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 Retreat At Wellmore Of Daniel Island during CMS and state inspections, most recent first.
Surveyors found unsafe food storage and handling practices in the main kitchen and satellite kitchenettes, including opened and undated foods, improper cold storage, gnats in dry storage, poor hair restraint use, and food served at improper temperatures. Staff also failed to accurately monitor and document dishwasher PPM, and multiple dishwashers were observed below required sanitizer levels, including the main kitchen and four kitchenette machines.
An LPN, assisted by another LPN, administered IV ceftriaxone through a resident’s PICC line in the common area without PPE and without orders for the Heparin and NS flushes that were given first. The resident had septicemia and bacteremia and was on enhanced barrier precautions. The DON stated the standing SASH orders were not in the EMR at the time, and the LPN who gave the medication said he had never administered an IV drug through a PICC line and had not been trained on IV drug administration.
A resident with stroke history, dementia, and dysphagia was ordered a mechanical soft, ground-meat diet with nectar-thick liquids, but two observed lunch trays did not match the prescribed texture. One tray contained an intact fish filet instead of ground fish, and another tray was served as a mixed pile with missing side items rather than the ordered components. Staff interviews confirmed the meals were not served as listed on the ticket.
Privacy was not maintained when an LPN and another LPN administered IV meds through a resident’s PICC line while the resident was seated in a common area. The resident had septicemia and bacteremia and was on EBP. Neither LPN was observed wearing PPE, both touched the resident, and staff and a visitor passed by and looked into the area during the medication pass; the LPN later confirmed privacy had not been provided.
Medication administration was not done pursuant to physician orders for one resident, and the facility’s medication error rate was 8 percent. An LPN and another LPN administered Heparin flush, Normal Saline, and Rocephin through a PICC line in a common area while not wearing PPE, even though only the Rocephin order was in the EMR at the time. Staff later stated the standing SASH orders were not entered into the EMR when the medications were given.
A facility failed to ensure medications were properly stored in 1 of 4 treatment carts. An opened container of Normal Saline 0.9% was found in a treatment cart with a facility date showing it had been opened several days earlier, even though the manufacturer labeled it as do not reuse and sterile in unopened package. An LPN inspected the container and stated it should have been discarded after use rather than returned to the cart.
A resident with septicemia and bacteremia was on EBP and had meds administered through a PICC line while sitting in a common area. Two LPNs gave Heparin Lock Flush, NS, and ceftriaxone without PPE and both touched the resident during the procedure. One LPN said he had not given IV meds through a PICC before, and the DON said the assisting agency LPN had no known training in IV med administration.
A resident with cognitive impairment and a known risk for wandering successfully exited the facility unsupervised after staff failed to respond to the Roam Alert system due to not wearing pagers while on break. The resident was found outside by a passerby and returned to the facility without injury. The incident was attributed to staff inattention and non-compliance with established monitoring protocols.
Surveyors identified that dietary staff failed to properly label, date, and store multiple food items in the kitchen, refrigerator, freezer, and dry storage areas. Items were found unlabeled, undated, not properly covered, or past their use-by dates, and these issues were confirmed by the Director of Diet and Executive Chef. Staff interviews revealed a lack of awareness and adherence to facility policy regarding food storage and labeling.
Two out of four satellite kitchens were found to have deficiencies in hand hygiene and food temperature control. Staff did not consistently wash hands with soap when unavailable, failed to clean and calibrate thermometers before use, and did not change gloves after touching potentially contaminated surfaces. Additionally, temperature checks revealed that food items such as cole slaw, apple juice, fried tator tots, and steamed carrots were held outside the safe temperature range, increasing the risk of foodborne illness.
The facility failed to post RN coverage on daily staffing logs from March 2024 to April 2024. The current system does not differentiate between RN and LPN hours, and a new HR system, UKG, is being implemented to address this issue. The facility has 3 RNs working 8-hour shifts each day and an RN night shift supervisor, with the DON and ADON always on call.
The facility failed to ensure a medication administration error rate of less than 5 percent, resulting in a 7.69 percent error rate. An LPN crushed medications labeled 'Do Not Crush or Chew' for a resident, citing the resident's preference and choking risk. Medication reconciliation confirmed the error.
A facility failed to ensure medications labeled 'Do Not Crush or Chew' were administered correctly. An LPN crushed and administered these medications in applesauce to a resident, despite the label and physician's orders. The LPN stated the resident is a choking risk, but another RN confirmed that not all medications could be crushed, indicating a significant medication error.
