Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Thomas Hospitals Skilled Nursing Unit during CMS and state inspections, most recent first.
The facility failed to develop and implement person-centered activity care plans for 9 of 16 residents reviewed. Residents with low BIMS scores and residents who stayed in their rooms had no documented individualized activity interventions or room-based engagement efforts. The AD stated she did not know how to create or update activity care plans in the EMR, and the DON acknowledged that residents were not care planned for activities.
The facility failed to provide individualized activity care plans and meaningful engagement for residents who stayed in their rooms or had low BIMS scores. Surveyors found that 9 of 16 activity care plans lacked individualized interventions, residents were observed without documented one-on-one or sensory-based activities, and the facility reported no outings or community involvement opportunities. The AD said she did not know how to create or update activity care plans in the new system, and activity calendars showed no weekend programming for several months.
Failure to provide individualized resident activities: Staff reported no community outings, no one-on-one or sensory stimulation activities for room-bound residents, and no weekend activities on the activity calendars. Record review showed 14 of 16 care plans lacked individualized activity interventions, including for residents with low BIMS scores or cognitive decline, and the AD stated she did not know how to create or update activity care plans in the current system.
Unsafe Food Storage and Kitchen Sanitation: The facility failed to date and properly store multiple open food items in the walk-in cooler, walk-in freezer, reach-in cooler, and reach-in freezer. Surveyors also observed soiled floors under the dishwasher, unclean racks and walls, grease buildup on fryers and exhaust hoods, and debris on ovens, coolers, and prep stations. The DM was present during the kitchen tour and confirmed the findings.
Failure to Care Plan Residents for Individualized Activities
Penalty
Summary
The facility failed to develop and implement person-centered, comprehensive care plans that included individualized activities for 9 of 16 residents reviewed, including Residents #30, #29, #6, #1, #32, #27, #37, #38, and #23. The record review and staff interviews showed that residents with low BIMS scores and residents who remained in their rooms lacked documented activity interventions tailored to their needs and preferences. Resident #30 had a low BIMS score, remained in the room, and had no documented activity plan or evidence of room-based engagement efforts. During interview, the Activities Director stated she was unaware of how to create or update activity care plans in the facility’s current EMR system and said she had not been shown how to do so. The DON acknowledged she was not aware that residents were not care planned for activities and stated that all residents should be care planned for activities.
Lack of Individualized Activities and Weekend Programming
Penalty
Summary
The facility failed to ensure residents maintained the highest practicable mental and psychosocial well-being by not providing individualized activities and meaningful engagement for residents who remained in their rooms. During record review of 16 resident activity care plans, nine lacked individualized activity care plans or interventions, especially for residents who stayed in their rooms or had low BIMS scores. Survey observations noted residents with low BIMS scores remaining in their rooms without documented one-on-one engagement or sensory-based activity plans, and the facility reported that it did not provide outings or opportunities for community involvement. The Activities Director stated she was unaware of how to create or update activity care plans in the new system and said she had not been shown how to do so. The Director of Nursing stated she was unaware that activity care plans were missing and acknowledged that all residents should be care planned for activities. Review of the facility activity calendars for May, June, and July showed no weekend activities were offered during those months, and the facility was unable to provide specific programming for one-on-one or sensory stimulation residents who were unable or unwilling to leave their rooms.
Failure to Provide Individualized Resident Activities
Penalty
Summary
The facility failed to provide an ongoing activities program that met residents’ individual needs, interests, and abilities in accordance with their comprehensive assessments and care plans. During the survey, staff reported that no community outings or external engagement opportunities were offered, and they stated that one-on-one or sensory stimulation activities were not provided for residents who were room-bound or chose not to leave their rooms. Record review showed that 14 of 16 resident care plans had no individualized activities interventions, including for residents with low BIMS scores or cognitive decline. The Activities Director stated she did not know how to create or update activity care plans in the current system and said she had not been shown how to do so. The DON stated she was unaware that activity care plans were absent, and acknowledged that all residents should be care planned for activities. Review of the activity calendars for May, June, and July showed no weekend activities were provided, and observation and record review confirmed that residents with low BIMS scores who remained in their rooms had no documented individualized activity interventions.
Unsafe Food Storage and Kitchen Sanitation
Penalty
Summary
The facility failed to date and safely store open and prepared food items in multiple refrigeration units, maintain cleanliness of kitchen equipment and surfaces, and implement effective systems to prevent contamination or spoilage of food. During observation of the kitchen areas, a canister of chopped garlic in the walk-in cooler had no open or discard date. In the walk-in freezer, a bag of chicken tenders was stored outside of the original box, open and without a date, and an open box of fish filets was not sealed and had no open date, exposing the contents to possible contamination. Additional perishable items in the reach-in cooler were observed undated and unsealed, including onions, cheese, lettuce, sliced tomatoes, and salad mix. In the dishwashing area, the floor under the dishwasher was visibly soiled with build-up, and racks and surrounding walls were unclean. Deep fryers had grease accumulation behind the vats, dark oil that foamed at the edges, and dried grease on the front, while exhaust hoods above cooking equipment were visibly covered in grease. All ovens, reach-in coolers, and prep stations had build-up on the metal surfaces and visible debris and grease under the units. In the reach-in freezer, five bags of French fries, pre-made frozen omelets, frozen biscuits, and frozen carrots were open and without dates, and the frozen carrots were brown and discolored. The Dietary Manager was present during the tour and confirmed all findings.
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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 Charleston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Oak Ridge Llc | 1.2 mi | ★★★★★ | 0 | 0 |
| Arthur B Hodges Center, The | 1.6 mi | ★★★★★ | 0 | 0 |
| Charleston Healthcare Center | 2.8 mi | ★★★★★ | 14 | 0 |
| Meadowbrook Acres | 4.1 mi | ★★★★★ | 5 | 0 |
| Dunbar Center | 4.6 mi | ★★★★★ | 4 | 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.