Hartsville Convalescent Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 11, 2025

  Based on facility policy review, facility investigation review, medical record review, observation, and interview, the facility failed to provide adequate supervision to prevent 1 of 6 (Resident #1) residents reviewed for wandering behaviors from exiting the building without staff supervision. Resident #1 was a vulnerable, cognitively impaired Resident with a history of wandering behaviors and wore a wander guard on his person and on his wheelchair. On 10/28/2024, an order was written to discontinue the wander guard from Resident #1's wheelchair. The facility discontinued Resident #1's wander guard from his wheelchair and from his person. Resident #1 eloped from the facility on 11/27/2024, 29 days after the wander guard was discontinued from his wheelchair and his person. […]

• Actual harm, isolatedF656Jul 18, 2024

  Based on facility policy review, facility fall investigation review, medical record review, and interview the facility failed to implement a comprehensive person-centered care plan intervention for 1 of 8 (Resident #39) sampled residents reviewed for falls. The facility's failure to implement a care plan intervention for a fall resulted in actual harm when Resident #39 fell from a sloped ramp for the second time. The findings include: Review of the facility policy titled, FALL PREVENTION AND MANAGEMENT, dated 10/2023 revealed, .A Fall Prevention and Management Program is used to provide a safe environment for residents. […]

• Actual harm, isolatedF689Jul 18, 2024

  Based on facility policy review, facility fall investigation review, medical record review, observation, and interview, the facility failed to provide adequate supervision to prevent an accident for 1 of 8 (Resident #39) sampled residents reviewed for accidents which resulted in actual Harm. On 6/17/2024, Resident #39, a vulnerable cognitively impaired resident, propelled himself down a sloped ramp and flipped his wheelchair. Staff were educated that Resident #39 could not propel down the ramp without staff assistance. On 6/22/2024, Resident #39 once again propelled himself down the ramp without staff assistance, flipped his wheelchair, and received an abrasion to the left side of his forehead. […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2024

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by unlabeled and undated food items, failed to maintain 1 of 2 coolers in proper working order to prevent potential cross-contamination to stored food, and failed to keep a temperature log and a thermometer for all personal refrigerators for 4 of 4 (Resident #2, #3, #11, and #42) sampled residents reviewed. The facility had a census of 53. […]

• No harm, potential for more than minimal, isolatedF625Jul 18, 2024

  Based on facility policy review, hospital record review, medical record review and interview, the facility failed to provide the resident with a notice of the bed hold policy for 5 (Resident #4, Resident #31, Resident #41, Resident #46 and Resident #155) of 5 residents reviewed. The findings included: Review of the undated policy titled Bed Hold Policy revealed When a resident goes to the hospital from Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF), Medicaid/Medicare will not pay to hold the bed in the nursing home. If a resident or resident's representative (RR) wants to hold their bed as Private Pay while they are in the hospital, the Business Office must be notified immediately to decide. […]