The facility failed to remove expired and incorrectly labeled medications from storage, as observed in 2 of 4 medication carts and 1 of 3 treatment carts. Expired medications such as Acetaminophen, Vitamin D3, and Lemon Glycerine Swabs were found, and a blister pack of Trazodone had an incorrect expiration date label. These findings were confirmed by the nursing staff and the Director of Nursing.
The facility failed to ensure proper hand hygiene during the lunch meal service on the [NAME] Hall. A CNA did not cleanse their hands while delivering meal trays, handled items that had fallen on the floor without subsequent hand hygiene, and donned and doffed PPE without washing their hands. The CNA confirmed they had not followed the facility's hand hygiene policy.
The facility failed to ensure commercial dryers were free from lint buildup, which could increase the likelihood of overheating or fire. Observations revealed lint in dryer trays and disorganized laundry areas. CNA2 and the Administrator acknowledged the issue, but there was no specific policy for lint cleaning.
Unsafe Food Storage, Handling, and Dishwasher Sanitation
Penalty
Summary
The facility failed to ensure food items were stored, prepared, distributed, and served in accordance with professional standards in the main kitchen and four satellite kitchenettes. During the initial tour of the main kitchen, surveyors observed excessive grease buildup on two ovens, opened and undated food items including plate scraper caramel, powdered sugar, granola, split peas, cake mix, key lime pie, crumbled sausage, and cauliflower, as well as bay leaves dated 11/15/24 even though the executive chef stated seasonings should only be kept for six months. Surveyors also observed an ice machine with a black substance on the inside panel, gnats around vinegar bottles in dry storage, and multiple refrigerated items that were not dated when opened or were not properly sealed. In the walk-in cooler, a slab of pork was observed defrosting with blood dripping onto the floor and no drip container was in place. Surveyors also observed sanitation and food handling concerns in the satellite kitchenettes. One kitchenette had an excessive buildup of crumbs in the tray storage area. In the Folly Unit kitchenette, CNAs were observed distributing resident meals without a hairnet, and another CNA’s hairnet did not fully cover her hair. During food preparation observations, staff were seen removing pans from the insulated food cabinet and placing them on the countertop without using the steam table to maintain holding temperatures. In one observation, snap peas were initially 128F and had to be reheated to 175F, while tater tots were 91F. In another observation, a chicken salad sandwich was served at over 68F, and staff were unsure of the proper serving temperature for that item. The facility also failed to adequately monitor and document dishwasher sanitation levels. Surveyors reviewed temperature/sanitation logs for the main kitchen dishwasher and found that staff failed to monitor or document PPM for multiple months and through part of April 2026. Observations of the main kitchen dishwasher and the four satellite kitchenette dishwashers showed sanitation levels below the required 50-100 PPM, including readings of 10 PPM and other instances below 50 PPM. The survey also noted discrepancies between the logged PPM and temperature levels and what was observed during the survey. The main kitchen dishwasher had been serviced after concerns were identified, and the satellite dishwashers were reported to have worn squeeze tubes affecting sanitizer delivery, but during the survey the machines were still observed not reaching appropriate sanitation levels.
Significant medication error during PICC line antibiotic administration
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors during administration of intravenous medications through a PICC line. Resident 45 had been admitted with diagnoses of septicemia and bacteremia and was on enhanced barrier precautions. During medication pass observation, one LPN stated another LPN was helping him administer Rocephin through the PICC because he had not given medications this way before. The two LPNs administered Heparin Lock Flush first, then Normal Saline, and lastly ceftriaxone (Rocephin) 2 grams through the PICC while the resident was sitting in the common area. Neither nurse wore PPE, both touched the resident, and staff members and a visitor walked by and looked into the common area during the administration. Record review showed the only physician order present at the time was for ceftriaxone 2 grams every 24 hours; there were no orders for Heparin or Normal Saline when the medications were given. The DON stated the facility had a training issue with batch orders not populating standing physician orders into the EMR and acknowledged the standing SASH orders were not in the EMR at the time. The LPN who administered the medications stated he had never given an IV drug through a PICC line, had asked for help because of his inexperience, and had not been trained on IV drug administration. The DON also stated the agency LPN had no known training related to administering IV medications and that the wrong person had been asked for help.
