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 Mt Pleasant Healthcare And Rehabilitation during CMS and state inspections, most recent first.
A facility failed to report an allegation of sexual abuse involving a resident and an LPN to the state agency, as required by policy. The resident, who was cognitively intact, initially accused the LPN of inappropriate contact but later admitted to fabricating the story. Despite the retraction, the facility's Administrator and DON did not report the incident, citing a completed investigation within a two-hour window. The Ombudsman was also not informed, and no educational measures were implemented post-incident.
The facility failed to provide adequate personal hygiene and bathing services to several residents, including one with moderate cognitive impairment who received only one shower in nearly two months, and another who was observed with unaddressed facial hair. Staff interviews revealed inconsistencies in documentation and execution of care plans, indicating a significant deficiency in care provision.
The facility failed to follow physician orders for oxygen administration and did not obtain timely skin treatment orders for two residents. One resident received oxygen at a lower rate than prescribed, and another received zinc cream for skin damage without a physician's order. These deficiencies were confirmed by staff interviews and observations.
The facility failed to maintain adequate staffing levels, resulting in unmet ADL needs for residents, including bathing and skin care. Staffing records showed insufficient nurse aide hours, with only one CNA on duty at times. Interviews revealed CNAs struggled to manage care for up to 20 residents each, leading to delays in essential tasks. The facility also lacked required RN coverage, with nurses assisting CNAs due to staffing shortages.
The facility failed to ensure nursing staff had the necessary competencies to care for residents with PICC lines. Two residents received IV antibiotics administered by LPNs who lacked documented specialized training for PICC line access. Despite the facility's policy requiring appropriate staff competencies, the training was not documented in the LPNs' files, leading to a deficiency in care.
The facility failed to maintain RN coverage for 8 consecutive hours daily, as required by policy. On specific dates, there was no RN coverage, and the DON worked beyond the allowed capacity due to the facility's census exceeding 60 residents. The DON confirmed the necessity of RN coverage and the limitations on their role when occupancy is high.
The facility failed to adhere to its medication storage policy, resulting in improper storage of medications. An RN was observed storing antacid tablets with eye drops and an ear wax removal bottle with topical patches. Both the RN and the DON confirmed that these medications should not be stored together.
Failure to Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to report allegations of sexual abuse involving a resident, identified as Resident #165, to the appropriate state agency and other required entities. According to the facility's policy, all allegations of abuse, including sexual abuse, must be reported immediately to the Administrator and relevant agencies. However, the Director of Nursing (DON) and the Administrator did not report the incident involving Resident #165 and a Licensed Practical Nurse (LPN) to the state agency, despite the facility's policy requiring such action. Resident #165, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 14, had a history of making false accusations and inappropriate sexual statements. On April 10, 2024, the resident alleged that an LPN had inappropriate sexual contact with her during a medical examination. The DON was informed of the allegations and began an investigation. However, the resident later recanted her statement, admitting to lying about the incident because she was upset. Despite this retraction, the facility's failure to report the initial allegation to the state agency constituted a deficiency. The facility's Administrator, who also served as the Abuse Coordinator, acknowledged that the incident was not reported to the state agency. The Administrator believed that the investigation was completed within a two-hour window, which led to the decision not to report the incident. Additionally, the Ombudsman was not notified of the allegation, and no educational measures were taken following the incident. This lack of reporting and failure to follow established protocols resulted in a deficiency in the facility's compliance with abuse reporting requirements.
Deficiency in Personal Hygiene and Bathing Services
Penalty
Summary
The facility failed to provide adequate personal hygiene and bathing services to four residents, as required by their policies. Resident #8, who has moderate cognitive impairment and requires substantial assistance with bathing, was documented to have received only one shower over a period of nearly two months. Despite the resident's care plan indicating the need for regular showers, there was no documentation of refusal, and the resident confirmed the lack of showers. Interviews with staff revealed inconsistencies in the documentation and execution of shower schedules, with the facility unable to provide shower sheets for Resident #8. Resident #13, who is cognitively intact, was observed with facial hair on multiple occasions, indicating a lack of grooming services. The resident expressed a preference for having facial hair removed, but it was not addressed by the staff. A CNA mentioned that facial hair is usually shaved on shower days, suggesting a lapse in routine grooming care. Resident #19, who has Alzheimer's and other mental health conditions, was also noted to require substantial assistance with bathing and personal hygiene. The report does not provide specific observations or interviews regarding Resident #19's care, but the inclusion in the deficiency suggests similar issues with the provision of necessary ADL support. The facility's failure to adhere to its policies on personal hygiene and bathing for these residents highlights a significant deficiency in care provision.
Failure to Follow Physician Orders and Obtain Timely Skin Treatment Orders
Penalty
Summary
The facility failed to follow physician orders and obtain timely skin treatment orders for two residents. Resident #7, who was admitted with chronic respiratory failure and other conditions, had a physician's order for oxygen at 4 liters per minute via binasal cannula as needed for shortness of breath. However, observations on two separate occasions revealed the resident's oxygen was set to 2 liters, contrary to the physician's order. This discrepancy was confirmed by an LPN and the Director of Nursing, indicating a failure to adhere to the prescribed oxygen settings. Resident #8, admitted with conditions including hemiplegia and diabetes, was at risk for pressure ulcers. The care plan included applying a moisture barrier to prevent skin breakdown. Despite this, a skin integrity event noted moisture-associated skin damage to the resident's buttocks, and zinc cream was applied without a physician's order from March 14 to March 18, 2025. The Advanced Practice Registered Nurse documented the need for zinc oxide treatment on March 19, 2025, but there was no prior documentation or physician's order for the treatment. The Assistant Director of Nursing acknowledged the lack of a physician's order during this period, and the Director of Nursing confirmed that skin issues should be documented and treated with an appropriate order.
