Based on review of facility policy, record review and interview, the facility failed to provide Resident (R)1 with a therapeutic diet as prescribed by the physician. Specifically, R1 had a physician order for Dysphagia Mechanical Texture Soft Diet and on [DATE] R1's meal did not reflect the prescribed diet orders resulting in R1 suffering asphyxiation requiring Cardiopulmonary Resuscitation (CPR) and being sent to a local hospital. On [DATE] at 2:55 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. …
F808 citations in South Carolina
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
South Carolina cites F808 less often than its own record predicts
0.96 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Carolina in 2024, this is the portion that was F808.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F808 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 observation, interview and record review, the facility failed to ensure Resident (R)25 received a meal based on her preferences, for 1 of 13 residents reviewed during dining. Findings include: Review of R25's Face Sheet revealed the resident was admitted to facility on 04/19/24. R25 was admitted with diagnoses including but not limited to: varicose veins of right lower extremity with chronic obstructive pulmonary disease, diabetes mellitus due to underlying condition with diabetic nephropathy, venous insufficiency (chronic) (peripheral), muscle weakness, diastolic (congestive) heart failure, cognitive communication deficit, cellulitis, nutritional deficiency, and morbid (severe) obesity due to excess calories. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 1.19× |
| 2024 | 0.16% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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