Based on review of facility policy, interview and record review, the facility failed to accurately notify the physician of all pertinent information with regards to a significant medication error. Specifically, on [DATE], the facility reported to the Medical Director that Resident (R)1 received twice the dosage of insulin when R1 actually received ten times the dosage of insulin. Furthermore, the facility failed to notify the Medical Director of changes in blood sugar for a two-hour period. On [DATE] at approximately 3:00 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. …
F580 citations in South Carolina
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F580 less often than its own record predicts
0.43 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Carolina in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F580 findings written in South Carolina, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on review of facility policy, record review, and interview, the facility failed to notify Resident (R)1's attending physician of elevated lab values resulting in a hospital stay for 1 of 1 residents reviewed for quality of care. Findings include: Review of the undated facility policy titled, Notification of Changes revealed under policy, The purpose of this policy is to ensure the facility promptly informs the resident, consults with the resident's physician, and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification. Circumstances requiring notification include. 2. Significant change in the resident's physical, mental or psychosocial condition such as deterioration in health, mental or psychosocial status. …
Based on facility policy review, record review, and interviews, the facility failed to notify Resident (R)3's representative of changes to R3's treatment plan, specifically the insertion of a midline intravenous catheter and initiation of intravenous antibiotic therapy.Review of the facility policy titled, Physician and Other Communication/ Change in Condition with a revision date of 05/05/23, revealed, Procedures: 5. The patient/ resident and patient's/ resident's family member/ legal representative will be notified of any changes in medical condition or treatment plan as indicated by HIPAA directives.Review of R3's face sheet revealed he was admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 0.66× |
| 2024 | 1.45% | 0.95× |
| 2025 | 0.64% | 0.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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