Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Rock Hill Post Acute Care Center during CMS and state inspections, most recent first.
Misappropriation of Resident Property: A resident with multiple diagnoses, including dementia and Alzheimer’s disease, reported that someone told her to remove her rings because her hands were swollen, and the rings later went missing. Staff searched the room, notified the husband, and filed a police report, but could not determine who took the rings or when they disappeared. The resident’s inventory did not document jewelry, and staff statements showed no one could confirm whether the rings were being worn at the time they were lost.
Medication pass cross-contamination occurred when an RN failed to perform hand hygiene between residents, after glove removal, and before handling medications. The RN picked up dropped pills with bare hands, returned dropped pills to medication cups, wore the same gloves between resident care tasks, and touched the med cart, keyboard, mouse, and paperwork before continuing administration to multiple residents.
A facility failed to administer oxygen according to professional standards for a resident dependent on supplemental oxygen. The policy required weekly changes of oxygen tubing, but an observation revealed the tubing was not labeled, suggesting it was not changed as ordered. An LPN confirmed the discrepancy and agreed to address it. The resident had multiple diagnoses, including heart failure and atrial fibrillation.
The facility did not remove expired biologicals from a medication storage room, as observed during a survey. A BD Vacutainer with an expired lot number was found, and the DON confirmed the oversight, indicating a failure to follow the facility's policy on the immediate removal and disposal of expired medications.
Misappropriation of Resident Property
Penalty
Summary
The facility failed to protect a resident’s property from misappropriation when a resident’s rings went missing during her stay. The resident had diagnoses including type II diabetes, traumatic subdural hemorrhage, cognitive communication deficit, heart failure, fatty liver, dementia, major depressive disorder, Alzheimer’s disease, and osteoporosis. Her quarterly MDS indicated she required varying levels of assistance with activities of daily living, but her BIMS score was 14 out of 15, indicating she was cognitively intact. Her personal effects inventory listed clothing and eyeglasses, but no jewelry was documented on the inventory sheet, and a staff member did not sign the inventory. The resident reported that on a Friday night a young Black woman told her that her fingers were swollen and that she needed to remove her rings, and that the person would put them up. The resident later stated the rings were missing. Nursing staff searched the room and could not locate the rings. A progress note documented that the resident’s husband was called to verify she had returned to the facility with her rings, and staff also verified with another nurse that the resident had been wearing them. The facility then made a police report regarding the missing rings. The facility’s investigation included statements from staff who worked with the resident, but they could not confirm whether the rings were being worn at the time they were missing. One nurse stated the rings had been present during an admission skin assessment, while another stated she did not notice whether the resident was wearing rings during her shift. The facility concluded it believed the incident was theft but could not prove who took the rings or exactly when the theft occurred. The resident’s representative stated the facility did not offer compensation for the missing rings, and the resident confirmed she could not remember who asked her to remove them.
Medication Pass Cross-Contamination During Hand Hygiene Failures
Penalty
Summary
The facility failed to administer medications in a manner to prevent cross-contamination during medication pass for five of six residents observed: R14, R65, R87, R97, and R98. The facility policy stated that hand hygiene is the primary means to prevent the spread of infections and that hand hygiene is required before and after direct resident contact, before preparing or handling medications, after contact with objects in the resident’s vicinity, and after removing gloves. The medication administration policy also stated that licensed nurses are to foam in and out between residents unless hands are visibly soiled or the resident is under enteric contact precautions. During observation, RN1 picked up a pill that had dropped on the floor with a bare hand, discarded it in the medication cart trash receptacle, and did not perform hand hygiene before entering R97’s room to administer medications. RN1 later dropped a pill on the medication cart, picked it up with a bare hand, and placed it back into the medication cup for R98. RN1 also wore the same gloves after administering eye drops to R65, discarded the gloves without hand hygiene, and then touched the computer mouse, keyboard, pocket keys, and medication cart before continuing medication administration for R87. RN1 donned gloves in R87’s room without first performing hand hygiene, returned to the cart to break pills in the medication cup, and later doffed the gloves without hand hygiene. RN1 then touched the cart, keyboard, mouse, paperwork, and cart keys, retrieved medications, picked up three dropped pills with a bare hand, returned them to a medication cup, and administered them to R14 without hand hygiene before entering the room. During interview, RN1 acknowledged the observations, and the Infection Preventionist stated RN1 should have performed hand hygiene before donning and after doffing gloves and should not have picked up dropped medications with bare hands or returned them to the medication cup.
Failure to Administer Oxygen Consistently with Standards
Penalty
Summary
The facility failed to administer oxygen consistent with professional standards of practice for a resident, identified as R21, who was dependent on supplemental oxygen. The facility's policy required that oxygen tubing and related equipment be changed weekly, specifically on Wednesday night shifts. However, during an observation, it was noted that the oxygen tubing in R21's room was not labeled with a date, indicating that it may not have been changed as per the order. This discrepancy was confirmed by LPN1, who acknowledged that the tubing appeared to be unsigned and agreed to change and label it. R21 was admitted with multiple diagnoses, including chronic diastolic heart failure, atrial fibrillation, and a dependency on supplemental oxygen. The resident's care plan included maintaining adequate nutritional status and administering medications as ordered. Despite the electronic medical record indicating that the tubing change was completed, the physical evidence at the bedside did not support this, as the tubing was observed without a date. The Director of Nursing stated that the expectation was to follow the order and document it in the system, which was not evident in this case.
Expired Biologicals Found in Medication Storage
Penalty
Summary
The facility failed to adhere to its policy regarding the removal of expired biologicals from medication storage areas. During an observation in one of the medication storage rooms, a BD Vacutainer with an expired lot number was found. The Director of Nursing (DON) confirmed the presence of the expired biological, indicating a lapse in the facility's procedure to immediately remove and dispose of expired medications as per their policy.
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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 Rock Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Magnolia Manor - Rock Hill | 0.3 mi | ★★★★★ | 1 | 0 |
| Westminster Health & Rehab Center | 0.6 mi | ★★★★★ | 3 | 0 |
| Pruitthealth- Rock Hill | 0.9 mi | ★★★★★ | 12 | 0 |
| White Oak Manor - Rock Hill | 1.1 mi | ★★★★★ | 0 | 0 |
| Willow Brooke Court At Park Pointe Village | 3.4 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.