Average — CMS composite of the measures below.
The next survey window likely opens 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 West Village Post Acute during CMS and state inspections, most recent first.
Uncovered beverages were transported to resident rooms during meal delivery. Staff on multiple units poured tea from food delivery carts and carried uncovered cups past the nurses' station, medication cart, and open resident room doors. CNAs stated the tea could get germs in it if uncovered and that lids had not been provided, while an LPN, the DON, and the Administrator stated beverages should be covered when transported down the hall.
Incorrect Portion Sizes Served for Pureed Diets: During lunch meal service, staff served a resident group on pureed diets incorrect portions instead of the menu-specified amounts. A kitchen staff member used a #12 scoop for pureed salmon and collard greens and a 2-oz spoon for pureed chicken, and later confirmed the utensils did not match the required 4-oz and 1/2 cup portions. The DD, Dietitian, DON, and Administrator all stated staff should follow the menu and portion sizes so residents receive nutritionally sound meals and the correct calories.
A resident with dysphagia, dementia, and a mechanically altered diet order did not receive prescribed oral nutritional supplements or correct portion sizes at multiple meals. Observations showed the resident’s lunch and dinner trays missing the ordered high-protein supplements, and kitchen staff used smaller scoops and spoons than specified on the production sheet for pureed menu items. Staff interviews confirmed that dietary was responsible for placing supplements on trays and that menu portion sizes were not followed, contrary to facility policy requiring accurate tray assembly and nutritionally adequate meals.
MDS Did Not Reflect PICC Line: A resident with paraplegia, osteomyelitis, malnutrition, and a PICC for IV antibiotic therapy had a Quarterly MDS that did not code IV access in Section O. Record review showed the PICC remained patent, and the RN MDS Coordinator, DON, Administrator, and RDCS all acknowledged the assessment should have reflected the resident's PICC.
A resident with paraplegia, osteomyelitis, and malnutrition had an active PICC line for IV antibiotic therapy, but the PICC-related care plan was resolved and not re-initiated even though the line remained in place. Staff observed the PICC dressing was soiled and nearly detached, with dried blood on the Biopath and the central line exposed, and interviews confirmed the care plan should have reflected the ongoing PICC line use.
A resident with a PICC for IV antibiotic therapy had a visibly soiled, nearly detached dressing with the insertion site exposed and the line not covered. Staff noted the dressing was barely hanging on, the line was at risk of coming out, and the dressing had not been changed within the required interval. The DON stated PICC dressings should be changed per MD order and maintained by RN and IV-certified LPN staff.
A resident on EBP had a suprapubic catheter, PICC line, and wound, but staff did not use the required gown and glove PPE during high-contact care. A CNA emptied the catheter bag wearing only one glove and no gown, and an LPN handled the PICC access line without a gown. Staff interviews confirmed gowns and gloves were expected for this type of direct care.
A resident alleged that a CNA was rough during care, and although the CNA was suspended and appropriate parties were notified, the facility did not report the abuse allegation to the state survey agency within the required two-hour window. The delay was due to limited staff access and unsuccessful fax attempts, resulting in the report being submitted nearly five hours after the initial notification.
The facility failed to ensure eight residents could exercise their voting rights in the Presidential Election. Despite completing voter registration forms, these were submitted late, preventing the residents from voting. Staff interviews revealed a lack of timely action, with the Social Service Director and Administrator acknowledging the oversight, and the Activity Director providing forms signed after the deadline.
A resident's PHI was compromised when their EMAR was left visible on an unattended medication cart, accessible to others in the facility. The nurse responsible admitted to being in a rush, leading to this oversight, and the DON acknowledged it as a recurring issue.
Expired Tramadol 50 mg half tablets were found in a medication cart during a review. The facility's policy requires expired medications to be returned or destroyed, but this was not followed. Interviews revealed that nurses are responsible for checking expiration dates, but one LPN did not check during their shift. Monthly audits by the unit and pharmacy failed to catch the expired medications.
