Carlyle Senior Care of Aiken

In the surveyor’s words

From the most serious findings on record at Carlyle Senior Care of Aiken, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 20, 2021

  Amended 12/22/2021 Based on record review, interview, interview statements, and policy review, the facility failed to ensure seven residents (Resident (R) 22, R37, R14, R73, R65, R61, and R26) were free from resident-to-resident abuse of 25 sampled residents. The facility failed to provide sufficient monitoring, supervision, and interventions to prevent resident-to-resident abuse from occurring. Specifically, the facility failed to protect Resident (R) 22, R37, R14, and R73 from abuse by R63. R63 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Additionally, the facility failed to protect R65 and R61 from abuse by R17 and an altercation between R26 and R14; the facility failed to identify that abuse occurred and initiate care plan interventions to prevent future abuse. […]

• Immediate jeopardy, patternF689Nov 20, 2021

  Based on observation, interview, and record review, the facility failed to ensure the environment remained free of accident hazards for nine residents of 16 residents (Resident (R)7, R20, R21, R26, R27, R44, R54, R73, and R74) reviewed for accidents and hazards. Specifically, four residents (R21, R26, R44, and R74) who had bed (side) rails installed had falls (with injuries for three residents (R21, R26 and R44)) while the bed rails were present and up in position. Following the falls the facility failed to complete root cause analysis/investigations of falls or reassess the use of bed rails. […]

• Immediate jeopardy, isolatedF600Apr 21, 2026

  Based on review of the facility policy, interviews, and record review, the facility failed to ensure Resident (R)3 remained free from sexual abuse. Specifically, on 04/02/26, the facility failed to protect R3, a cognitively impaired female who lacked the capacity to consent, from sexual contact initiated by R2.On 04/21/26 at 3:00 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. On 04/21/26 at 3:00 PM, the survey team provided the Administrator with a copy of the Centers for Medicare and Medicaid Services (CMS) Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 04/02/26. […]

• Immediate jeopardy, isolatedF689Oct 15, 2025

  Based on review of facility policy, resident records, and interviews, the facility failed to provide adequate supervision to prevent Resident (R)1 from eloping. Specifically, on 10/13/25 R1 had a successful elopement from the facility where he was found across the street, placing the resident at serious risk for injury or harm.On 10/15/25 at 2:15 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.On 10/15/25 at 2:15 PM, the Facility Administrator was notified that the failure to protect R1 from having a successful elopement from the facility constituted Immediate Jeopardy (IJ) at F689.On 10/15/25 at 2:15 PM, the… […]

• No harm, potential for more than minimal, patternF602Mar 6, 2023

  Based on review of the facility policy, record review, and interviews, the facility failed to prevent misappropriation of Resident (R)1's funds. The facility also failed to prevent the Activities Director (AD)1 from misappropriating funds that were for residents' activities. Findings include: Review of the facility's policy titled, Abuse, Neglect, and Exploitation last revised 10/24/22, revealed It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. […]