Meals Served Inconsistent With Ordered Texture Diet
Penalty
Summary
The facility failed to ensure meals were served in the form ordered for a resident with a history of stroke, dementia, and dysphagia. R33’s record showed he required a regular diet with mechanical soft texture, ground meats, and nectar/mildly thick liquids, and he needed setup assistance with eating and had coughing or choking during meals. The facility policy required the Food Services Manager and nursing staff to check trays for correct diets before meals were served. During two lunch observations, R33 received meals that did not match the prescribed diet. On 04/15/26, his ticket indicated ground fish creole with nectar-thick liquids, but his plate contained an intact filet of fish creole rather than ground fish, and the CNA removed the plate after the surveyor pointed it out. On 04/16/26, his ticket indicated ground beef and bean chili with soft cauliflower and yellow rice, but his plate contained a mixed pile of dark brown semi-solid food with beans and rice kernels scattered throughout, and the listed side items were missing. R33 reacted to the meal by stating, "What is this crap?" Staff interviews confirmed the fish should have been ground and that the mixed meal should not have been served as presented.
Privacy not maintained during IV medication administration
Penalty
Summary
The facility failed to ensure privacy was maintained while intravenous medications were being administered to one resident. Resident 45 had been admitted with diagnoses of septicemia and bacteremia and had been placed on enhanced barrier precautions. During review of the facility policy titled Dignity, the policy stated residents are treated with dignity and respect at all times, and no privacy policy was obtained during the survey process. During medication pass observation, an LPN stated another LPN was assisting with administration of Rocephin through the resident’s PICC line because he had not given medications this way before. The resident was sitting in the common area when the LPNs administered Heparin Lock Flush, Normal Saline, and Ceftriaxone through the PICC line. Neither LPN was observed wearing PPE, both physically touched the resident, and four staff members and one visitor walked by in the hallway and looked into the common area while the medications were being administered. When interviewed, the LPN verified the resident was in a common area during the medication administration and that privacy had not been provided.
Medication Administration Without Required Orders
Penalty
Summary
Medication administration was not carried out pursuant to physician orders for one resident during observation of a medication pass, and the facility’s medication error rate was 8 percent. The resident had been admitted with diagnoses of septicemia and bacteremia and was on enhanced barrier precautions. During the observed administration, two LPNs gave Heparin Lock Flush 50 USP/5 ml into the resident’s PICC line first, then Normal Saline 0.9% 10 ml, and then Ceftriaxone (Rocephin) 2 grams in a premixed IV infusion container. The medications were administered in a common area while four staff members and one visitor walked by and looked into the area, and neither LPN was wearing PPE or avoiding physical contact with the resident during the procedure. Record review showed an order for Ceftriaxone 2 grams IV every 24 hours for infection, but there were no physician orders for Heparin or Normal Saline at the time the medications were given. A later physician order entered the next day specified the SASH protocol for central line infusions, including saline flushes before and after medication and a heparin flush afterward. The RN stated the facility had a training issue with batch orders not populating standing physician orders into the EMR and acknowledged that the standing SASH orders were not in the EMR when the medications were administered. The LPN who administered the medications stated there was no order for Heparin or Normal Saline and that he had never given an IV drug through a PICC line before.
Improper Storage of Opened Normal Saline in Treatment Cart
Penalty
Summary
The facility failed to ensure that medications were properly stored in 1 of 4 treatment carts. During an observation on 04/15/26 at approximately 11:32 AM, the [NAME] treatment cart contained one opened container of [NAME] Normal Saline 0.9 percent (0.9%), 100 milliliters (100 mL). The container was dated by the facility as opened on 04/10/2026. The manufacturer's labeling on the container stated, "Do Not Reuse" and "Contents STERILE in unopened package." During a follow-up interview on 04/15/26 at approximately 11:37 AM, LPN 3 inspected the container, read the manufacturer's labeling, and stated that it should have been discarded after use rather than being returned to the treatment cart.
Failure to Follow EBP During PICC Line Medication Administration
Penalty
Summary
The facility failed to ensure enhanced barrier precautions (EBPs) were followed for one resident who had been admitted with diagnoses of septicemia and bacteremia and was placed on EBP. The facility policy stated that EBPs are used to prevent the spread of MDROs and require targeted gown and glove use during high-contact resident care activities, including device care or use such as a PICC line, and that EBPs are indicated for residents with wounds and/or indwelling medical devices regardless of MDRO colonization. During medication administration, two LPNs administered Heparin Lock Flush, Normal Saline, and ceftriaxone through the resident’s PICC line while the resident was sitting in a common area. Neither LPN wore PPE during the procedure, and both touched the resident. One LPN stated the other was helping because he had not given medications this way before, and later stated he had never given an IV drug through a PICC line. The DON stated the assisting LPN was an agency nurse and had no knowledge of that nurse receiving training related to administering IV medications, and said the wrong person had been asked for help.
Elopement Due to Staff Failure to Respond to Roam Alert System
Penalty
Summary
A deficiency occurred when a resident with Alzheimer's disease and dementia, who was identified as being at risk for wandering and elopement, successfully exited the facility without staff knowledge or intervention. The resident, who had a BIMS score of 4 out of 15 indicating cognitive impairment, was able to leave the skilled nursing facility (SNF) through the main exit while in a wheelchair. Video footage confirmed that the resident propelled himself to the elevator, traveled to the first floor, and exited the building without being stopped or supervised by staff. The incident was only discovered when a former employee, passing by the facility, noticed the resident outside and contacted the facility to alert them. At the time of the incident, staff responsible for monitoring the resident were not wearing their pagers, as they were on break, and did not respond to the Roam Alert system. The facility's policy required staff to use pagers and respond to alarms generated by the Roam Alert system, which is designed to notify staff when a resident at risk for wandering approaches a monitored exit. However, the staff failed to adhere to these protocols, resulting in the resident leaving the premises unsupervised. The resident was found outside the facility, near garages of an adjoining community, on a hot and humid day, and was returned to the facility by a staff member after being located by the former employee. Interviews with staff confirmed that the resident was last seen in the dining room and that his wandering behavior was known to staff. The main exit doors and alarm systems were in place, but the lack of staff supervision and failure to carry and respond to pagers directly contributed to the resident's elopement. The facility's own investigation and review of camera footage established that the resident was unattended when he left the SNF unit, and the alarm system notifications were not acted upon due to staff inattention and non-compliance with established safety protocols.
Removal Plan
- Member [R1] was returned to his apartment and immediately assessed by the Registered Nurse (RN)1 for any injury. No injuries were identified. Skin checks were initiated, and no injuries were noted. The family was notified. Medical Director was notified, and provider team completed an assessment.
- Safety checks were completed for the Member.
- The Community implemented 1:1 sitter immediately following the event.
- The Pharmacy consultant completed a medication review that was provided to the Medical Provider.
- The Administrator met with the family and updated the Member's care plan.
- Pending room availability and appropriateness, the Community has made the recommendation to move to Memory Care Assisted Living when appropriate.
- New elopement screening conducted for all residents by Unit Nurse.
- Residents assessed by Unit Nurse for ambulatory status and BIMS (Behavioral Interview for Mental Status) level of 5 or below. Roam Alert tags and corresponding physician orders obtained for qualifying residents.
- RN and C.N.A. assigned to Member [R1] were given immediate education on pager and call bell system use by the DON.
- DON (Director of Nursing) completed immediate reeducation to SNF staff and all community staff reeducated by CSA on Roam Alert and Pager Policy.
- Working pagers and radios verified for all staff.
- Maintenance staff assessed all exit points to ensure they were in proper working order.
- Elopement binders updated by ADON for all service lines.
- Maintenance increased the sound frequency on squealers at all SNF exit points.
- Maintenance reviewed [NAME]-Tone monitor volumes and ordered external speakers to increase sound of call bells/roam alerts.
- VP of Construction ordered Desk Top pagers that will be secured in hallways to provide additional alert of call bells/roam alerts.
- Upon admission, each resident will undergo elopement screening, including evaluation of ambulatory status by Unit Nurse, to then be reviewed by DON and/or ADON.
- Nursing staff will complete daily Roam Alert Tag audits to verify device functionality, proper placement, and skin integrity monitoring once per shift. Documentation will be maintained in the medical record and Roam Alert List.
- CSA, DON, and/or Designee will conduct audits daily, weekly, and monthly or longer until 100% compliance is met to ensure Roam Alert tags are functioning and in proper use. All negative findings will be corrected immediately.
- Involved Team Members will be reeducated immediately.
- Audit results will be reviewed in monthly Quality Assurance (QA) meetings for further recommendations.
- The facility's assessment will be updated to incorporate specific Roam Alert system requirements.
