Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Hartsville Convalescent Center during CMS and state inspections, most recent first.
A deficiency was cited when an area of the facility was not kept free from accident hazards and adequate supervision was not provided to prevent accidents. The environment and supervision protocols were found to be insufficient to minimize accident risks.
The facility failed to maintain sanitary conditions for food storage and personal refrigerators. Unlabeled food was found in a cooler, and four residents' refrigerators lacked temperature logs and thermometers. Staff interviews confirmed these deficiencies, highlighting a failure to adhere to facility policies.
The facility failed to provide written notification of the bed hold policy to residents or their representatives during hospital transfers, affecting five residents with various medical conditions. The facility's policy requires notification upon admission and transfer, but no documentation was found in the residents' records. The DON admitted to discussing the policy only upon admission, indicating a lack of compliance with the facility's procedures.
The facility failed to update the PASARR for two residents after they exhibited symptoms or were diagnosed with mental health conditions. One resident showed severe cognitive impairment and behaviors requiring antipsychotic medication, while another received antianxiety medication without the PASARR reflecting these changes. Interviews confirmed the PASARR should have been updated, indicating a deficiency in compliance with facility policy and PASARR program requirements.
A resident with severe cognitive impairment and mobility issues fell twice from a ramp due to the facility's failure to implement a comprehensive care plan. The care plan required staff assistance for ramp navigation, but this was not communicated to agency and PRN staff, resulting in the resident's second fall and injury.
A resident with severe cognitive impairment and physical limitations experienced two falls while navigating a ramp in a wheelchair without adequate supervision. Despite staff education and care plan updates after the first incident, a second fall occurred due to a lack of communication and awareness among staff, including agency personnel, about the resident's need for assistance.
A facility failed to evaluate and document the continued need for a PRN anti-anxiety medication for a resident. Despite a policy requiring monitoring and reevaluation of psychotropic medications, the resident received Alprazolam over several months without a stop date or documented rationale for its use. Interviews with staff confirmed the oversight, highlighting a lack of adherence to the policy and CMS requirements.
The facility failed to maintain infection control standards by improperly storing personal equipment and oxygen tubing. An uncovered bedpan was found on the floor without identification, and a urine collection device was improperly stored. Additionally, a resident's oxygen tubing was left on the floor, posing an infection risk. Staff confirmed these actions were against facility policy.
Failure to Maintain Accident-Free Environment and Provide Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment was not maintained in a manner that would minimize the risk of accidents, and supervision protocols were insufficient to prevent such incidents from occurring. No additional details regarding the specific individuals involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Deficiencies in Food Storage and Refrigerator Maintenance
Penalty
Summary
The facility failed to ensure food was stored, prepared, and served under sanitary conditions. During an observation in the kitchen, a bag of unlabeled and undated food items was found in the reach-in cooler, along with a plastic container containing clear liquid with condensation dripping into it. The Interim Dietary Manager acknowledged the issue, stating that the food should have been labeled and dated, and was unaware of the cooler's malfunction. Additionally, the facility did not maintain proper temperature logs and thermometers for personal refrigerators of four residents. For Resident #2, no temperature logs were documented since early January, and an observation revealed the absence of a temperature log in the resident's room. Similarly, Resident #3's refrigerator had no temperature log or thermometer, and contained undated food items. Resident #11's refrigerator also lacked a temperature log, with no records since the beginning of January. Resident #42's refrigerator was observed without a temperature log as well. Interviews with facility staff, including an LPN and the House Supervisor, confirmed the absence of temperature logs and thermometers in the residents' personal refrigerators. The LPN was unable to provide the temperature logs when requested, and the House Supervisor confirmed that all resident refrigerators should have temperature logs and thermometers present. The facility's failure to adhere to its policies regarding food storage and refrigerator maintenance contributed to the deficiencies identified during the survey.
Failure to Provide Bed Hold Policy Notification
Penalty
Summary
The facility failed to provide written notification of the bed hold policy to residents or their representatives during transfers to a hospital or therapeutic leave. This deficiency was identified for five residents who were reviewed, indicating a systemic issue in the facility's adherence to its own policy. The facility's undated bed hold policy states that residents or their representatives must be informed of the policy upon admission and any transfer to the hospital. However, the medical records for the residents in question showed no evidence of signed bed hold policies at the time of their transfers. The residents involved had various medical conditions, including dementia, heart failure, diabetes, and chronic respiratory issues, with varying levels of cognitive impairment as indicated by their BIMS scores. Despite these conditions, the facility did not document that the bed hold policy was communicated to them or their representatives during hospital transfers. The Director of Nursing acknowledged that the policy is only discussed upon admission and admitted to a lack of documentation regarding the policy during transfers, highlighting a gap in the facility's compliance with its own procedures.
