F865 in South Carolina. Pick another state for the same tag.
Against expectation — 2023
South Carolina cites F865 more often than its own record predicts
Versus expected share1.37×
1.37 times the share F865 takes of citations nationally.
Share of South Carolina citations0.24%
Of every deficiency written in South Carolina in 2023, this is the portion that was F865.
South Carolina0.24%
National0.17%
Share of all citations that were F865.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F865 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.
J · Immediate jeopardy, isolatedNovember 17, 2018
Based on record review and interviews, the facility failed to maintain a Quality Assurance Program that identified and addressed the facility's problems.
The findings included:
Cross refer to F600 for incident involving resident #8 and #14.
On 7/11/18 Resident #8 and #14 had inappropriate sexual behaviors in a common area. Resident #14 had a history of [REDACTED]. The facility did not investigate the incident nor report the incident to the state agency. Resident #8 and #14's care plans were not revised to address the behaviors of the incident. The facility failed to put a plan into place to prevent incident reoccurrences.
Based on record review and interview, the facility failed to identify and implement an action plan timely related to medication errors for 12 of 12 months reviewed.
The findings included:
Resident #100 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED].
Review on 01/10/19 at 10:25 AM of Resident #100's Progress Notes revealed a re-admission note dated 06/11/18 that indicated on 06/10/18 the resident was lethargic with poor PO (by mouth) intake and was sent to the emergency department. A drug screen performed at the hospital was positive for opiates for which the resident did not have an order. A progress note dated 06/13/18 indicated suspicion here that (s/he) may have mistakenly been given roommate's quetiapine on 6/9 evening (and) level was drawn here (and) is (positive). …
F · No harm, potential for more than minimal, widespreadJune 3, 2026
Based on review of facility policy, record review and interview, the facility failed to develop and implement approaches to maintain a Quality Assurance and Performance Improvement (QAPI) program to prevent repeat deficiencies. Cross Reference F689Findings include: Review of the Summary Statement of Deficiencies, for a complaint survey on 05/13/26, indicated the facility was cited at Immediate Jeopardy-F689 when a resident eloped from the facility. Review of facility policy dated 08/01/23 and titled, Policies and Procedures. Subject: Quality Assurance Performance Improvement Program (QAPI), revealed, . Leadership: The Center Executive Director is accountable for the overall implementation and functioning of the QAPI program. …
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