- All staff re-educated by DON and CA on elopement prevention policies, including the proper use of Roam Alert tags, immediate response protocols, and the importance of timely supervision.
- New hires will receive elopement training during orientation, and annual refresher training will be conducted for all staff by Administrative Nurse Staff.
- Family input will be incorporated into individualized care plans to enhance elopement prevention strategies at start of admission and will be carried out by the IDT.
Failure to Properly Label, Date, and Store Food Items in Dietary Department
Penalty
Summary
Surveyors found that the facility failed to ensure proper food storage, labeling, and dating practices in the kitchen, refrigerator, freezer, and dry storage areas. Multiple food items in the walk-in cooler, such as noodles, sauces, spreads, and meats, were observed to be either unlabeled, undated, or not properly covered. Additionally, several items in the dry storage, including various types of noodles, cereals, cocoa powder, and baking soda, were found opened without open dates or were past their use-by dates. In the walk-in freezer, bags of food were not in their original packaging and lacked proper labeling and dating. Bread products in a mobile cabinet were also found with expired use-by dates. These observations were confirmed by the Director of Diet and the Executive Chef. Interviews with facility staff revealed that dietary staff are responsible for spot-checking and ensuring all food items are properly labeled and free from expiration, with leftovers requiring both the date placed in the container and a discard date within three days. The Director of Nursing was unaware of the findings but expected dietary staff to follow regulations regarding food storage and labeling. The Facility Administrator indicated that, to her knowledge, dietary staff had addressed the concerns and planned to review relevant policies.
Hand Hygiene and Food Temperature Control Issues Identified in Satellite Kitchens
Penalty
Summary
The facility failed to ensure proper hand hygiene during meal tray preparation and appropriate holding temperatures for prepared food in two out of four satellite kitchens. Observations on 04/16/24 revealed instances where staff did not follow proper hand hygiene practices, such as not washing hands with soap when soap was unavailable, not cleaning and calibrating thermometers before use, and not changing gloves after touching potentially contaminated surfaces. Temperature checks during meal preparation showed food items like cole slaw, apple juice, fried tator tots, and steamed carrots were being held at temperatures outside the safe range, posing a risk for foodborne illness.
Failure to Post RN Coverage on Daily Staffing Logs
Penalty
Summary
The facility failed to post Registered Nurse (RN) coverage on daily staffing postings from March 2024 to the current date in April. The facility policy requires the posting of the type and category of nursing staff working each shift, including RNs, Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). However, a review of the facility's staff postings revealed that 8-hour RN coverage was not posted. The Director of Nursing (DON) explained that the current system does not differentiate between RN and LPN hours on daily posting logs. The facility has recently implemented a new Human Resource system called Ultimate Kronos Group (UKG), which will designate RN hours, but it is still in the process of being fully operational. Interviews with the DON and the Facility Administrator revealed that the facility has 3 RNs working 8-hour shifts each day from Monday to Friday, and an RN night shift supervisor working four times a week. The DON and Assistant DON (ADON) are always on call. The DON stated that the facility meets the required number of staff hours but acknowledged that it is not clear to others whether an RN or LPN is on duty unless they ask for credentials. The facility is working towards meeting the proposed CMS requirement for 24/7 RN coverage. The Administrator confirmed that the UKG system started on April 1, 2024, and the facility is currently running both the old and new systems until UKG is fully operational and can post leadership nursing positions accurately.
Medication Administration Error
Penalty
Summary
The facility failed to ensure a medication administration error rate of less than 5 percent, resulting in a medication error rate of 7.69 percent for 2 out of 26 opportunities for error. Specifically, medications for Resident 8 that were clearly labeled as 'Do Not Crush or Chew' were crushed by an LPN and administered. The facility policy titled 'Administering Medications' states that medications should be administered in a safe and timely manner and as prescribed, including checking the label three times to verify the right resident, medication, dosage, time, and method of administration before giving the medication. However, this policy was not followed in this instance. During an observation and interview, the LPN stated that Resident 8 liked her medications crushed and placed in applesauce. Medication reconciliation revealed that the prescribed medications observed to be crushed were not supposed to be crushed, according to the medication label. The LPN justified her actions by stating that Resident 8 is a choking risk. Another RN confirmed that while she crushes the medications she can, some of Resident 8's medications cannot be crushed. This discrepancy in medication administration practices led to the identified deficiency.
