Inspection Reports for
Nhc Healthcare Charleston
2230 ASHLEY CROSSING DR, CHARLESTON, SC, 29414-5700
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
63% better than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 1
Date: May 15, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically focusing on the use of personal protective equipment (PPE) for enhanced barrier precautions (EBP) during resident care activities.
Findings
The facility failed to consistently utilize gowns as part of PPE for enhanced barrier precautions when administering medications via a feeding tube to one resident out of a sample of 18, creating potential risk for infection transmission. Interviews with staff revealed inconsistent understanding and application of gown use during feeding tube medication administration and dressing changes.
Deficiencies (1)
Failure to utilize gowns as part of personal protective equipment for enhanced barrier precautions during medication administration via feeding tube.
Report Facts
Residents reviewed for EBP: 18
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Observed not wearing gown during medication administration via feeding tube |
| CNA1 | Certified Nurse Aide | Interviewed regarding PPE gown and glove use for residents with feeding tubes |
| UM2 | Unit Manager | Interviewed regarding EBP utilization during feeding tube care and wound care |
| ADON | Assistant Director of Nursing | Interviewed regarding expectations for PPE use with residents on EBP |
| DON | Director of Nursing | Interviewed regarding staff expectations for PPE use with residents with catheters, drains, feeding tubes |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Nov 2, 2023
Visit Reason
The inspection was conducted based on complaints regarding inadequate staffing and failure to provide timely and dignified care to residents, including delayed response to call lights and medication administration issues.
Complaint Details
The complaint investigation was triggered by reports of inadequate staffing and delayed response to call lights, resulting in residents having to wait long periods for assistance, including incidents of residents wetting themselves and delayed colostomy care. Family members and residents reported these issues, and staff interviews confirmed staffing shortages, especially on weekends.
Findings
The facility failed to ensure timely and dignified care for residents, including delayed assistance with toileting and colostomy care, failure to administer prescribed medication on time, and insufficient staffing especially on weekends, resulting in minimal harm or potential for harm to several residents.
Deficiencies (3)
Failed to honor residents' rights to dignified existence, self-determination, communication, and exercise of rights, resulting in delayed assistance and dignity issues for 3 residents.
Failed to provide appropriate treatment and care according to orders, resident’s preferences and goals, including delayed medication administration for 1 resident.
Failed to provide enough nursing staff every day to meet the needs of every resident; insufficient staffing led to delayed care for 7 residents.
Report Facts
Residents reviewed for dignity: 4
Residents affected for dignity deficiency: 3
Residents reviewed for antibiotic use: 2
Residents affected for antibiotic deficiency: 1
Residents affected for staffing deficiency: 7
Sample size: 20
BIMS scores: 15
BIMS scores: 10
BIMS scores: 3
Call off shifts: 2
Medication doses missed: 2
Call light response time: 25
Call light response delay: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 7 | Licensed Practical Nurse | Reported staffing shortages on weekends and delayed assistance to resident R15 |
| Licensed Practical Nurse 12 | Licensed Practical Nurse | Confirmed failure to administer eye ointment on 10/31/23 |
| Certified Nursing Assistant 4 | Certified Nursing Assistant | Reported complaints about call light delays and weekend staffing shortages |
| Staffing Coordinator | Staffing Coordinator | Responsible for finding replacements for weekend call offs |
| Administrator | Administrator | Reported ongoing hiring efforts to fill nursing and CNA positions |
| Pharmacist | Pharmacist | Stated facility should have backup pharmacy for weekend deliveries |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Nov 12, 2021
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction related to a nursing home survey conducted to identify any health deficiencies.
Findings
No health deficiencies were found during the survey.
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