Inspection Reports for
Pruitthealth Rock Hill
261 S HERLONG AVE, ROCK HILL, SC, 29732-1159
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% worse than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 1
Date: Jun 11, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with safety regulations, specifically to ensure the nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Findings
The facility failed to prevent accidents and hazards for one out of three sampled residents due to the presence of a spill under a resident's bed and an unauthorized extension cord in the resident's room, which posed fire and safety hazards.
Deficiencies (1)
Failure to prevent accidents and hazards related to a spill under the bed and an extension cord in the resident's room.
Report Facts
Residents affected: 1
Assessment Reference Date: May 16, 2025
Resident admission date: Jan 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN)/Unit Manager | Interviewed regarding the spill and extension cord in the resident's room | |
| Maintenance Director | Interviewed about removal of extension cords and staff education on fire and safety hazards |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Pruitthealth- Rock Hill nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 12, 2023
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report an allegation of resident-to-resident verbal abuse between two residents (R16 and R17).
Complaint Details
The complaint investigation focused on the failure to report a resident-to-resident verbal and slightly physical altercation between residents R16 and R17. The incident involved threats and use of a grabber stick and was not reported to the state agency by staff. Both residents had prior verbal disagreements and were separated as roommates but remained on the same unit due to facility remodeling.
Findings
The facility failed to report a verbal and slightly physical resident-to-resident altercation involving R16 and R17 to the state agency as required. Additionally, the facility failed to implement care plan interventions for a resident with a history of falls (R9), which posed a risk of injury.
Deficiencies (2)
Failure to timely report suspected resident-to-resident verbal abuse and threats involving residents R16 and R17.
Failure to ensure care plan interventions were implemented for resident R9 with a history of falls, including absence of fall mat and bed not in lowest position.
Report Facts
Residents reviewed for resident-to-resident altercations: 8
BIMS score: 15
BIMS score: 5
Residents reviewed for falls: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)2 | Provided information about the resident-to-resident altercation between R16 and R17. | |
| Social Worker | Discussed the situation and room changes related to residents R16 and R17. | |
| Certified Nursing Assistant (CNA) | Verified absence of fall mat and bed position for resident R9. | |
| Director of Health Services (DHS) | Confirmed care plan requirements for resident R9 and responsibility of staff. | |
| Director of Health Services and Administrator | Revealed that the verbal resident-to-resident altercations had not been reported to the state agency. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 21, 2023
Visit Reason
The inspection was conducted due to complaints and concerns regarding medication self-administration, transportation safety, and fall investigations at the nursing home.
Complaint Details
The complaint investigation revealed immediate jeopardy due to unsafe medication storage by a cognitively impaired resident, improper wheelchair securement during transport causing injury, and inadequate fall investigations for a resident with multiple falls.
Findings
The facility failed to ensure a cognitively impaired resident was not storing medications at bedside, failed to properly secure a resident's wheelchair during transportation resulting in injury, and failed to conduct thorough investigations of resident falls to determine root causes and implement interventions.
Deficiencies (3)
Allowed a cognitively impaired resident to store medication at bedside despite assessment indicating inability to self-administer medications.
Failed to properly secure a resident's wheelchair in the transportation van, resulting in the wheelchair flipping backwards and causing injury.
Failed to complete thorough investigations of falls for one resident to determine root cause and develop interventions.
Report Facts
BIMS score: 3
BIMS score: 15
BIMS score: 15
Number of residents sampled for accidents: 7
Number of residents reviewed for medication self-administration: 4
Number of falls for resident R70 without investigation: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN19 | Registered Nurse | Aware of pain cream at resident R19's bedside and attempted family education |
| CNA17 | Certified Nursing Assistant | Interviewed about medication removal practices and resident wandering |
| Van Driver | Failed to properly secure wheelchair during transport on 10/14/2022 | |
| MDS Nurse | Minimum Data Set Nurse | Provided first aid after wheelchair incident and transported resident |
| LPN1 | Licensed Practical Nurse | Commented on resident R70's independence and fall prevention |
| interim Director of Health Services | DHS | Provided statements on medication self-administration and fall investigations |
| Administrator | Provided information on transportation changes and fall investigation expectations | |
| Area President | Vice President | Expected staff to follow fall policy and conduct investigations |
Inspection Report
Deficiencies: 10
Date: Apr 21, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication self-administration, room change notifications, grievance handling, abuse and neglect investigations, significant change assessments, care planning, medication safety, transportation safety, and fall investigations.
