Deficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Annual Inspection
Census: 25
Capacity: 32
Deficiencies: 9
Oct 16, 2024
Visit Reason
The inspection was conducted as an annual review of Divine Manor Assisted Living Center to assess compliance with licensing, medication administration, safety, and resident care standards.
Findings
The inspection found multiple deficiencies including missing evacuation route postings, unavailable current licenses and inspection documents, incomplete quarterly fire drills, and numerous medication administration record (MAR) errors with missing staff signatures for multiple residents. Some physical exams and care plans were also not available for review.
Deficiencies (9)
| Description |
|---|
| Evacuation routes were not posted throughout the facility. |
| Current DHEC license was not available for review during the inspection. |
| Annual fire alarm, HVAC, and sprinkler inspections were not available for review. |
| Quarterly fire drills were not completed and documentation was not available. |
| Multiple medication administration records lacked staff signatures for doses given to Residents A, B, C, D, E, and F, making it impossible to verify medication administration. |
| Updated physical exams for Residents A, B, C, D, E, and F were not available for review. |
| Updated care plans for Residents A, B, C, D, E, and F were not available for review. |
| Personal funds ledgers/quarterly reports for some residents were not available for review. |
| Spider webs and spiders were present outside the facility entrance and needed removal. |
Report Facts
Water temperature: 122.8
Licensed beds: 32
Residents present: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doris Afam | Administrator | Named as facility Administrator with current license |
| Alicia Kearse | DRSC Team Advocate | Conducted the inspection |
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