Average — CMS composite of the measures below.
The next survey window likely opens around January 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 Westminster Health & Rehab Center during CMS and state inspections, most recent first.
Improper storage of raw meat was observed in the walk-in refrigerator when boneless pork tenderloins were placed above covered coleslaw and fruit cocktail, and raw bacon was stored above tomatoes. The facility policy required ready-to-eat and cooked foods to be stored above raw foods, and the Clinical Dietician stated the meat placement was not appropriate because raw meat could drip onto other foods. The DON and Administrator stated they expected food to be stored properly and consistent with regulatory practices.
The facility failed to send discharge notices to a representative of the State LTC Ombudsman for two residents. One resident had moderate cognitive impairment and an active discharge plan to return to the community, while another was transferred to a hospital for a change in medical condition. The DSS stated she was responsible for the notifications but had not sent either discharge notice, and the Ombudsman reported not receiving resident discharge notices from the facility since 05/25.
Medication Administration Errors Exceeded Allowed Rate: The facility had a 6.9% medication error rate, with 2 errors in 29 opportunities during observed med passes. One resident with allergic rhinitis received only one spray of Flonase in each nostril instead of the ordered two sprays, and another resident with osteoporosis received a 25 mcg cholecalciferol tablet instead of the ordered 125 mcg dose. The RN and LPN both confirmed the incorrect administrations, and the DON stated meds were expected to be given according to physician orders and the five rights.
A facility failed to prevent potential accidents by allowing a resident with moderate cognitive impairment to have OTC medication at the bedside without proper authorization or documentation. The resident's daughter brought in the cream without notifying staff, contrary to facility policy. The DON acknowledged that staff should remove and report such items, but this was not done.
The facility failed to label and remove expired medications from a treatment cart, including Hydrofera Blue, aloe cream, and sterile kits. The facility's policy lacked guidance on labeling and expiration management. Staff interviews revealed weekly and daily checks by nurses, with monthly pharmacy reviews.
The facility failed to remove excessive lint from two clothes dryers, as observed during a survey. Lint was found above and behind the lint basket and on the inside walls of the dryers. Despite facility policy requiring regular cleaning, staff interviews revealed gaps in the cleaning process, including the absence of a lint log and lack of training for the Janitor responsible for cleaning the dryers.
Improper Storage of Raw Meat in Walk-In Refrigerator
Penalty
Summary
The facility failed to ensure raw meat was stored properly in the walk-in refrigerator. During a concurrent observation and interview with the Administrator and Clinical Dietician, three boneless pork tenderloins were found on the second shelf above a covered bowl of coleslaw and a covered bowl of fruit cocktail, and 15 pounds of raw bacon were stored above tomatoes. The facility policy titled, Food and Supply Storage, stated that cooked and ready-to-eat foods must be stored above raw foods and that raw animal foods must be arranged in a specific order from top to bottom. The Clinical Dietician stated the pork tenderloin should not have been stored above the coleslaw and fruit cocktail and the raw bacon should not have been stored above the tomatoes because it could cause contamination if the raw meat dripped. The DON and Administrator stated they expected raw meat and food to be stored properly and consistent with regulatory practices.
Failure to Notify Ombudsman of Discharges
Penalty
Summary
The facility failed to ensure transfer and discharge notifications were sent to a representative of the State LTC Ombudsman for 2 closed records reviewed. A facility policy titled, Transfer or Discharge Notices, revised 03/2025, stated the facility would send a copy of the discharge notice to a representative of the Office of the State LTC Ombudsman at the same time the notice was provided to the resident and resident representative. One resident was admitted on 11/06/25 and later discharged home; the admission MDS with an ARD of 12/15/25 showed a BIMS score of 8, indicating moderate cognitive impairment, and also noted an active discharge plan to return to the community. The resident's care plan included interventions to ensure a safe and secure discharge after a respite/LTC stay. Another resident was admitted on 12/24/25 and later transferred/discharged to a local hospital for a change in medical condition. The DSS stated she was responsible for providing the Ombudsman with discharge notifications but had not sent the discharge notices for either resident, and the Ombudsman stated she had not received a resident discharge notice from the facility since 05/25.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure its medication error rate remained below 5%, with 2 errors out of 29 opportunities resulting in a 6.9% medication error rate for 2 of 3 residents observed during medication administration. Facility policy titled, Administering Medications, stated medications are to be administered in accordance with prescriber orders, including any required time frame. One resident with a diagnosis of allergic rhinitis had an order for Flonase allergy relief 50 mcg/spray, two sprays to each nostril once daily, but the RN administered only one spray to each nostril during the observed medication pass and later confirmed that was what was given. Another resident with a diagnosis of osteoporosis had an order for cholecalciferol 125 mcg daily, but the LPN administered a 25 mcg tablet instead of the ordered dose and confirmed the bottle used was 25 mcg and that only one tablet was given. The DON stated nurses were expected to follow physician orders and the five rights of medication administration, and the Administrator stated all medications were expected to be administered according to physician orders.
