Charleston Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Charleston Rehab and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF686May 13, 2026

  Based on interview and record review the facility failed to complete initial and weekly pressure ulcer assessments, initiate timely wound treatments, failed to provide pressure ulcer treatments, and failed to use the physician ordered treatment for one of three residents (R5) reviewed for Quality of Care on the sample list of five. These failures resulted in R5 developing one facility acquired pressure wound which deteriorated and became infected causing R5 to be hospitalized and treated for Sepsis related to a severe wound infection. […]

• Actual harm, isolatedF760Apr 23, 2026

  Based on interview and record review the facility failed to accurately transcribe and administer multiple medications per physician order. This failure affected two of three residents (R1, R2) reviewed for pharmaceuticals on the sample list of nine. This failure included multiple missed doses of an antiepileptic medication resulting in R2 having a seizure and subsequently being sent to the emergency room. Findings Include:1. R2's Hospital Discharge Instructions dated 2/24/26 documents R2 was discharged to the facility on 2/24/26 after a hospital admission for elevated phenytoin level, altered mental status and urinary tract infection. R2's previous Phenytoin medication order was discontinued and R2 was to start taking Phenytoin 300 milligrams daily at bedtime. […]

• Actual harm, isolatedF684Mar 12, 2026

  Based on observation, interview, and record review, the facility failed to recognize and respond to a significant change in condition and delayed treatment for one resident (R1) with a known Covid diagnosis and a history of Atrial Fibrillation. This failure affects one (R1) of three residents reviewed for Resident/Patient/Client Neglect. As a result of the delayed response, R1 was sent to the local hospital and diagnosed with Acute Renal Failure, Elevated Troponin, Hyperkalemia, Dehydration, and Atrial Fibrillation with Rapid Ventricular Response. Findings include:On 3/11/26 at 9:39 a.m., R1 was observed lying in bed. […]

• Actual harm, isolatedF689Feb 17, 2026

  Based on record review, and interview, the facility failed to identify appropriate targeted intervention post previous fall, for a resident (R1) with severe cognitive impairment, failed to maintain a mobility device within R1's reach to prevent an unwitnessed fall, failed to initiate neurological and physical assessments post the unwitnessed fall. These failures affected one of three residents (R1) reviewed for falls on the sample list of 18. These failures resulted in a severe head injury and untreated pain.Findings include:R1's most recent Diagnoses List included the following: Carcinoma of the left Bronchus in Situ; Senile Degeneration of the Brain; Chronic Respiratory failure with Hypoxia; Hypertensive Heart Disease with Heart Failure; Chronic Kidney Disease stage IV; disorder of… […]

• Actual harm, isolatedF684Sep 2, 2025

  Based on observation, interview and record review the facility failed to assess, provide timely treatment, provide complete urinary catheter care, prevent cross contamination during wound care for one (R10) resident out of four residents reviewed for Urinary Tract Infections (UTI) in a sample list of 17 residents. These failures resulted in R10 obtained a Penile wound at facility which caused pain, additional medicated treatment and additional specialty physician appointments. […]