Based on record review, interview, and review of facility policy, it was determined the facility failed to investigate an incident of potential neglect for one (1) of twenty-six (26) sampled residents, Resident #16. Resident #16 was assessed to have severe cognitive impairment and resided on the secured Memory Support Unit ([CONDITION]U). The resident was evaluated by Speech Therapy and it was determined the resident was at moderate risk for aspiration and needed a pureed diet which had initially been ordered by the physician on 3/ 6 /19. The resident's behaviors included wandering and taking resident's food from other residents in the [CONDITION]U. On 10/4/19, the resident was observed to be pale and to have difficulty breathing. …
F610 citations in South Carolina
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F610 less often than its own record predicts
0.84 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 F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F610 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 observations, interviews, clinical and closed record reviews, and review of facility policy, the facility's administration failed to thoroughly investigate four (4) alleged incidents of potential abuse/neglect related to injuries of unknown origins and sexual assault as required for five (5) of 34 sampled residents (Resident #7, #8, #13, #20 and #21). 1. Resident #13's alleged incident of injury of unknown origin (right femur fracture) that occurred on 9/18/18. 2. Resident #20's alleged injury of unknown origin (left ankle fracture) that occurred on 9/2/19. 3. Resident #21's alleged injury of unknown origin (right-hand fracture) that occurred on 10/12/19. 4. Resident #7 sexually assaulted Resident #8 on 8/23/18. …
Based on observations, interviews, and record review, the facility failed to provide evidence that alleged violations were thoroughly investigated for 1 of 7 incidents reviewed. Specifically, the facility failed to provide evidence of a through investigation related to a residents fall, including interviews with involved staff, relevant documentation review, identification of contributing factors, and determination of corrective actions. This failure has the potential to limit the facility's ability to identify root causes and prevent recurrence of similar incidents.Findings include:Based on review of facility policy, observations, interviews, and record review, the facility failed to ensure allegations of accidents were thoroughly investigated, as required, for 1 of 7 incidents reviewed. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 1.65% | 1.29× |
| 2024 | 1.13% | 0.79× |
| 2025 | 1.28% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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