Inspection Reports for Rock Hill Post Acute Care Center
159 SEDGEWOOD DR, ROCK HILL, SC, 29732-2315
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% 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: Sep 11, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to protect a resident's property from misappropriation and to assess infection prevention and control practices.
Complaint Details
The complaint involved the misappropriation of Resident 96's property, specifically missing rings. The facility conducted an investigation, made a police report, and implemented corrective actions including discouraging residents from bringing jewelry and securing valuables in a safe. The complaint was substantiated with evidence of missing rings and staff interviews.
Findings
The facility failed to protect a resident's belongings from theft, specifically missing rings from Resident 96, and failed to administer medications properly to prevent cross-contamination during medication administration for five out of six residents observed.
Deficiencies (2)
Failed to protect each resident from the wrongful use of the resident's belongings or money.
Failed to provide and implement an infection prevention and control program, including improper hand hygiene and medication administration practices.
Report Facts
Residents reviewed for rights: 3
Total sample size: 23
Residents observed for medication administration: 6
Residents affected by medication deficiency: 5
BIMS score: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 3 | LPN | Involved in investigation and room search for missing rings |
| Licensed Practical Nurse 4 | LPN | Involved in investigation and room search for missing rings |
| Registered Nurse 1 | RN | Observed failing to perform proper hand hygiene and medication administration |
| Director of Nursing | DON | Involved in investigation of missing rings and corrective actions |
| Infection Preventionist | IP | Provided expectations for hand hygiene and medication administration |
Inspection Report
Deficiencies: 2
Date: Aug 15, 2024
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of practice related to respiratory care and medication storage, including oxygen administration and removal of expired biologicals.
Findings
The facility failed to administer oxygen consistent with professional standards for one resident by not labeling oxygen tubing as ordered, and failed to remove expired biologicals from medication storage in one of two medication rooms.
Deficiencies (2)
Failed to administer oxygen consistent with professional standards for 1 of 1 residents reviewed, including unlabeled oxygen tubing.
Failed to remove expired biologicals in 1 of 2 medication storage rooms.
Report Facts
Oxygen flow rate: 2
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 1 | Licensed Practical Nurse (LPN) | Interviewed regarding oxygen tubing and medication administration record |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding expectations for oxygen tubing changes and verification of expired medication |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 9, 2022
Visit Reason
The inspection was conducted to assess compliance with care planning requirements related to bed rail use, informed consent for bed rails, and medication labeling accuracy during routine regulatory oversight of the nursing home.
Findings
The facility failed to ensure that bed rail use was properly care planned for one resident, that informed consent and risk/benefit advisement for bed rail use was obtained for another resident with cognitive impairment, and that medication labeling matched physician orders during medication administration observation for one resident.
Deficiencies (3)
Failure to develop and implement a complete care plan addressing bed mobility and positioning with bed rails for one resident.
Failure to inform resident or representative of risks and benefits and obtain consent for bed rail use for one resident.
Medication labeling did not match physician order for nasal spray medication for one resident.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
BIMS score: 15
BIMS score: 14
BIMS score: 12
BIMS score: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator 1 | MDS Coordinator | Interviewed regarding care planning of bed mobility and side rails for Resident 70 |
| Director of Nursing | Director of Nursing | Stated expectation that bed rails would be care planned and risks/benefits reviewed with patient and family |
| Licensed Practical Nurse 1 | Licensed Practical Nurse | Completed restraint/safety device evaluation for Resident 123 and interviewed about consent process |
| Registered Nurse 1 | Registered Nurse | Observed medication administration and identified medication labeling discrepancy |
| Registered Pharmacist | Pharmacist | Confirmed medication label discrepancy and correction |
| Director of Admissions | Director of Admissions | Interviewed regarding bed rail risks and benefits review during admission process |
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