Based on review of facility policy, record review, and interview, the facility failed to ensure that 1 of 3 residents reviewed for nutrition, Resident (R)248, received a therapeutic diet consistent with the resident's clinical condition and the recommendations of the Speech Language Pathologist (SLP). Specifically, the facility did not implement a recommended mechanical soft diet for R248, with dysphagia and documented swallowing difficulties. As a result, the resident continued to receive regular textured food resulting in the resident suffering from asphyxiation and expiring in the facility. …
F692 citations in South Carolina
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F692 more often than its own record predicts
1.40 times the share F692 takes of citations nationally.
Of every deficiency written in South Carolina in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F692 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 Resident #76 Nutrition 02/07/24 01:56 PM admitted [DATE] DOB Full Code NKDA DX: Vitamin B 12 deficiency, Dysphagia, Schizophrenia, Bacterial pneumonia, Seizures, Acute Kidney failure, Acute respiratory failure, GERD, Constipation, DM type 2, Hyperlipidemia, Dementia, TIA, Pain, Adult failure to thrive, Encephalopathy, HTN, Bipolar disorder, Dysphagia Depression, Vascular dementia, Gastrostomy, Aphasia, Cough, Covid 19, Fever, Nasal congestion, Overactive bladder, UTI, Hypokalemia, Abnormal posture. …
Based on observations, record review, staff interviews, and facility policy review, the facility failed to ensure dietary interventions were implemented in accordance with physician orders and residents' care plans, failed to ensure a timely Registered Dietitian (RD) assessment was completed, and failed to ensure meals were served consistent with the menu and resident preferences for two of six residents reviewed for nutrition (Resident (R) 21 and R31) out of 25 sample residents. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2024 | 1.13% | 0.95× |
| 2025 | 1.60% | 1.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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