Inspection Reports for
Preston Health Center

87 BIRDSONG WAY, HILTON HEAD ISLAND, SC, 29926-1365

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3 Reports

2022–2025

Inspection Report — Dec 11, 2025

Annual Inspection
Date: Dec 11, 2025

Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at The Preston Health Center.

Findings
No health deficiencies were found during the inspection.

Inspection Report — Aug 29, 2024

Complaint Investigation
Date: Aug 29, 2024

Visit Reason
The inspection was conducted following a complaint investigation related to a mechanical lift transfer incident where a resident (R9) sustained a fractured clavicle during transfer.

Complaint Details
The complaint investigation revealed that CNA1 attempted to transfer resident R9 alone using the wrong sling on 07/01/24, resulting in a fall and fractured clavicle. The incident was substantiated and corrective actions were taken including CNA1's termination.
Findings
The facility failed to ensure safe mechanical lift transfers for one resident out of six reviewed, resulting in actual harm. The incident involved improper use of the mechanical lift by a Certified Nursing Assistant (CNA1) who transferred the resident alone using the wrong sling, causing a fracture. The facility implemented corrective actions including staff retraining, discarding old slings, and terminating the responsible CNA.

Deficiencies (1)
Failure to ensure safe mechanical lift transfers resulting in resident injury.
Report Facts
Residents reviewed for mechanical lift transfers: 6 Residents in sample: 20 Date of incident: Jul 1, 2024 Date of CNA termination: Jun 30, 2024 Date of staff retraining: Jul 3, 2024

Employees mentioned
NameTitleContext
CNA1Certified Nursing AssistantNamed in the finding for improper mechanical lift transfer resulting in resident injury and subsequent termination.
DONDirector of NursingReported and investigated the incident involving mechanical lift transfer injury.
CNA2Certified Nursing AssistantDemonstrated competency using the mechanical lift during survey observations.
LPN1Licensed Practical NurseDemonstrated competency using the mechanical lift during survey observations.

Inspection Report — Nov 15, 2022

Annual Inspection
Date: Nov 15, 2022

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards related to medication storage, food safety, refuse disposal, and nurse aide training.

Findings
The facility was found deficient in multiple areas including failure to remove expired medications and biologicals from medication storage rooms, improper food labeling and storage with expired and moldy foods found in refrigerators and dry storage, inadequate refuse disposal with uncovered grease bin attracting flies, and failure to ensure required in-service training for nurse aides.

Deficiencies (4)
Expired medications and biologicals were found in 2 of 3 medication storage rooms, with no facility policy on disposal of expired medications.
Food items were improperly stored, including undated and uncovered foods, expired foods, and moldy items in refrigerators, freezer, and dry storage.
Improper disposal of refuse with uncovered grease bin attracting flies and dumpsters with doors open.
11 out of 32 Certified Nursing Assistants lacked documentation of required 12 hours of annual in-service training including dementia care and abuse prevention.
Report Facts
Expired I.V. Starter Kits: 3 Expired cartons of nutritional fiber: 8 Cases of turkey thighs on freezer floor: 5 Cases of lamb on freezer floor: 2 Cases of blackberries with mold: 13 Cases of strawberries with mold: 3 Certified Nursing Assistants lacking training documentation: 11

Employees mentioned
NameTitleContext
Director of NursingDirector of Nursing (DON)Confirmed expired medications found and lack of nurse aide training documentation
Director of Food and BeveragesDirector of Food and Beverages (DFB)Verified food storage violations and refuse disposal issues
Licensed Practical Nurse 1Licensed Practical Nurse (LPN)1Confirmed expired biologicals in Arbor Unit medication storage room
Licensed Practical Nurse 2Licensed Practical Nurse (LPN)2Confirmed expired biologicals in Palmetto Unit medication storage room
Executive ChefExecutive Chef (EC)Verified food storage violations in refrigerator, freezer, and dry storage

4 CMS Surveys

CMS Survey — Aug 29, 2024

Aug 29, 2024

CMS Survey — Nov 15, 2022

Nov 15, 2022

CMS Survey — Aug 29, 2024

Aug 29, 2024

CMS Survey — Dec 11, 2025

Dec 11, 2025

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