Carlyle Senior Care of Kingstree

In the surveyor’s words

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

• Actual harm, isolatedF697Mar 27, 2025

  Based on review of the facility policy, record review, observation and interview the facility failed to effectively manage pain for one of one resident (Resident (R) 58) reviewed for pain out of 23 sample residents. The facility failed to order R58's Morphine (an opioid pain medication) in a timely manner, resulting in an escalation of pain levels and decreased oral intake. Findings include: Review of the facility's policy titled Pain Management revised 08/30/24, revealed, 1. In order to help a resident attain or maintain his/her highest practicable level of physical, mental and psychosocial well-being and to prevent or manage pain, the facility will . c. […]

• No harm, potential for more than minimal, widespreadF585Apr 9, 2026

  Based on interview, record review, and facility policy review, the facility failed to ensure residents were encouraged to voice grievances without fear of retaliation and failed to establish and maintain an effective grievance process for 89 of 89 residents reviewed. These deficient practices resulted in a systemic failure of the grievance process and created an environment where residents were discouraged from exercising their right to voice grievances without fear of reprisal.Findings include:Review of the facility's policy titled Grievance Policy revised on 02/01/24, indicated residents have the right to voice grievances without fear of retaliation, grievances may be made verbally or during Resident Council meetings, and all grievances must be documented, investigated, tracked to… […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2026

  Based on observation, interview, and facility policy review, the facility failed to date, label, and/or cover food products stored in the kitchen. This failure had the potential to create an environment for food-borne illnesses which could affect 89 of 89 residents who consume food prepared from the facility's kitchen.Findings include:Review of the facility's policy titled Date Marking for Food Safety in the section titled Use By Dating Guidelines dated 03/29/24, revealed, . 5. The manufacturer's expiration date, when available, is the use by for unopened items. 6. The manufacturer's instructions for the discarding of open items supersedes the general food storage safe guide. 7. The day of preparation or opening is considered Day 1 when establishing the use by date. 8. […]

• No harm, potential for more than minimal, patternF686Mar 27, 2025

  Based on review of the facility policy, record reviews and interviews, the facility failed to ensure services were provided to prevent and treat pressure ulcers by not following professional standards of practice to evaluate and document initiating wound assessment and following the wound doctor's care recommendation for four of six residents (Resident (R) 12, R27, R30, and R47) reviewed for pressure ulcers out of a total sample of 23 residents. These failures placed all four residents at risk of pressure ulcers worsening. Findings include: Review of the facility's policy titled, Pressure Injury Prevention and Management, dated 09/30/23, revealed documentation as follows: Licensed nurses will conduct a full body skin assessment on all residents upon admission/readmission and weekly. […]

• No harm, potential for more than minimal, isolatedF628Apr 9, 2026

  Based on observation, record review, interview, and facility policy review, the facility failed to provide written documentation of a hospital transfer to Resident (R)5 and to their representative, for 1 of 3 residents reviewed out of a total sample of 24 residents. This failure placed the resident and/or the resident's representative at risk for lack of awareness of rights, including the right to appeal the transfer.Findings include:Review of the facility's policy titled, Transfers and Discharges, dated March 2024 revealed, The resident and/or resident representative are notified in writing of the following information: a. The specific reason for the transfer or discharge; . b. The effective date of the transfer or discharge; . c. The specific location . […]