Failure to Update PASARR for Residents with Mental Health Changes
Penalty
Summary
The facility failed to ensure that a new Pre-Admission Screening and Resident Review (PASARR) was completed for two residents after they exhibited symptoms or were diagnosed with mental health conditions. The facility's policy requires coordination with the PASARR program to ensure that individuals with mental disorders receive appropriate care. For Resident #41, the PASARR dated 6/12/2024 indicated no mental health symptoms, but subsequent medical records showed severe cognitive impairment, delusions, and behaviors requiring antipsychotic medication. Despite these changes, no updated PASARR was completed before the resident's readmission after a hospital stay for altered mental status and behavioral issues. Resident #47 was admitted with various diagnoses, including the use of antianxiety medication, Alprazolam. The PASARR dated 3/20/2024 and 4/18/2024 did not reflect the diagnosis of anxiety or the use of psychotropic medication, despite the resident receiving Alprazolam on multiple occasions. The facility's failure to update the PASARR to reflect these changes in the resident's condition and medication use was identified during the survey. Interviews with the House Supervisor confirmed that the PASARR should have been updated for both residents to reflect new psychiatric diagnoses and medication use. The lack of updated PASARRs for these residents indicates a deficiency in the facility's compliance with its policy and the requirements of the PASARR program, potentially impacting the residents' care and services.
Failure to Implement Fall Prevention Care Plan
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan intervention for a resident identified as being at risk for falls. The resident, who had severe cognitive impairment, an upper extremity impairment, and used a wheelchair, experienced two falls from a sloped ramp within a short period. The facility's policy on fall prevention and management required updating care plans with interventions to prevent falls, but this was not effectively executed. The resident's medical record indicated a history of falls, and the care plan was supposed to include staff assistance for navigating the ramp. However, the care plan interventions were not communicated effectively to all staff, particularly agency and PRN staff, leading to a lack of awareness about the resident's need for assistance. This oversight resulted in the resident falling from the ramp a second time, causing harm. Interviews with facility staff revealed that the agency CNA and PRN RN were not informed about the resident's fall risk and the need for assistance on the ramp. The Director of Nursing acknowledged that the agency staff should have been aware of the care plan interventions, but the information was not adequately communicated, contributing to the deficiency.
Inadequate Supervision Leads to Resident Falls
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident with severe cognitive impairment and physical limitations. The resident, who had a history of dementia, an upper limb amputation, and chronic ischemic heart disease, was involved in two incidents where he propelled himself down a ramp in his wheelchair, resulting in falls. The first incident occurred when the resident flipped his wheelchair on a sloped ramp, despite staff being educated that he required assistance to navigate the ramp. Following the first incident, the facility's policy and care plan were updated to reflect the need for staff assistance when the resident used the ramp. However, the resident experienced a second fall under similar circumstances, indicating a failure in communication and implementation of the care plan. The second fall resulted in an abrasion to the resident's forehead, and it was noted that the staff present at the time were not aware of the resident's need for assistance, as they had not been informed of the previous fall or the updated care plan requirements. Interviews with facility staff revealed that the CNA involved was from an agency and was not informed of the resident's specific needs. The Director of Nursing acknowledged that the agency staff should have been aware of the care plan interventions, but there was a lapse in communication. The RN present during the second fall also confirmed that they were not made aware of the resident's need for assistance with the ramp, highlighting a breakdown in the facility's communication and supervision processes.
Failure to Evaluate Continued Use of PRN Anti-Anxiety Medication
Penalty
Summary
The facility failed to provide evaluation and rationale for the continued use of a PRN anti-anxiety medication for a resident. The facility's policy on psychotropic medication use requires monitoring and evaluation of the need for such medications. However, the medical record review revealed that the resident was administered Alprazolam, a psychotropic medication, multiple times over several months without a documented stop date or reevaluation of the necessity for its continued use. The pharmacy had recommended a stop date for the medication, but this was not implemented, and there was no documentation from the medical director or nurse practitioner regarding the continued need for the medication. Interviews with the Director of Nursing, the pharmacist, and the nurse practitioner confirmed the lack of adherence to the policy requiring a 14-day stop date and reevaluation for PRN psychotropic medications. The Director of Nursing was unaware of why the medication did not have a stop date, and the pharmacist and nurse practitioner both acknowledged the requirement for reevaluation after 14 days. This oversight led to the continued administration of the medication without proper evaluation, contrary to the facility's policy and CMS requirements.
Infection Control Deficiencies in Equipment Storage and Oxygen Tubing Management
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment, leading to potential infection control issues. During observations, an uncovered bedpan was found on the floor in a shared bathroom between two rooms, without any identification. Both a Licensed Practical Nurse (LPN) and the House Supervisor confirmed the bedpan should have been stored in a bag with the resident's name and room number, as per facility policy. Additionally, a urine collection device was found unbagged on the back of a commode with initials that did not match any current residents in the rooms, indicating a lapse in proper storage and identification procedures. For Resident #155, who has a history of Chronic Obstructive Pulmonary Disease (COPD), Type 2 Diabetes Mellitus, Heart Failure, and Chronic Kidney Disease, the facility failed to properly store oxygen tubing. The tubing was observed lying on the floor next to the resident's bed, connected to an oxygen concentrator. Both a Certified Nursing Assistant (CNA) and an LPN confirmed that the tubing should have been placed in a bag when not in use, as per the resident's care plan and physician orders. This oversight posed a risk of germs and infection, as acknowledged by the LPN.
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 66 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 Hartsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Knollwood Manor | 11.3 mi | ★★★★★ | 5 | 0 |
| Smith County Health And Rehabilitation | 12.2 mi | ★★★★★ | 8 | 0 |
| Westmoreland Care & Rehab Ctr | 13.4 mi | ★★★★★ | 9 | 0 |
| Quality Center For Rehabilitation And Healing Llc | 15 mi | ★★★★★ | 3 | 0 |
| Lebanon Center For Rehabilitation And Healing, Llc | 15.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.