F656 in South Carolina. Pick another state for the same tag.
Against expectation — 2025
South Carolina cites F656 less often than its own record predicts
Versus expected share0.56×
0.56 times the national share — cited less often here than elsewhere.
Share of South Carolina citations1.92%
Of every deficiency written in South Carolina in 2025, this is the portion that was F656.
South Carolina1.92%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F656 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.
J · Immediate jeopardy, isolatedMarch 14, 2024
Based on review of facility policy, record review, and interview, the facility failed to develop a care plan for 2 of 3 residents, Resident (R)1, R2. Specifically, there were no care plan giving staff instructions on providing care to R1 and R2. R1 was sent to the local hospital concerning wounds and R2 developed maggots in a wound.
On 3/12/24 at 4:35 PM, the Administrator and Director of Nursing (DON) were notified that the failure to develop a comprehensive care plan for R2 regarding wound care of the left foot constituted IJ at F656.
On 03/13/24 at approximately 4:55 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 08/04/23. …
Based on review of facility policy, interview and record review, the facility failed to implement interventions outlined in a care plan for 1 of 4 residents. Specifically, Resident (R)1's Care Plan included an intervention for fall mats. R1 experienced a fall from the bed, with the absence of fall mats, resulting in R1 suffering injuries.
Findings include:
Review of the undated facility policy titled Care Plans -- Comprehensive revealed, The nurse supervisor uses the care plans to complete the CNA's daily work assignment sheets and/or flow sheets.
Review of the undated facility policy titled Fall Prevention Program revealed, Each resident . …
D · No harm, potential for more than minimal, isolatedAugust 5, 2026
Based on review of facility policy, record review, observation, and interview, the facility failed to implement care plan interventions for Resident (R)39, for 1 of 2 residents reviewed for falls.Findings include:Review of the facility policy titled, Fall Management Policy with a revision date of 03/22, revealed, Policy . We assess each resident/patient for his or her fall risk, design a plan for care, and implement procedures to minimize falls and/or injury. The policy also stated, Procedure . Interventions to prevent falls are listed on the plan of care.Review of R39's medical diagnoses list revealed he was admitted to the facility on [DATE]. …
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