the Registered Dietitian stated the facility did not have a policy for serving finger foods, although the Diet Manual addressed the issue.
Failure to Provide Required Pharmaceutical Services
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Maintain Food Safety and Sanitation Standards in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food storage, preparation, and service in the kitchen, as evidenced by multiple observations and staff interviews. The Kitchen Manager was observed in the food preparation area without a hair net, contrary to facility policy requiring hair coverings for all dietary staff. Additionally, a drying rack near food preparation contained a sticky substance on several shelves, and plastic totes and bins were stacked while still wet, which the Kitchen Manager acknowledged was improper as items should be allowed to dry freely. Personal items, such as car keys, were found on food preparation tables, further violating sanitary standards. Food labeling and storage procedures were not followed, as an opened gallon of milk was found in a grocery store bag in the cooler without a date, and an opened bag of ready-to-bake cookies in the freezer was not labeled or dated. During food temperature checks, a staff member reused the same sanitizer wipe for multiple food items instead of using a new wipe for each, as required by policy. These deficiencies were confirmed by both the Kitchen Manager and the Registered Dietitian, who stated that proper hygiene, labeling, and sanitizing procedures were not followed during the survey period.
Failure to Serve Palatable and Appropriately Heated Food
Penalty
Summary
The facility failed to ensure that food served to residents was palatable, attractive, and maintained at a safe and appetizing temperature for four of five residents reviewed for food palatability. Multiple residents reported dissatisfaction with the meals, citing issues such as food being too salty, cold, unrecognizable, dry, lacking sufficient gravy, and not being served hot. These concerns were expressed by residents with varying levels of cognitive function, as indicated by their BIMS scores, and were documented during interviews conducted by surveyors. Observations of meal service revealed that while food items on the steam table were initially at appropriate temperatures (ranging from 190 to 200 degrees Fahrenheit), the temperatures of the food on a test tray prepared for residents had dropped to 110 degrees Fahrenheit. The evaluation of the test tray further confirmed that the food was cool to the palate, bland, unseasoned, and in some cases, did not taste as expected. Dietary staff interviewed stated that food should be at least 165 degrees Fahrenheit before serving, indicating a failure to maintain appropriate food temperatures from preparation to service.
Failure to Ensure Safe Medication Administration and Storage
Penalty
Summary
A deficiency occurred when a resident with a history of schizophrenia, dementia, anxiety, depression, delusions, hallucinations, and bipolar disorder was found with a moistened ibuprofen tablet stuck to her gown. The resident had a BIMS score indicating moderately impaired cognition and a care plan noting impaired decision-making due to delusional thought processes. Her self-administration assessment indicated she did not wish to self-administer medications, and all medications were to be administered by staff and kept in the nurses' cart. Despite these precautions, during an observation, the resident was found with a pill on her gown, which she did not recognize. An LPN confirmed the pill was ibuprofen, which matched the medication order and administration record. The LPN stated the pill likely fell out of the resident's mouth during administration by the night nurse. The facility's policy required staff to ensure medications were not left at the bedside unless authorized, and the DON stated nurses should watch residents to ensure all pills are swallowed.
Failure to Timely Report Injury of Unknown Source
Penalty
Summary
The facility failed to report an injury of unknown source to the State Survey Agency (SSA) within the required two-hour timeframe after discovery. Specifically, a resident with vascular dementia, severe cognitive impairment, and hemiplegia was found to have a supracondylar fracture of the femur after complaining of knee pain. The injury was discovered when an x-ray report was received, and the resident was subsequently sent to the emergency department for treatment. The facility's policy requires that such incidents, when involving serious bodily injury and of unknown source, be reported to the SSA within two hours. However, the initial report to the SSA was not submitted until nearly 24 hours after the injury was discovered. The Administrator stated that the delay occurred because she mistakenly believed the incident was a fall, which would have allowed for a longer reporting window, rather than an injury of unknown source. There was no evidence of a witnessed fall or incident, and the resident's care plan and follow-up documentation confirmed the injury was of unknown origin.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) accurately reflected the status of two residents. For one resident with diagnoses including bipolar disorder, traumatic brain injury, mood disorder, depression, and anxiety, the quarterly MDS indicated no use of antipsychotic medications. However, the resident had a physician's order for aripiprazole, an antipsychotic, and received it daily during the MDS lookback period. The Case Mix Director stated she had marked antipsychotic use originally but later changed all MDS assessments to show no antipsychotic use, believing it was inaccurate, and did not see the medication in the resident's list at the time of assessment. For another resident with chronic kidney disease, the quarterly MDS indicated the resident was receiving dialysis, but there was no order or evidence in the medical record that dialysis treatment was provided. The Case Mix Coordinator acknowledged that the resident had never been on dialysis and that the entry was made in error. The Director of Nursing confirmed that each MDS was reviewed for accuracy by the Case Mix Director prior to submission and should reflect an accurate assessment of each resident.
Failure to Ensure Proper PPE Use for Resident on Contact Precautions
Penalty
Summary
Staff and a visitor failed to use proper personal protective equipment (PPE) when entering the room of a resident who was on contact precautions due to a wound infection. Despite a sign on the resident's door indicating the need for gowns and gloves, multiple observations showed that both staff members and a family member entered and remained in the room without donning the required PPE. The PPE cabinet near the resident's room did not contain gowns, and there were no other PPE cabinets in the vicinity. Interviews revealed that the family member was not informed about the need for PPE, and staff admitted to not wearing gowns or gloves while providing direct care, such as bed baths, citing oversight as the reason. The Infection Preventionist confirmed that the resident was on contact precautions and that staff should have been using gowns and gloves, but acknowledged that she had not educated the family member about the precautions and only checked PPE supplies weekly. Additionally, there had been no recent staff training on transmission-based precautions, and the Infection Preventionist was unsure how often such education was provided. Facility policy required PPE for anyone entering the room of a resident on isolation precautions, but this was not consistently followed for the resident with a wound infection.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 17 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bamberg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Oaks Post Acute | 13 mi | ★★★★★ | 8 | 0 |
| Carlyle Senior Care Of Blackville | 14.4 mi | ★★★★★ | 4 | 0 |
| Edisto Post Acute | 15.1 mi | ★★★★★ | 0 | 0 |
| Jolley Acres Healthcare Center | 15.3 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Orangeburg | 16.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Pruitthealth- Bamberg.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.