Inadequate Staffing Leads to Deficient Resident Care
Penalty
Summary
The facility failed to maintain adequate staffing levels to meet the Activities of Daily Living (ADL) needs for several residents, including bathing, grooming, and skin care. The facility's assessment and staffing records revealed that nurse aide hours per resident were below the required levels on multiple occasions. Specifically, on certain days, the facility had only one Certified Nursing Assistant (CNA) on duty, which was insufficient to provide necessary care for all residents. This staffing shortage led to inadequate personal hygiene and bathing care for several residents and delayed skin treatment orders for one resident. Interviews with staff members highlighted the challenges faced due to understaffing. CNAs reported being responsible for up to 20 residents each, which made it difficult to complete essential tasks such as incontinence care, turning, and repositioning residents every two hours. The lack of sufficient staff also resulted in delays in meal service and inadequate assistance with ADLs. Staff members expressed concerns about the impact of these issues on resident care, including the development of skin issues and urinary tract infections due to prolonged exposure to moisture. The facility also failed to maintain the required Registered Nurse (RN) coverage for eight consecutive hours a day, seven days a week. Interviews with the Director of Nursing (DON) and other nursing staff confirmed that the facility was experiencing significant staffing challenges, with nurses having to assist with CNA duties due to the shortage. The DON acknowledged that while nurses could support CNAs, their primary responsibilities, such as medication administration and wound care, limited their ability to provide direct care consistently.
Deficiency in Nursing Staff Competency for PICC Line Care
Penalty
Summary
The facility failed to ensure that all nursing staff possessed the necessary competencies and skill sets to safely provide nursing and related services to meet the needs of residents with PICC lines. The facility's policy required sufficient staff with appropriate competencies to assure resident safety and well-being, but this was not adhered to for two residents with PICC lines. The facility assessment policy also required staff competencies to be aligned with the care needs of the resident population, which was not met in this case. Resident #50, who was admitted with osteomyelitis of the vertebra, was receiving IV medications through a PICC line. The medical record showed that LPNs administered antibiotics via the PICC line, despite the lack of specialized IV training for PICC lines in their employee files. Similarly, Resident #65, admitted with osteomyelitis and Charcot's joint, was also receiving IV antibiotics through a PICC line administered by LPNs without documented specialized training. Interviews with the LPNs revealed that they had not received specific training for PICC line access, and the Director of Nursing confirmed that LPNs were trained to perform these tasks, although the training was not documented. The facility's failure to document specialized training for PICC line access in the LPNs' employee files and the lack of adherence to the facility's policy on staff competencies contributed to the deficiency. The Regional Nurse's statement that there was no regulation preventing LPNs from accessing PICC lines did not address the lack of documented training, which was a critical component of ensuring resident safety and compliance with facility policies.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to maintain Registered Nurse (RN) coverage for 8 consecutive hours a day, 7 days a week, as required by their policy and regulatory standards. The facility's policy, dated January 23, 2025, mandates sufficient staffing to ensure resident safety and well-being, including the use of an RN for at least 8 consecutive hours daily. However, a review of staffing records revealed that on February 15, 2025, and February 22, 2025, there was no RN coverage for the required duration. Additionally, on March 6, 2025, although the Director of Nursing (DON) worked 8.5 hours, the facility's census was 64, which exceeded the threshold allowing the DON to serve as a charge nurse, and no other RNs were scheduled. During an interview on March 20, 2025, the DON confirmed the necessity of RN coverage for 8 consecutive hours each day and acknowledged that the DON cannot serve as a charge nurse if the facility's average daily occupancy exceeds 60 residents. The facility's failure to adhere to these staffing requirements constitutes a deficiency in maintaining adequate nursing services, as evidenced by the lack of scheduled RN coverage on the specified dates.
Improper Medication Storage Practices
Penalty
Summary
The facility failed to store all drugs in accordance with currently accepted professional principles in one of the four medication storage areas. The facility's policy, revised in September 2024, mandates that medications for external use be stored separately from internal medications, and oral medications be stored separately from other formulations such as eye drops. During an observation, a surveyor found a bottle of antacid chewable tablets stored with eye drops and an ear wax removal bottle stored with topical Lidocaine and Nicotine patches on a medication cart. When questioned, the RN acknowledged that these medications should not be stored together. The Director of Nursing also confirmed that oral medications should not be stored with eye drops, and ear wax removal kits should not be stored with topical patches.
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Illustrative
What surveyors actually found near you
We read the 53 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mount Pleasant
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc-maury Regional Transitional Care Center | 7.5 mi | ★★★★★ | 0 | 0 |
| Lewis Park Post Acute | 7.7 mi | ★★★★★ | 14 | 0 |
| Nhc Healthcare, Columbia | 8.7 mi | ★★★★★ | 0 | 0 |
| Magnolia Healthcare And Rehabilitation Center | 9 mi | ★★★★★ | 15 | 0 |
| Life Care Center Of Columbia | 9.9 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.