Based on observation, record review, and interview, the facility failed to ensure the facility assessment was complete and to identify all necessary resources to attain and maintain resident needs, and failed to ensure active involvement of required participants. This inaction in administering the facility had the potential to affect all residents living in the facility. Review of the Facility assessment dated [DATE] revealed it was not signed and was reviewed with the QAA Committee on 04/10/25. Several sections were blank or incomplete, and many had no supporting documentation. There was no signature page or other documentation to identify the participating members included in the development of the assessment. …
F838 citations in South Carolina
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
South Carolina cites F838 less often than its own record predicts
0.63 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 F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F838 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.
What else South Carolina surveyors cite →
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