Findings
The facility was found deficient in multiple areas including failure to assess resident capability for medication self-administration, failure to provide written notice prior to room changes, failure to assist residents in filing grievances and resolving them promptly, inadequate investigation of injury of unknown origin, failure to timely complete significant change MDS assessments, incomplete care plans addressing pain, oxygen therapy, and psychotropic medication use, unsafe medication storage for cognitively impaired residents, improper wheelchair securement during transportation causing resident injury, failure to thoroughly investigate falls, and failure to maintain a safe environment free from accident hazards.
Deficiencies (10)
Failed to assess 1 resident's capability to self-administer medications and left medication unsecured at bedside.
Failed to provide written notice to resident or representative prior to room change.
Failed to assist a resident in filing a grievance related to missing personal property and failed to ensure prompt efforts to resolve the issue.
Failed to thoroughly investigate an incident of injury of unknown origin for a resident with a hip fracture.
Failed to timely complete a significant change in status Minimum Data Set (MDS) after resident's hip fracture.
Failed to develop comprehensive care plans addressing pain management, oxygen therapy, and rationale and interventions for psychotropic medication use.
Allowed cognitively impaired resident to store medication at bedside without order or assessment for self-administration.
Failed to properly secure resident's wheelchair in transportation van, resulting in resident injury.
Failed to complete thorough investigations of falls to determine root cause and develop interventions.
Failed to ensure environment free from accident hazards and provide adequate supervision to prevent accidents.
Report Facts
Residents reviewed for abuse and/or neglect: 11
Residents sampled for accidents: 7
Residents whose care plans were reviewed: 33
Residents whose MDS assessments were reviewed: 33
Falls reported for Resident R70: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN19 | Registered Nurse | Observed giving medications, aware of pain cream at bedside, involved in medication administration |
| CNA27 | Certified Nursing Assistant | Reported resident fall, worked night shift during injury incident |
| RN29 | Registered Nurse | Cared for resident during injury incident, reported no falls |
| LPN33 | Licensed Practical Nurse | Assessed resident during injury incident |
| LPN1 | Licensed Practical Nurse | Assessed resident after injury, reported conflicting stories about fall |
| CNA2 | Certified Nursing Assistant | Worked with resident during injury incident, provided witness statement |
| CNA35 | Certified Nursing Assistant | Assisted with incontinence care during injury incident |
| Van Driver | Transported resident in van, failed to properly secure wheelchair | |
| MDS Nurse | Transported resident in van, provided first aid after injury | |
| CMC | Case Mix Coordinator | Interviewed regarding care planning and MDS assessments |
| DHS | Director of Health Services | Interviewed regarding expectations for investigations, care planning, and medication safety |
| Administrator | Interviewed regarding investigations and facility policies | |
| Interim DHS | Interim Director of Health Services | Interviewed regarding investigations and care planning |
| Area President | Interviewed regarding policy expectations and compliance |
Inspection Report
Deficiencies: 4
Date: Aug 26, 2021
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, care planning, medication administration, and medication storage at Pruitthealth- Rock Hill nursing home.
Findings
The facility was found deficient in multiple areas including failure to provide residents or their representatives with the bed hold policy upon hospital transfer, failure to develop and implement a baseline care plan within 48 hours of admission for a resident, failure to properly administer insulin by not priming the insulin pen, and failure to keep medication storage areas free of expired biologicals.
Deficiencies (4)
Failure to provide Resident #69 and #59 and/or their representatives with a copy of the facility's bed hold policy at the time of hospital transfer.
Failure to develop and implement a baseline care plan within 48 hours of admission for Resident #93.
Failure to give an airshot (prime) prior to injecting Resident #9 with insulin, potentially delivering less than the required amount.
Failure to keep medication storage areas free of expired biologicals in 4 of 6 medication carts observed during the survey.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Medication carts with expired biologicals: 4
Insulin dose: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Interviewed regarding bed hold policy documentation and baseline care plan |
| RN #2 | Registered Nurse | Interviewed regarding baseline care plan responsibility and post admission care conference |
| LPN #1 | Licensed Practical Nurse | Observed and interviewed regarding insulin administration error |
| Infection Control Preventionist | ICP | Interviewed regarding expired biologicals and company information |
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