Cheraw Healthcare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Nov 7, 2025

  Based on review of the facility policy, record review, and interview, the facility failed to ensure a significant medication error did not occur when Resident (R)1 received medications intended for her roommate, resulting in R1 suffering from a low heart rate, low blood pressure, and becoming diaphoretic (excessive sweating), which required a hospital stay in intensive care from 08/23/25 until 08/26/25, for 1 of 1 resident reviewed for significant medication errors.On 11/06/25 at 1:35 PM, the survey team provided the DON with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 08/23/25. The IJ was related to 483.45-Pharmacy Services.On 11/06/25 at 6:45 PM, the facility provided an acceptable IJ Removal Plan. […]

• Immediate jeopardy, isolatedF600Apr 25, 2023

  Based on review of the facility policy, review of video evidence, interviews, and record review, the facility failed to protect Resident (R)1 from physical and mental abuse by Certified Nursing Assistant (CNA)2. Observation of video evidence from 01/09/23-02/01/23 revealed CNA2 intentionally wrapping R1's head and face with clothing to restrict movement, pushing R1's head into her bed, and pinning R1 down with her knees to restrict movement. On 04/24/23 at 12:57 PM, an Immediate Jeopardy (IJ) template was provided to the facility's Administrator via phone with the Business Office Manager present, notifying them that an IJ existed at F600 with an effective date of 01/09/23. […]

• No harm, potential for more than minimal, widespreadF761Nov 15, 2024

  Based on observations, review of facility policy, and interviews, the facility failed to remove expired medications and biologicals from 2 of 2 medication storage rooms. Findings include: Review of the undated facility policy titled, Medication Storage In The Facility documented, Policy: Medications and biologicals are stored safely, securely and properly following manufacturers' recommendations or those of the supplier. During an observation and interview on 11/14/24 at 7:21 AM, the medication storage room on the South Unit revealed, One (1) BD Vacutainer Red Top with lot number 2258780 and expiration date 09/30/24. […]

• No harm, potential for more than minimal, patternF730Mar 12, 2026

  Based on review of facility policy, record review, and interview, the facility failed to ensure and document annual performance evaluations were completed for 5 out of 5 Certified Nursing Assistants (CNAs) reviewed.Findings include:Review of the undated facility policy titled Skill Competency Evaluations, revealed, All Nurse's and CNA's will have competency evaluations performed during orientation, annually, and prn (as needed) by designated staff.Review of personnel records for 5 of 5 CNAs, revealed no documentation of an annual performance evaluation within the required timeframe.During an interview on 03/12/2026 at 11:21 AM, the Human Resource Director confirmed that annual competency evaluations have not been completed for the CNAs reviewed.During an interview on 03/12/2026 at 3:34 PM,… […]

• No harm, potential for more than minimal, patternF578Nov 15, 2024

  Based on review of facility policy, record review, and interviews, the facility failed to ensure Resident (R)11, R62, R73, R96, and R100, had the right to formulate accurate Advance Directives for 5 of 8 residents reviewed for Advance Directives. Findings include: Review of the undated facility policy titled, Advance Directives Policy documented, It is the desire of Cheraw Healthcare Inc. to inform each resident of his/her right to make an informed decision concerning their medical care including: Their right to refuse or accept medical and surgical treatment and the right to formulate advance directives . […]