Kershaw Health Karesh Long Term Care

In the surveyor’s words

From the most serious findings on record at Kershaw Health Karesh Long Term Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Jul 21, 2025

  Based on review of facility policies, resident records, and staff interviews, the facility failed to ensure that Resident (R)1 was protected from a significant medication error. Specifically, R1 received multiple medications not prescribed to her: Metoprolol, Amiodarone, Digoxin, Eliquis, Fenofibrate, Furosemide, Loratadine and Potassium. This medication administration error resulted in R1 requiring hospitalization for further evaluation and monitoring. On 07/21/25 at 4:13 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations could cause serious injury, serious harm, serious impairment, or death.On 07/21/25 at 4:20 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy… […]

• Immediate jeopardy, isolatedF760Sep 25, 2023

  Amended 10/04/23 Based on interviews, record review, and review of the facility policy, the facility failed to ensure significant medication errors did not occur for 1 of 1 residents reviewed for medication administration. Specifically, Resident (R)1 received medications intended for another resident. As a result of this failure, R1's blood pressure started trending downward. R1 reported a headache and became increasingly lethargic. R1 was sent to the emergency room for evaluation and stabilization. On 09/25/23 at 2:20 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. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observations, interviews, and facility policy review, the facility failed to date, label, and/or cover food products stored in the kitchen. This failure had the potential to create an environment for food-borne illnesses which could affect 122 of 126 residents who consumed food prepared from the facility's kitchen.Findings include:Review of the facility's policy titled, Dietary Operations, dated 01/01/25, in the section titled Storage of Food and Supplies section five, revealed that: Staple, frozen, and refrigerated foods are stored with the new product to the back of older products. Foods removed from the original packaging will be labeled with the received date, either individually or as a unit. […]

• No harm, potential for more than minimal, patternF881Jul 19, 2024

  Based on interview, record review, review of Centers for Disease Control and Prevention (CDC) guidance, and review of facility policy, the facility failed to maintain a functional Antibiotic Stewardship Program that ensured criteria was met for the use of antibiotics for 1 of 2 residents reviewed for antibiotics in a sample of 29 residents (Resident (R)119). Findings include: Review of the undated facility policy titled Antibiotic Stewardship Program revealed, . Frequency of meetings . monthly . Medical Director . sets standards for antibiotic prescribing practices for all healthcare providers prescribing antibiotics in the facility . Director of Nursing . […]

• No harm, potential for more than minimal, isolatedF557Jun 11, 2026

  Based on review of facility policy, observation, record review, and interview, the facility failed to maintain dignity for Resident (R)3. Specifically, R3's foley catheter bag was not covered, for 1 of 1 resident reviewed. Findings include:Review of the facility policy titled, Points To Remember In Respecting Dignity issued 08/16 revealed, . 20. Respect a resident's personal privacy, which includes the following: a. Own physical body b. His/her personal space/private space (i.e., room, bathroom) c. His/her personal care d. […]