Uncovered Beverages Transported to Resident Rooms
Penalty
Summary
The facility failed to ensure beverages were served in a safe and sanitary manner for residents who ate in their rooms. During observations, staff on Unit 3 dispensed tea from a container on top of the food delivery cart and carried an uncovered cup of tea from the cart past the nurses' station to a resident room. On Unit 1, staff poured tea from a container on top of the food delivery cart near the nurses' station and walked the tray with uncovered tea to a resident room; staff then poured tea into another cup, placed it on a tray, and carried the uncovered tea to another resident room. Additional observations showed CNA1 pouring tea and coffee from the container on top of the food delivery cart and carrying the uncovered beverages down the hall past the medication cart to a resident room. CNA2 carried an uncovered cup of tea from the food delivery cart approximately 36 feet, past a medication cart and five open resident room doors, to a resident room. During interviews, CNA1 and CNA2 stated the tea could get germs in it if uncovered, but the kitchen had not provided lids. LPN3 stated that carrying tea down the hallway uncovered would be an infection control issue, and the DON and Administrator stated that food and beverages should be covered when transported down the hall.
Incorrect Portion Sizes Served for Pureed Diets
Penalty
Summary
The facility failed to follow the planned menu during the lunch meal service on 01/13/26 by serving incorrect portion sizes for residents on pureed diets. The menu specified pureed baked salmon as a 4-ounce portion, pureed chicken as a 4-ounce portion, and pureed collard greens as a 1/2 cup portion, but during observation the staff member plating the meal used a green #12 scoop, which was slightly over 2 ounces, for the pureed salmon and pureed collard greens, and used a 2-ounce serving spoon for the pureed chicken. During interview, the staff member confirmed the portions served were not the correct sizes after reviewing the production sheet and the utensils used. The Dietary Director confirmed the #12 scoop was slightly over a 2-ounce portion. The Dietitian, DON, and Administrator each stated that staff should follow the menu and serve the correct portion sizes so residents receive nutritionally sound meals and the right number of calories to maintain health. The failure had the potential to affect 13 residents who received pureed diets.
Failure to Provide Ordered Nutritional Supplements and Correct Portion Sizes
Penalty
Summary
The facility failed to provide a resident with ordered oral nutritional supplements and correct portion sizes during meals. The resident, admitted in 2016, had diagnoses including dysphagia, speech and language deficits following cerebral infarction, and dementia, and was care planned for a mechanically altered diet with supplements as ordered. The resident’s MDS indicated severely impaired cognitive skills for daily decision-making, no significant weight loss, and receipt of a mechanically altered diet. Active orders included a regular diet with pureed texture and thin liquids, daily ice cream with dinner for weight stability, an eight-ounce high protein oral nutritional supplement with lunch, and an oral nutritional supplement twice daily with breakfast and dinner for weight stability. During observation of the lunch meal on 01/12/26, the resident was served a pureed meal with an oral nutritional supplement, but not the ordered eight-ounce high protein oral nutritional supplement. During the dinner meal the same day, the resident received a pureed diet with ice cream, but no oral nutritional supplement was present on the tray. On 01/13/26 at lunch, a staff member plating the meal used a green #12 (2.67 oz) scoop for pureed salmon and pureed collard greens and a 2-oz serving spoon for pureed chicken. The staff member stated she determined portions from the production sheet and confirmed she had used a 2-oz spoon for the chicken and #12 scoops for the salmon and collard greens. After reviewing the production sheet, she acknowledged that she should have served 4 oz of pureed chicken, 4 oz of pureed salmon, and 1/2 cup of pureed collard greens, and that the scoops used were not the correct portion sizes. The Dietary Director confirmed the #12 scoop was slightly over a 2-oz portion. In interviews, nursing, dietary, and administrative staff stated that dietary staff were responsible for placing supplements on trays, that kitchen staff were expected to follow the menu and portion sizes so residents received nutritionally sound meals, and that ordered oral nutritional supplements should be provided as ordered for residents’ nutrition and weight management. The facility’s Food and Nutrition Services policy required that each resident be provided a diet that meets daily nutritional and special dietary needs and that food and nutrition services staff inspect food trays to ensure the correct meal is provided to each resident.
