Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F842 in South Carolina. Pick another state for the same tag.
Against expectation — 2025
South Carolina cites F842 less often than its own record predicts
Versus expected share0.43×
0.43 times the national share — cited less often here than elsewhere.
Share of South Carolina citations0.96%
Of every deficiency written in South Carolina in 2025, this is the portion that was F842.
South Carolina0.96%
National2.24%
Share of all citations that were F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F842 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.
L · Immediate jeopardy, widespreadDecember 14, 2018
Based on record review, review of facility files and interviews, the facility failed to maintain medical records that were complete and accurately documented. Medical Record Documentation was misleading and unclear for 18 of 18 medical records reviewed for reportable incidents. Physical contact was described in incidents as touched, came in contact with, open hand or closed hand. The investigation summaries and notes within the medical records did not contain complete and accurate representation of the actual experiences of the residents. Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #15, #16, #17 and #18.
The findings included:
The facility admitted Resident #14 on 2/13/18 with [DIAGNOSES REDACTED]. …
Based on record reviews, interviews, and review of the the facility policy titled, Body Audit Policy, and Pressure Ulcer Surveillance, the facility failed to ensure complete and accurate records related to body audits, assessments, measurements and documentation of a pressure ulcer that was described as large and necrotic for Resident (R)1 for 1 of 5 residents reviewed with pressure ulcers. The facility's failure constituted harm, past non-compliance.
Findings include:
The facility admitted R1 on 7/12/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
D · No harm, potential for more than minimal, isolatedApril 23, 2026
Based on record review, interview, facility document and policy review, the facility failed to transcribe an insulin order upon admission from the hospital for 1 (Resident (R)136) of 1 resident reviewed for insulin administration. Findings include: Review of the facility's undated policy titled, admission Orders, indicated, A physician must personally approve, in writing, a recommendation that an individual be admitted to a facility. A physician, physician assistant, nurse practitioner or clinical nurse specialist must provide written and/or verbal orders for the residents' immediate care and needs. Review of an admission Record revealed the facility admitted R136 on 03/30/26. …
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