Failure to Administer Medications as Prescribed
Penalty
Summary
The facility failed to ensure that medications labeled as 'Do Not Crush or Chew' were administered correctly. Specifically, a Licensed Practical Nurse (LPN) crushed and administered these medications in applesauce to a resident (R8) during a medication pass. The facility's policy on administering medications clearly states that medications should be administered as prescribed and that the individual administering the medication should verify the right method of administration. However, during an observation, it was noted that LPN2 crushed all of R8's medications despite the label and physician's orders indicating that they should not be crushed. During an interview, LPN2 stated that she crushed all of R8's medications because R8 is a choking risk and prefers her medications in applesauce. However, another Registered Nurse (RN2) confirmed that while some of R8's medications could be crushed, others could not. This discrepancy indicates a failure to adhere to the prescribed method of medication administration, leading to a significant medication error. The facility's policy also requires that each nurse's station have a current Physician's Desk Reference (PDR) and other medication references available, which should have been consulted to prevent such errors.
Failure to Remove Expired and Incorrectly Labeled Medications
Penalty
Summary
The facility failed to ensure that medications and biologicals that were outdated, expired, or incorrectly labeled were removed from storage and not stored with other medications and biologicals used for residents. This deficiency was observed in 2 of 4 medication carts and 1 of 3 treatment carts. Specifically, expired medications such as Acetaminophen and Vitamin D3 were found in the Folly Hall medication cart, and expired Lemon Glycerine Swabs were found in the [NAME] Hall treatment cart. Additionally, a blister pack of Trazodone with an incorrect expiration date label was found in the [NAME] Hall medication cart. These findings were confirmed by the nursing staff present during the observations. During an interview, the Director of Nursing confirmed that the label on the blister card for Trazodone was incorrectly applied by the pharmacy, and no one had questioned the label nor the expiration date. The facility policy titled 'Medication Labeling and Storage' outlines that medications and biologicals should be stored in their original packaging and that only the issuing pharmacy is authorized to transfer medications between containers. The policy also states that the dispensing pharmacy should be contacted for instructions regarding the return or destruction of discontinued, outdated, or deteriorated medications. However, these procedures were not followed, leading to the observed deficiencies.
Failure to Ensure Proper Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to ensure proper hand hygiene during the lunch meal service on the [NAME] Hall. Observations revealed that a Certified Nursing Assistant (CNA) did not cleanse their hands while delivering meal trays to residents. The CNA was seen placing meal trays on a cart, going in and out of resident rooms without washing or sanitizing their hands, and handling items that had fallen on the floor without subsequent hand hygiene. Additionally, the CNA donned and doffed personal protective equipment (PPE) without washing their hands before and after, and continued to serve meal trays with bare hands, including opening a straw and placing it in a cup of tea for a resident without hand hygiene. During an interview, the CNA confirmed that they had not washed or cleansed their hands before and after each resident interaction, despite being aware of the facility's hand hygiene policy. The facility's policies on Handwashing/Hand Hygiene and Food Preparation and Service were reviewed, which emphasize the importance of hand hygiene in preventing the spread of healthcare-associated infections and safe food handling practices. The CNA's actions were inconsistent with these policies, leading to the deficiency observed during the survey.
Failure to Maintain Commercial Dryers Free from Lint Buildup
Penalty
Summary
The facility failed to ensure commercial dryers were free from lint buildup, which could increase the likelihood of causing the unit to overheat or combust in fire. During an observation of the Central Laundry Room, lint was found in the trays of commercial dryers #1 and #2, along with clothing thrown in cubie cubes alongside the wall, plastic bins in the middle of the floor, and laundry sitting in the washer. CNA2 acknowledged the lint buildup but was unaware of the specific process for maintaining the laundry room. Further observation the next day revealed more lint accumulation in the dryers. The Administrator and DON confirmed that laundry is completed at night by CNAs and acknowledged the lint in the trays, despite the lint logbook indicating that the trays were cleaned. The Administrator later informed that there is no specific policy for lint cleaning of the dryers.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
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Nursing homes near Charleston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverside Health And Rehab | 4.7 mi | ★★★★★ | 4 | 0 |
| Oak Harbor Healthcare | 4.7 mi | ★★★★★ | 0 | 0 |
| Sandpiper Post Acute | 5 mi | ★★★★★ | 0 | 0 |
| Franke Health Care Center | 6 mi | ★★★★★ | 0 | 0 |
| Kempton Of Charleston | 6.1 mi | ★★★★★ | 0 | 0 |
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