Carlyle Senior Care of Blackville

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Feb 21, 2025

  Based on review of facility policy, observation, interview, and record review, the facility failed to ensure that soiled laundry was washed and appropriately sanitized to prevent the potential spread of infection. Specifically, the washing machine failed to maintain adequate hot water temperature. Furthermore, the facility failed to maintain a process to ensure that washing machines and chemical products were assessed appropriately in 2 of 2 washing machines. On 02/20/25 at 11:40 AM, the Administrator and the Director of Nursing were notified that the failure to ensure soiled laundry was washed and appropriately sanitized to prevent the potential spread of infection constituted Immediate Jeopardy (IJ) at F880. […]

• Immediate jeopardy, isolatedF689Jul 24, 2025

  Based on interview, record review, and facility policy the facility failed to ensure that Resident (R)1 had adequate supervision to prevent an elopement on 07/15/25 at approximately 7:30 PM. R1 was observed by a Laundry Aid staff member lying on the ground by a porch at the bottom of three steps, near an exit door at the rear of building. It was determined that R1 self-propelled herself in her wheelchair off the porch. R1 was observed with visible lacerations to the back of her head and her bilateral upper extremities.On July 24, 2025 at 12:16 PM the 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 July 24,… […]

• Immediate jeopardy, isolatedF689Apr 5, 2024

  Based on review of facility policy, record review, and interview, the facility failed to ensure adequate supervision of Resident (R)4 to prevent elopement from the facility on 02/24/24 at approximately 6:30 AM. On 04/05/24 at 4:11 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 04/05/24 at 4:11 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 02/24/24. The IJ was related to 42 CFR 483.25 - Quality of Care. On 04/05/24 the facility provided an acceptable IJ Removal Plan. […]

• Actual harm, isolatedF657Jul 30, 2021

  Based on observations, record review, interviews, and facility policy review, it was determined the facility failed to review and revise a care plan for one (1) of 23 sampled residents, (Resident #42). The care plan for Resident #42 was not reviewed or revised with goals or interventions to ensure the safety of the resident who had multiple falls, one (1) with a major injury, to include fractures to bilateral shoulders and right hip. Findings include: Review of the facility's Policy entitled Care Plans (not dated) revealed, The facility will conduct the Interdisciplinary (IDT) Care Meeting: The team including the resident when possible, should present findings from assessments, using information from the Minimum Data Set (MDS) and medical record, and discuss suggested new goals or… […]

• Actual harm, isolatedF689Jul 30, 2021

  Based on observation, record reviews, interviews, and review of facility policy, it was determined for one (1) of 23 sampled residents (Resident #42), the facility failed to ensure that the resident's environment remained free of accident hazards as possible, and that the resident received adequate supervision as well as assistance to prevent accidents. The facility failed to ensure residents safety by not ensuring proper interventions were in place to prevent the resident from falling out of bed, fracturing bilateral shoulders, and left hip. Resident #42 was assessed to require extensive assistance from staff for activities of daily living (ADL's) which included supervision to keep the resident safe. Findings Include: Review of the facility's policy entitled. […]