Failure to Prevent Potential Accidents Due to Unauthorized OTC Medications
Penalty
Summary
The facility failed to prevent potential accidents related to over-the-counter (OTC) medications being at the bedside for a resident. The facility's policy requires that residents may only self-administer medications if the attending physician and interdisciplinary care planning team have determined the resident has the decision-making capacity to do so safely. However, the resident in question, who had a moderate cognitive impairment with a BIMS score of 13 out of 15, did not have a care plan related to self-administering medications, nor was there an order for self-administration of the ultra-strength pain reliever cream found at the bedside. Observations revealed that the resident's daughter brought in items, including the cream, without notifying the nursing staff, despite the facility's instructions to families not to bring in OTC medications or creams. The Director of Nursing acknowledged that staff should remove and report any medications found at the bedside, but this protocol was not followed. The resident's daughter stated that the cream was similar to Voltaren cream for the resident's knee, and the physician had stated she could have it, although this was not documented in the resident's orders or care plan.
Failure to Label and Remove Expired Medications
Penalty
Summary
The facility failed to ensure that all drugs and biologicals used in the facility were labeled in accordance with professional standards, including expiration dates, for one treatment cart. During an observation, it was found that the treatment cart contained expired items, including Hydrofera Blue, aloe cream, sterile suture removal kits, and sterile wood shaft cotton-tipped applicators. These expired medications were verified and removed by a registered nurse. The facility's policy on medication storage did not include information on professional standards for labeling, expiration dates, or discarding expired medications. Interviews with staff revealed that nurses review the wound cart weekly, and the night nurse checks for expirations on the treatment cart daily, with the pharmacy conducting monthly checks for expiration dates.
Excessive Lint Accumulation in Facility Dryers
Penalty
Summary
The facility failed to ensure that an excessive amount of lint was removed from two clothes dryers, as observed during a survey. The lint was found above and behind the lint basket and on the three inside walls of the dryers. The facility's policy requires the lint screen to be cleaned at a minimum of each shift and when necessary. However, during observations, it was noted that the lint baskets and the walls below the dryers contained an excessive amount of lint. Signage on one of the dryers instructed staff to clean the lint filters every time the dryer is used to prevent fires and improve drying efficiency. Interviews with facility staff revealed gaps in the cleaning process. The Environmental Services Supervisor confirmed the excessive lint and mentioned a recurring work order for cleaning logs, but the Laundry Assistant admitted that a lint log was not used. The Laundry Assistant stated she cleans the lint basket after each load but not the walls under the dryer. The Building Operations Manager acknowledged the issue and stated that the Environmental Services Supervisor would address it. The Infection Preventionist noted the absence of a specific laundry equipment maintenance policy. The Janitor, responsible for cleaning the dryer lint baskets and surrounding areas, was unaware of the need to clean behind the lint basket and the walls until it was pointed out during the survey, indicating a lack of training and education on proper cleaning procedures.
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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) |
|---|---|---|---|---|
| Rock Hill Post Acute Care Center | 0.6 mi | ★★★★★ | 2 | 0 |
| Magnolia Manor - Rock Hill | 0.7 mi | ★★★★★ | 1 | 0 |
| White Oak Manor - Rock Hill | 1.4 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Rock Hill | 1.4 mi | ★★★★★ | 12 | 0 |
| Willow Brooke Court At Park Pointe Village | 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.