Based on review of facility policy, record review, interviews, and review of video footage, the facility failed to provide appropriate care for Resident (R)5, who had a respiratory care plan and physician orders, after the resident was choked by another resident on [DATE]. Additionally, the facility failed to provide wound care according to professional standards of practice for R8.On [DATE] at 5:30 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 [DATE]. The IJ was related to 42 CFR 483.25 - Quality of Care.On [DATE], the facility provided an acceptable IJ Removal Plan. On [DATE], the survey team, validated the facility's corrective actions and removed the IJ. …
F684 citations in South Carolina
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F684 less often than its own record predicts
0.52 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 F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F684 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 interviews and record review, the facility failed to ensure that physician orders were transcribed and implemented for Resident (R)30, one of three residents reviewed for hospitalizations. On 06/28/26, after R30 reported chest pain, the nurse did not transcribe the physician's orders to monitor vital signs every six hours and to report any abnormal findings or recurrence of chest pain. R30 was admitted to the hospital on [DATE] for congestive heart failure exacerbation. …
Based on interview and record review, the facility failed to follow professional standards of practice related to physician orders for a surgical procedure, for Resident (R)109, for 1 of 1 resident reviewed. This failure resulted in R109 not being able to have the scheduled procedure.Findings include:Review of R109's Face Sheet revealed R109 was admitted to the facility on [DATE], with diagnoses including but not limited to urinary tract infection site not specified, chest pain, retention of urine, unspecified and overactive bladder.Review of R109's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/09/26, revealed that R109 had a Brief Interview for Mental Status (BIMS) score of 5 out of 15, which indicates that she was severely cognitive impairment.Review of… …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 2.36% | 0.65× |
| 2024 | 1.29% | 0.32× |
| 2025 | 2.24% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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