Deficiency Index

Edisto Post Acute

Orangeburg, South Carolina · CCN 425116

17 surveys since 2010, 15 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
96
Surveys
17
Harm or worse
15
Immediate jeopardy
9
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
113
Ownership
For profit - Limited Liability company
Chain
PACS GROUP
County
Orangeburg · rural
Medicare-certified since
1978

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=18, floor 20).

Last survey on record

Sep 18, 2025

417 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.093.43
Registered-nurse hours per resident day0.20—
Annual nurse turnover60.9%44.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1381.3%E—F318.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 96 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6792×

    Provide activities to meet all resident's needs.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Edisto Post Acute, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF693Jun 14, 2023

    Based on record reviews, interviews, and review of the facility's policy, the facility failed to provide Resident (R)2 with appropriate care to her percutaneous endoscopic gastronomy (PEG) tube. This failure resulted in the development of maggots at the site of the PEG tube. On 06/12/23 at approximately 4:00 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. […]

  • Actual harm, isolatedF725May 8, 2023

    Based on interviews and record review, the facility failed to provide sufficient staffing to its residents, resulting in deficient quality of care for 6 of 10 residents. Resident (R)5 was left soiled for several hours waiting for staff, and R6 fell trying to use the restroom after waiting for staff to come help her. Findings include: R5 was admitted to the facility on [DATE] with diagnoses including, but not limited to, nontraumatic intracerebral hemorrhage, type 2 diabetes mellitus, and hemiplegia and hemiparesis. […]

  • No harm, potential for more than minimal, widespreadF732Sep 18, 2025

    Based on record review, observation and interview, the facility failed to ensure accurate posting of licensed staff with hours worked for multiple dates. Reviewed staffing as posted from 10/01/24 through 09/14/25.Findings include: Review of the daily staffing posted as worked from 10/01/24 - 09/14/25 revealed 9 days a Registered Nurse (RN) was not listed for the required 8 consecutive hours in each 24-hour period. During an interview on 09/17/25 at 11:55 AM the Staffing Coordinator revealed the staffing for the dates in question were reviewed. The Staffing Coordinator confirmed that the postings were inaccurate and/or incomplete. The Staffing Coordinator stated, The central supply clerk and I put in the numbers on the staff postings. Human resources verifies that the postings are correct. […]

  • No harm, potential for more than minimal, widespreadF812Sep 18, 2025

    Based on observation, interview and review of the facility policy, the facility failed to store and prepare food in accordance with professional standards for food service safety in 1 of 1 main kitchen and 3 of 3 nourishment rooms, placing all residents who eat from the kitchen at risk for foodborne illness.Findings include:Review of a facility policy titled, Food Receiving and Storage last revised July 2014, states, Policy Statement: Foods shall be received and stored in a manner that complies with safe food handling practices. Policy Interpretation and Implementation: . 2. When food is delivered to the facility it will be inspected for safe transport and quality before being accepted. All foods stored in the refrigerator or freezer will be covered, labeled and dated . 12. […]

  • No harm, potential for more than minimal, widespreadF814Sep 18, 2025

    Based on observations, interviews, and review of facility policy, the facility failed to ensure that the lids on trash containers were kept closed when not in use. During an observation, one trash container lid remained open due to a tree branch obstructing closure.Review of the facility policy titled Food-Related Garbage and Refuse Disposal last revised on October 2017, states: Food-related garbage and refuse are disposed of in accordance with current state laws. The Policy Interpretation and Implementation, states, 1. All food waste shall be kept in containers. 2. All garbage and refuse containers are provided with tight-fitting lids or covers and must be kept covered when stored or not in continuous use. 5. […]

Read 33 findings in full →The most serious and the most recent: 33 of 96 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 18, 2025Standard8 findings
  • Feb 20, 2025Complaint1 finding
  • Jun 21, 2024Standard4 findings
  • Jun 14, 2023Complaint1 finding · 1 harm
  • May 8, 2023Complaint1 finding · 1 harm
  • May 12, 2022Standard3 findings
  • Jun 19, 2020Infection control1 finding
  • Apr 18, 2019Standard7 findings
Show the 9 earlier surveys
  • Feb 23, 2018Standard9 findings
  • Dec 15, 2016Standard5 findings
  • Sep 15, 2015Standard and complaint26 findings · 12 harm
  • Jun 11, 2014Standard5 findings
  • Aug 13, 2013—1 finding
  • Jan 17, 2013—6 findings · 1 harm
  • Aug 29, 2012—4 findings
  • Dec 1, 2011—11 findings
  • Aug 18, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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