Deficiency Index

F867 citations in South Carolina

QAPI improvement activities · Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F867 in South Carolina. Pick another state for the same tag.

Against expectation — 2025

South Carolina cites F867 more often than its own record predicts

Versus expected share2.43×

2.43 times the share F867 takes of citations nationally.

Share of South Carolina citations0.80%

Of every deficiency written in South Carolina in 2025, this is the portion that was F867.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What South Carolina surveyors wrote

F867 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, isolatedMarch 5, 2025

Based on interview, record review, and facility policy review, the facility failed to implement a Quality Assurance and Performance Improvement (QAPI) program when they did not adequately identify, analyze, and address issues impacting resident care through proper data collection, monitoring, and improvement initiatives related to pharmaceutical services. This had the potential to affect 85 of 85 residents who resided at the facility. The facility's failure to adequately identify, analyze, and address issues impacting resident care through proper data collection, monitoring, and improvement initiatives related to pharmaceutical services had the potential to cause serious harm to residents. …

Ridgeway Manor Healthcare Center

F · No harm, potential for more than minimal, widespreadMarch 26, 2026

Based on record review, observation, and interview, the facility failed to implement an effective Performance Improvement Plan to address facility water temperatures. This had the potential to affect all 78 residents. Findings include: Review of facility document titled 'QAPI' (not dated) revealed, Maintenance-We provide a maintenance program that maintains building safety, conducts repairs as needed, and performs safety inspections in accordance with State and Federal expectations to ensure all aspects of safety are enforced, ensuring the safety and well- being for each resident, visitor, and staff who enters the building. …

Carlyle Senior Care of Florence

The short window

Recent years

YearShare of South Carolina citationsvs expected
20240.32%0.72×
20250.80%2.43×

Shares of citations, not counts: earlier years hold fewer inspections.

What else South Carolina surveyors cite →

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction