Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Dec 20, 2024
Visit Reason
The inspection was an extended annual recertification survey including investigation of substandard quality of care and compliance with federal regulations.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity during insulin administration, inadequate supervision leading to a resident eloping and sustaining injury, medication administration errors including improper insulin pen use and missed doses, storage of expired and discontinued medications, unsecured medication carts, and poor food safety and sanitation practices in the kitchen.
Deficiencies (6)
F 0557: The facility failed to maintain dignity for Resident 39 during insulin injection by not providing privacy or covering the resident appropriately.
F 0689: The facility failed to provide adequate supervision preventing Resident 97 from eloping during a fire alarm, resulting in a fall and fractured clavicle.
F 0759: The facility failed to ensure medication error rates were below 5%, with 4 errors in 26 opportunities and a missed timely administration of Sertraline for Resident 39.
F 0760: The facility failed to ensure proper priming and administration of insulin pens, resulting in uncertainty that 3 residents received correct insulin doses.
F 0761: The facility failed to remove expired, outdated, or discontinued medications and failed to secure medication carts, leaving medications unattended and computer screens open to resident information.
F 0812: The facility failed to procure, store, prepare, and serve food in accordance with professional standards, including failure to discard expired foods, label open items, maintain kitchen cleanliness, and ensure proper hand hygiene during meal service.
Report Facts
Medication administration error rate: 15.38
Fall risk evaluation score: 16
Fire drills: 8
Expired medications: 6
Expired medication lots: 3
Medication cart unlocked incident: 1
Kitchen fans with dust buildup: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Named in findings related to failure to maintain dignity and medication administration errors |
| LPN2 | Licensed Practical Nurse | Named in insulin pen priming and administration errors |
| LPN3 | Licensed Practical Nurse | Named in insulin pen priming and administration errors and hand hygiene observations |
| LPN6 | Licensed Practical Nurse | Named in medication cart unsecured incident |
| Director of Nursing | Director of Nursing | Confirmed medication administration errors and discussed facility policies |
| Dietary Manager | Dietary Manager | Interviewed regarding kitchen sanitation and food safety deficiencies |
| Maintenance Director | Maintenance Director | Interviewed regarding fire alarm and door security issues |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 1, 2023
Visit Reason
The inspection was conducted due to a complaint and an extended survey related to a resident elopement incident that constituted substandard quality of care and immediate jeopardy to resident health or safety.
Complaint Details
The complaint investigation was triggered by a resident elopement incident on 08/30/23. The immediate jeopardy was identified and removed by 08/31/23 after the facility implemented corrective actions. The complaint was substantiated as the facility was found non-compliant with federal regulations related to quality of care.
Findings
The facility failed to prevent accidents and hazards by not adequately supervising a resident who eloped from the facility on 08/30/2023, exposing the resident to serious harm. The facility implemented corrective actions including increased supervision, staff education, securing the front door, and ongoing monitoring.
Deficiencies (1)
F 0689: The facility failed to prevent accidents and hazards, resulting in a resident elopement on 08/30/23 that placed the resident at risk of serious harm including being struck by a vehicle or suffering heat-related illness.
Report Facts
Date of survey completion: Sep 1, 2023
Resident BIMS score: 5
Dates of elopement risk assessments: Jun 23, 2023
Date of elopement incident: Aug 30, 2023
Date of root cause analysis: Aug 30, 2023
Date of corrective action completion: Aug 30, 2023
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 10, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged abuse and neglect involving a resident's medication administration and physical handling.
Complaint Details
The complaint involved allegations that on 05/05/23, a nurse refused to crush a resident's medication and a CNA dropped the resident's leg during care. The facility delayed reporting the abuse allegation to the state agency until 05/08/23, more than two hours after becoming aware of it. Staff involved were suspended and police notified.
Findings
The facility failed to timely report an allegation of abuse involving a resident whose medication was not crushed as requested and whose leg was dropped by staff. Additionally, the facility failed to ensure food was properly covered during delivery to resident rooms, exposing food to potential contamination.
Deficiencies (2)
F0609: The facility failed to timely report suspected abuse involving a resident whose medication was not crushed and whose leg was dropped by staff. The state agency was notified more than two hours after the facility became aware of the allegation.
F0812: The facility failed to ensure food was covered during delivery to resident rooms on the Morning Star Unit, exposing food to potential contamination. Staff were observed carrying uncovered food trays down hallways instead of using covered carts.
Report Facts
Residents affected: 1
Residents affected: 31
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 25, 2021
Visit Reason
Annual inspection survey of Life Care Center of Charleston to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
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