Inspection Reports for Cherrydale Post Acute

601 SULPHUR SPRINGS RD, GREENVILLE, SC, 29617-1698

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

20% better than South Carolina average
South Carolina average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2023
2024
2025

Inspection Report

Routine
Census: 124 Deficiencies: 4 Date: Apr 11, 2025

Visit Reason
The inspection was conducted to evaluate the facility's compliance with food service safety standards, including storage, preparation, and serving of food, based on facility policy review, observation, and interviews.

Findings
The facility failed to store, prepare, and serve food in accordance with professional standards, with multiple instances of improper food storage, unlabeled and undated food containers, and unsanitary kitchen conditions observed. Interviews confirmed awareness of these issues and ongoing efforts to address them.

Deficiencies (4)
Food items stored on the floor and dented cans stored improperly.
Plastic containers with food not labeled or dated.
Unwrapped pepperoni stored on top of raw beef without proper containment or labeling.
Shelving, vent hoods, ceiling vents, and floors throughout the kitchen appeared dirty.
Report Facts
Residents affected: 124

Employees mentioned
NameTitleContext
Dietary ManagerDietary Manager (DM1)Interviewed regarding kitchen conditions and ongoing changes
Account ManagerAccount Manager (AM)Interviewed and agreed with observations about food storage issues
AdministratorAdministratorInterviewed about kitchen management and staffing issues

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 25, 2024

Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: May 31, 2023

Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to ensure that binding arbitration agreements were only entered into by residents with the cognitive ability to understand them, and to assess infection prevention and control practices during medication administration.

Complaint Details
The complaint investigation revealed that two residents (R207 and R209) with cognitive impairments signed binding arbitration agreements without proper understanding or guardian consent. Observations and interviews confirmed confusion and lack of comprehension about the agreements. Additionally, infection control lapses were observed during medication administration to Resident 93.
Findings
The facility failed to ensure that residents with cognitive impairment did not enter binding arbitration agreements without proper understanding or guardian consent. Additionally, staff failed to implement proper infection control measures during medication administration, including failure to sanitize a glucometer and perform hand hygiene, potentially risking cross contamination and infection spread.

Deficiencies (2)
Failure to ensure binding arbitration agreements were only entered into by residents with cognitive ability to understand and make informed decisions, with missing guardian signatures for cognitively impaired residents.
Failure to implement infection control measures during medication pass, including failure to sanitize glucometer before and after use and failure to perform hand hygiene.
Report Facts
BIMS score: 10 BIMS score: 14 Date of admission MDS ARD: May 16, 2023 Date of admission MDS ARD: May 28, 2023 Date of arbitration agreement: May 10, 2023 Date of arbitration agreement: May 29, 2023 Observation time: 1623

Employees mentioned
NameTitleContext
RN1Registered NurseNamed in infection control deficiency for failure to sanitize glucometer and perform hand hygiene
Social Services DirectorSocial Services DirectorInterviewed regarding assessment of residents' decisional capacity
AdministratorAdministratorConfirmed cognitive impairment of Resident 207 and lack of understanding of arbitration agreement by Resident 209
Admissions DirectorAdmissions DirectorResponsible for having residents sign binding arbitration agreements and explaining arbitration
Director of NursingDirector of NursingInterviewed regarding infection control observations and facility expectations

Inspection Report

Annual Inspection
Deficiencies: 5 Date: Dec 3, 2021

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements including resident assessments, care planning, fall prevention, hygiene assistance, infection control, and safety.

Findings
The facility failed to complete accurate Minimum Data Set (MDS) assessments for residents, did not follow care plans for fall prevention and hygiene assistance, failed to investigate and implement effective interventions for frequent falls, and did not properly implement transmission-based precautions for a resident with potential COVID-19 exposure.

Deficiencies (5)
Failed to complete accurate Minimum Data Set (MDS) assessments for two residents.
Failed to follow care plan for fall prevention and shower assistance for two residents.
Failed to provide care and assistance for activities of daily living, specifically bathing/showering for one resident.
Failed to investigate causes of falls, provide interventions as planned, and prevent falls for one resident with 28 falls.
Failed to implement appropriate transmission-based precautions for one resident newly admitted without COVID-19 vaccination record.
Report Facts
Residents in sample: 25 Falls for Resident #57: 28 Showers scheduled for Resident #98: 17 Showers received by Resident #98: 6 Falls with injuries for Resident #57: 28

Employees mentioned
NameTitleContext
LPN #6Licensed Practical NurseProvided information on fall interventions and MDS assessment process for Resident #57
UM #17Unit ManagerDiscussed fall investigations and interventions for Resident #57
CNA #16Certified Nursing AssistantReported on shower assistance failures for Resident #98 and fall prevention observations
CNA #14Certified Nursing AssistantReported on shower assistance failures for Resident #98
CNA #15Certified Nursing AssistantReported on shower assistance failures for Resident #98
DONDirector of NursingDiscussed fall investigations and failure to follow isolation precautions for Resident #160
Rehab DirectorRehabilitation DirectorDiscussed therapy orders and lack of therapy services for Resident #57
LPN #4Licensed Practical NurseReported on failure to maintain isolation precautions for Resident #160
CNA #7Certified Nursing AssistantReported on lack of isolation precautions for Resident #160
NPNurse PractitionerOrdered COVID-19 test and removal of isolation for Resident #160
AdministratorFacility AdministratorAcknowledged inability to locate fall investigations for Resident #57

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