Based on review of facility policy, resident records, hospital records, and interviews, the facility failed to protect Resident (R)2 from a significant medication error for 1 of 2 residents reviewed. Specifically, on 12/04/25, Licensed Practical Nurse (LPN)1 administered medications prescribed for R3 to R2, including Oxycodone thirty milligrams (mg) (a pain medication), Amlodipine 5 mg (a blood pressure medication), Losartan 50 mg (a blood pressure and heart medication), Dofetilide 250 micrograms (mcg) (a heart rhythm medication), Gabapentin 600 mg (a nerve pain medication), and Metoprolol 50 mg (a heart rate and blood pressure medication). …
F760 citations in South Carolina
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F760 more often than its own record predicts
1.23 times the share F760 takes of citations nationally.
Of every deficiency written in South Carolina in 2025, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F760 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 record review, interviews, and review of the facility policy, the facility failed to administer medications per physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Specifically, Resident (R)10 was administered [MEDICATION(S)] (a sleeping pill used to treat [CONDITION(S)]) 40 mg on [DATE] and [MEDICATION(S)] (medication used to treat low blood pressure) 5 mg x 4 tablets (20 mg) at bedtime on [DATE], [DATE], [DATE] and [DATE]. This deficient practice placed the resident at risk for adverse outcomes due to being over medicated by staff. …
Based on review of facility policy, observation, record review, interview, and the Manufacturer's Specifications for administering insulin via a pen, the facility failed to ensure there were no significant medication errors while administering medication to Resident (R)5 and R26. Specifically, Licensed Practical Nurse (LPN)1 failed to prime an insulin pen per the manufacture's specifications ensuring R5 received the correct dose. Furthermore, LPN2 failed to ensure R26 was instructed to and was provided water to rinse her mouth after administering an inhaler with the physician ordered directions on the inhaler.Findings include: Review of the facility policy titled, Medication Administration, implemented on 12/04/2025, states, Medications are administered by licensed nurses, or other staff… …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 2.84% | 2.55× |
| 2024 | 2.74% | 2.35× |
| 2025 | 1.60% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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