Based on review of the facility policy, record review, and interviews, the facility failed to ensure Resident (R)103's wound was properly managed, resulting in R103 acquiring maggots inside the wound bed on the resident's right heel. On 02/07/25 at 3:18 PM, the Administrator and the Director of Nursing (DON) was notified that the failure ensure R103's wound was properly managed, constituted Immediate Jeopardy (IJ) at F686. On 02/07/25 at 3:18 PM, the survey team provided the Administrator and the DON with a copy of the Centers for Medicare and Medicaid Services (CMS) IJ Template, informing the facility IJ existed as of 10/03/24. The IJ was related to 42 CFR 483.25 Quality of Care. On 02/11/25, the facility provided an acceptable IJ Removal Plan. …
F686 citations in South Carolina
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F686 less often than its own record predicts
0.24 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 F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F686 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, and record reviews, the facility failed to prevent the significant worsening of a pressure area and the development of a Stage III (3) pressure area for one (1) Resident (R21) out of 19 sampled residents, who developed in house pressure areas. R21's mattress malfunctioned which led to the increase in size in one (1) pressure ulcer and the development of another. Finding include: Review of the facility policy titled, Wound Intervention and Prevention, dated ,d+[DATE], documented, The following is meant to be a guideline and is intended to assist in the decision-making process when determining appropriate treatment and prevention according to the underlying etiology of the alteration in skin integrity, the condition of the wound, and the overall condition… …
Based on record review, interview, and facility policy review, the facility failed to provide wound treatments as ordered for 1 (Resident (R)39) of 1 resident reviewed for pressure ulcers/injuries. Findings include: Review of an undated policy titled, Pressure Injury Prevention and Management revealed, This facility is committed to the prevention of avoidable pressure injuries, unless clinically unavoidable, and to provide treatment and services to heal the pressure ulcer/injury, prevent infection and the development of additional pressure ulcers/injuries.Review of an undated policy titled, Documentation of Wound Treatments revealed, The facility completes accurate documentation of wound assessments and treatments, including response to treatment, change in condition, and changes in… …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 1.42% | 0.69× |
| 2024 | 2.26% | 1.08× |
| 2025 | 0.48% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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