MDS Did Not Reflect PICC Line
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for one resident whose Quarterly MDS, with an ARD of 12/09/25, did not reflect the presence of IV access. The resident, admitted on 11/16/23, had diagnoses including paraplegia, osteomyelitis, mild protein-calorie malnutrition, and a personal history of other infections and parasitic diseases. The resident also had an active order dated 08/22/25 for placement of a PICC line for antibiotic therapy, and the care plan identified the resident as being at risk for complications related to the PICC line and long-term IV antibiotic therapy. Record review showed an infection note dated 11/30/25 stating the resident's PICC line in the right upper arm remained patent. The CMS RAI 3.0 User's Manual identifies PICC lines as central IV access that should be coded in Section O, but the resident's Quarterly MDS did not check Section O to reflect IV access, including central access, within the 14-day look-back period. During interview, the RN MDS Coordinator stated the MDS did not reflect the PICC line but should have. The DON and Administrator stated they expected MDS assessments to be accurate, and the RDCS confirmed the resident used a PICC line and expected Section O to be accurate.
Care Plan Not Maintained for Ongoing PICC Line Use
Penalty
Summary
The facility failed to maintain a care plan for R81 that addressed the resident’s ongoing PICC line use. R81 was admitted on 11/16/2023 with diagnoses including paraplegia, osteomyelitis, mild protein-calorie malnutrition, and a personal history of other infections and parasitic diseases. An active order dated 08/22/25 directed placement of a PICC line for antibiotic therapy, and the care plan included a focus area initiated on 08/25/25 for risk of complications related to the PICC line and long-term IV antibiotic therapy. That PICC-related care plan focus area was resolved on 12/04/25, and no active focus area was re-initiated even though the PICC line remained in place and in use. During observation on 01/12/26, the PICC line was seen in the resident’s right upper arm with a visibly soiled dressing that was almost detached, dried blood on the Biopath, and the central line exposed and not covered. Staff interviews confirmed the resident still had a central line for antibiotic therapy, and the MDS staff and DON stated the care plan should have reflected the ongoing PICC line and should not have been resolved while the line remained in place.
Soiled and unsecured PICC dressing
Penalty
Summary
The facility failed to provide care and treatment according to professional standards for peripherally inserted central catheter (PICC) lines for one resident. The resident had been admitted with diagnoses including osteomyelitis, mild protein-calorie malnutrition, and a personal history of other infections and parasitic diseases, and had an active order for PICC placement for antibiotic therapy. A facility policy titled Central Venous Catheter Care and Dressing Changes required the dressing to be changed if damp, loosened, visibly soiled, or at least every 7 days for a transparent dressing. During observation, the resident’s PICC dressing was visibly soiled, almost detached from the skin, dated 01/02/26, and the central line was exposed and not covered. Dried blood was present on the Biopath around the insertion site. Staff who observed the line stated the dressing looked terrible, was barely hanging on, and that the insertion site was exposed and the line was at risk of coming out. Other staff stated the dressing was coming off, the line was coming out, and the dressing should have been changed on 01/09/26 because it was dated 01/02/26. The DON stated PICC line dressings should be changed per physician order and that nurses were responsible for maintaining and managing PICC lines.
Failure to Use Required PPE During EBP Care
Penalty
Summary
The facility failed to ensure staff used the proper PPE during care of a resident on Enhanced Barrier Precautions (EBPs). The facility policy stated EBPs require targeted gown and glove use during high-contact resident care activities, including device care and wound care, for residents with wounds or indwelling medical devices when contact precautions do not otherwise apply. Resident 81 was admitted with diagnoses including osteomyelitis and mild protein-calorie malnutrition, had intact cognition with a BIMS score of 14, and had an indwelling suprapubic catheter, a PICC line, and a wound on the left foot. The care plan directed staff to use gown and gloves, and face shield as indicated, during high-contact care activities because of wounds and the suprapubic catheter. During observation, CNA2 entered the resident’s room and emptied the catheter bag while wearing only one glove and no gown. CNA2 later stated she should have worn gloves and a gown and said the PPE bins were empty and she did not know where to obtain supplies. During another observation, LPN21 handled and inspected the resident’s PICC access line with gloved hands but did not wear a gown. Interviews with RN23, LPNM22, the DON, the ADM, and the RDCS confirmed that residents with catheters, wounds, ostomies, and IVs were on EBP and that staff should have worn gowns and gloves when providing direct care such as emptying catheters or handling central lines. The DON and leadership stated CNA2 and LPN21 should have worn gowns when providing care to the resident.
