Based on review of facility policy, record review, and interview, the facility failed to initiate cardiopulmonary resuscitation (CPR) and/or life saving measures for Resident (R)47, for 1 of 1 resident reviewed for a closed record review for death. Specifically, on [DATE] at approximately 5:50 AM, R47 was found to be unresponsive with shallow breathing. Despite R47's full code status, CPR was not initiated and upon EMS arrival R47 was pronounced deceased at approximately 6:05 AM. On [DATE] at 12:10 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of [DATE]. The IJ was related to 42 CFR 483.24 - Quality of Life. On [DATE] at 5:55 PM, the facility provided an acceptable IJ Removal Plan. …
F678 citations in South Carolina
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F678 more often than its own record predicts
2.64 times the share F678 takes of citations nationally.
Of every deficiency written in South Carolina in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F678 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 staff interview, record review and facility policy review, the facility failed to ensure basic life support including Cardiopulmonary Resuscitation (CPR) was initiated immediately when cardiac/respiratory arrest occurred for one of four residents (Resident #1) selected for review. The failure to provide CPR to Resident #1 contributed to the resident's death. This deficient practice had the potential to affect 47 residents identified by the facility with full code status (CPR). Findings include: Review of the Admission Record Report, found in Resident #1's electronic medical record (EMR) indicated the facility readmitted the resident on [DATE]. Admission [DIAGNOSES REDACTED]. The first page of the EMR indicated Code Status: Full Code. …
Based on review of facility policy, record review, and interview, the facility failed to enter the correct code status for Resident (R)17 in the electronic medical record, for 1 of 24 residents reviewed for code status. Findings include: Review of the facility policy titled Code Status Orders revised September 2024 and reviewed December 2025 states, It is the policy of [NAME] to make all reasonable efforts to respect the resident's right to make health care decisions and to comply with the resident's code status order. Review of R17's Face Sheet located in the Electronic Medical Record (EMR) indicated R17 had a Full Code status. Review of R17's Care Plan on 08/05/2026 at approximately 10:35 AM, revealed R17 was care planned as Do Not Resuscitate (DNR). …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 1.26× |
| 2024 | 0.16% | 0.77× |
| 2025 | 0.48% | 2.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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