Charleston Healthcare Center

In the surveyor’s words

From the most serious findings on record at Charleston Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF684Oct 30, 2024

  Based on record review and resident and staff interviews, the facility failed to make orthopedic appointments as directed, provide transportation to appointments, obtain documentation from appointments, and follow directions from those appointments to prevent contractures in Resident #88's left arm and hand following a fall at the facility. The State Agency (SA) determined physical harm was caused to Resident #88 when the resident developed contractures in her upper left arm and hand following a fall at the facility. […]

• Actual harm, isolatedF686Aug 5, 2021

  Based on record review and staff interview the facility failed to put interventions in place to prevent avoidable pressure ulcers. In addition, the facility failed to identify and treat pressure ulcers once developed. This resulted in actual harm for Resident #338. Resident Identifier: #338. Facility Census 142. Findings included: a) Resident #338 Record review revealed Resident #338 was transported from the facility to the [CONDITION(S)] center on [DATE]. The [CONDITION(S)] center sent the resident to the hospital. Medical record review found a form titled, Weekly Licensed Nurse Skin Evaluation dated, [DATE] which read as follows: A. Skin/Check Evaluation 1. If any of the following questions are checked 'yes' indicate on the body outline. 1a. […]

• Actual harm, isolatedF697Aug 5, 2021

  Based on record review, staff and resident interview, and observation, the facility failed to consistently provide pain management, attempt non-pharmacological interventions, document the location of the pain, and the severity of pain in accordance with the physicians' orders for Resident #3. This failure resulted in actual harm for Resident #3. For Resident #99, the facility failed to rate the resident's pain before administering an as needed (PRN) pain medication. In addition, the facility administered pain medication when the resident indicated there was no pain. For Resident #340 the facility failed to document non-pharmacological interventions attempted, failed to document the location of pain, and failed to document the administration of narcotics signed out on two (2) occasions. […]

• No harm, potential for more than minimal, widespreadF732Jan 24, 2024

  Based on observation and staff interview, the facility failed to ensure the Daily Staffing Posting information was accurate and current and the facility failed to maintain the Daily Staffing Posting data for a minimum of 18 months. This was a random opportunity for discovery and had the potential to affect all resident currently residing at the facility. Facility Census 141 Findings included: a) Accurate and current data On 1/23/24 (01/23/24) at 10:00 AM, during a review of the facilities Daily Staffing Posting and the Daily Punches data for all direct care staff, the following discrepancies were identified with the total number of direct care hours being reported on the Daily Staffing Posting for 11/03/23, 11/16/23 and 1/19/24. […]

• No harm, potential for more than minimal, widespreadF882Sep 7, 2023

  Based on facility documentation and staff interview the facility failed to have a certified Infection Preventionist (IP) that worked at least part time in the facility. This failed practice had the potential to affect all residents residing at the facility. Facility Census: 141. Findings included: a) Infection Preventionist Record review of the facility's documentation of Infection control practices found the facility was unable to provide an Infection Control Preventionist Certification or documentation for an IP that worked at least part time in the facility. During an Interview 09/06/23 at 1:38 PM Director of Nursing (DON) Stated that she and the assistant Director of Nursing (ADON) document all infections for residents in the facility, neither are IP certified. […]