Failure to Timely Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident to the state survey agency within the required two-hour timeframe. According to facility policy, all allegations of staff-to-resident abuse must be reported immediately, defined as within two hours if the allegation involves abuse or results in serious bodily injury. In this case, a resident reported that a certified nursing assistant (CNA) was rough during care, and the CNA was suspended pending investigation. The operations manager was notified of the allegation at 9:00 AM, but the initial report was not sent to the state survey agency until 1:48 PM, which was four hours and 48 minutes after the notification, exceeding the policy's required timeframe. The delay in reporting was attributed to the operations manager being the only individual able to submit allegations to the state agency, and most weekend staff being agency staff without the necessary access. The operations manager attempted to fax the report, but the fax did not go through, and there was no fax confirmation to verify the attempt. The report was ultimately submitted via eFax, as documented by the email timestamp. The failure to report the abuse allegation within the required timeframe constituted noncompliance with both facility policy and regulatory requirements.
Failure to Facilitate Resident Voting Rights
Penalty
Summary
The facility failed to uphold resident rights related to voting in the Presidential Election for eight residents. The facility's policy on resident rights includes supporting residents in exercising their rights as citizens, which was not adhered to in this instance. During a Resident Council Meeting, three residents expressed that they did not have the opportunity to vote despite having filled out voter registration forms. The review of the South Carolina Voter Registration Forms showed that eight residents completed the forms, but they were submitted to the Greenville County Voter Registration office seven days after the deadline. Interviews with facility staff revealed a lack of timely action in facilitating the residents' voting rights. The Social Service Director acknowledged that the registration forms were completed on the last day and should have been done sooner. The Administrator expressed disappointment that the residents were unable to vote, despite having discussed the need for timely completion of voter registration forms with the Activity Director months in advance. The Activity Director provided signed voter registration forms for the eight residents, which were signed two days after the registration deadline, indicating a failure in the facility's process to ensure residents could exercise their voting rights.
Failure to Maintain Resident PHI Confidentiality
Penalty
Summary
The facility failed to maintain the confidentiality of a resident's Protected Health Information (PHI) during medication administration. Specifically, the Electronic Medication Administration Record (EMAR) of a resident with multiple diagnoses, including paraplegia and diabetes mellitus type two, was left visible on an unattended medication cart. This cart was located at the far end of the hall, away from the nurse's station, making the resident's medical information accessible to other residents, staff, and visitors. Additionally, two cups of a white topical cream were left on the cart, further indicating a lapse in maintaining privacy and security of medical information. During observations, it was noted that the medication cart remained unattended with the EMAR visible for an extended period. Interviews with the nursing staff revealed that there was an expectation to lock the screen to prevent unauthorized access to resident information, as per HIPAA regulations. However, the nurse responsible for the cart admitted to being in a rush due to patient care, which led to the oversight. The Director of Nursing acknowledged the issue and emphasized the importance of securing medication and information, indicating that this was a recurring problem that had been addressed with staff reminders.
Expired Medications Found in Medication Cart
Penalty
Summary
The facility failed to remove expired medication cards from one of the six medication carts reviewed. During an observation, it was found that Medication Cart B on Unit 3 contained three cards of expired Tramadol 50 mg half tablets. The expiration dates on these cards were August 2024 and October 2024. The facility's policy requires that expired medications be returned to the pharmacy or destroyed, but this was not adhered to in this instance. Interviews with the nursing staff revealed that the responsibility for checking medication expiration dates lies with the nurses. One LPN admitted to not checking the medication dates during their shift, as they had not worked on that cart for about three weeks. Another LPN mentioned that the unit conducts monthly audits on medications, and the pharmacy also performs monthly audits. However, despite these procedures, the expired medications were not removed from the cart, indicating a lapse in the medication management process.
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 62 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — 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 Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Magnolia Manor - Greenville | 1.6 mi | ★★★★★ | 0 | 0 |
| Greenville Post Acute | 3.5 mi | ★★★★★ | 2 | 0 |
| Heartland Health Care Center - Greenville East | 3.7 mi | ★★★★★ | 2 | 2 |
| Presbyterian Home Of Sc - Foothills | 6.4 mi | ★★★★★ | 6 | 0 |
| Powdersville Post-acute | 6.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for West Village Post Acute.
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 July 2026) and official state health department websites.