Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 11, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding failure to provide appropriate care for a resident requiring a cervical thoracic orthosis (CTO) neck brace and failure to implement proper infection prevention and control related to laundry handling.
Complaint Details
The complaint investigation found substantiated issues related to the lack of an active order for Resident 17's CTO brace and improper laundry handling procedures that could lead to infection risks.
Findings
The facility failed to ensure an active order for the use of a CTO neck brace for Resident 17, which could lead to potential harm. Additionally, the facility failed to ensure proper handling and transportation of resident laundry, risking contamination between clean and dirty linens.
Deficiencies (2)
F 0688: The facility failed to provide appropriate care by not having an active order for the use of a Cervical Thoracic Orthosis (CTO) neck brace for Resident 17, despite hospital discharge instructions requiring its use at all times.
F 0880: The facility failed to implement an infection prevention and control program by improperly handling and transporting resident laundry, placing clean linen on top of dirty linen without disinfecting the basket, risking contamination.
Report Facts
Residents Affected: 1
Residents Affected: 1
Duration for CTO brace use: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse and Interim Director of Nursing | Interviewed regarding CTO brace order and resident care |
| MD1 | Medical Director | Interviewed regarding CTO brace order and hospital discharge instructions |
| RN2 | Admissions Nurse | Interviewed regarding failure to enter CTO brace order upon admission |
| ED | Executive Director | Interviewed regarding admissions procedures and order placement |
| Director of Facilities | Interviewed regarding laundry handling procedures | |
| Laundry Attendant | Observed improperly handling and transporting laundry |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 22, 2023
Visit Reason
Annual inspection survey of Linville Court at the Cascades Verdae nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 27, 2023
Visit Reason
The inspection was conducted due to a complaint investigation following an elopement incident involving Resident 2 (R2) who left the facility unsupervised, posing immediate jeopardy to resident health and safety.
Complaint Details
The complaint investigation found that Resident 2 eloped from the facility on 04/20/2023 at approximately 4:38 PM. The facility's failure to prevent this elopement was determined to constitute immediate jeopardy to resident health or safety. The investigation included interviews, record reviews, and observations confirming the lack of adequate safeguards and alarms on exit doors.
Findings
The facility failed to prevent the elopement of R2 on 04/20/2023, exposing the resident to potential serious harm. The door between two units lacked an alarm system and allowed exit without detection, and the facility's policies and supervision were insufficient to prevent the incident.
Deficiencies (1)
F689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents, resulting in the elopement of Resident 2 on 04/20/2023. The door between units lacked an alarm and allowed exit without detection, placing the resident at immediate risk of serious injury or death.
Report Facts
Elopement Risk Assessment Score: 0
BIMS score: 8
Residents identified at possible risk: 10
Audit duration: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MW1 | Maintenance Worker | Witnessed Resident 2 walking outside and provided a statement about the elopement |
| LPN1 | Licensed Practical Nurse | Notified about Resident 2 being observed in the parking lot |
| CNA1 | Certified Nursing Assistant | Observed Resident 2 after elopement and reported resident's statement about searching for his wife |
| CNA2 | Certified Nursing Assistant | Resident 2's CNA on the day of elopement, observed resident 20 minutes before incident |
| NM | Nursing Manager | Interviewed regarding facility's lack of alarm system on exit door |
| Administrator | Facility Administrator | Confirmed no way to detect resident exit without wander guard and timing of absence detection |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 20, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication labeling, dietary services, food preparation, and sanitation in the nursing home.
Findings
The facility failed to date insulin pens when placed on medication carts, did not follow the prescribed menu and serving sizes during meal service, and failed to maintain sanitary food preparation and storage practices. Multiple observations revealed improper food handling, storage of utensils, and failure to discard leftovers within required timeframes.
Deficiencies (3)
F 0761: The facility failed to date insulin pens when opened and placed on the medication cart, contrary to policy requiring dating upon removal from the refrigerator.
F 0803: The facility failed to follow the menu and serving sizes for one meal observed, including not serving braised stew vegetables and incorrect portion sizes.
F 0812: The facility failed to prepare, serve, and store food and kitchen utensils in a sanitary manner and failed to discard leftovers within scheduled timeframes during two observation days.
Report Facts
Insulin pens not dated: 5
Observation days: 2
Steam table pans sampled: 38
Plastic cups stacked: 27
Glasses stacked: 27
Leftover storage shelf life dates: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Stated responsibility of nurses to date insulin pens when placed on medication cart. | |
| Pharmacist | Confirmed insulin pens must be dated when removed from refrigerator and placed on medication cart. | |
| Certified Dietary Manager | Interviewed regarding menu deviations and food serving sizes; observed during meal service. | |
| Executive Chef | Interviewed about food preparation, storage practices, and leftover discard policies. | |
| Registered Dietician | Confirmed staff should follow menu and serving size spreadsheet and provided training for kitchen staff. |
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