Lake Marion Nursing Facility

In the surveyor’s words

From the most serious findings on record at Lake Marion Nursing Facility, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 20, 2024

  Based on review of facility policy, record review, and interviews, the facility failed to ensure Residents (R)73, R10, and R479 were free from physical abuse by Certified Nursing Assistant (CNA)1 on 07/30/24 and 08/02/24. On 09/20/24 at 11:04 AM, the Administrator and the Director of Nursing (DON) were notified that the failure to protect multiple residents from from physical abuse constituted Immediate Jeopardy (IJ) at F600. On 09/20/24 at 11:04 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 07/30/24. The IJ were related to 42 CFR 483.12- Freedom from Abuse, Neglect, and Exploitation. On 09/20/24 at 2:40 PM, the facility provided an acceptable IJ Removal Plan. […]

• Immediate jeopardy, isolatedF609Sep 20, 2024

  Based on review of facility policy, record review, and interviews, the facility failed to protect residents from further abuse, after multiple staff witnessed Certified Nursing Assistant (CNA)1 physically abuse multiple residents and did not report the physical abuse. On 09/20/24 at 11:04 AM, the Administrator and the DON were additionally notified that the failure of staff to report an initial incident of physical abuse, which resulted in further physical abuse, constituted IJ at F609. On 09/20/24 at 11:04 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 07/30/24. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observation, interviews and policy review, the facility failed to ensure kitchen staff labeled and dated foods and discarded expired food for one of one kitchen with the potential to affect 71 residents consuming food out of the kitchen. This failure had the potential to cause expired food to be served to residents. Findings include: Review of the undated facility policy titled, Labeling and Dating Foods (Date Marking) revealed, All foods stored will be properly labeled according to the following guidelines, Unopened cases of dry food items will be dated with the date the case was received into the facility and will be using first in - first out method of rotation. […]

• No harm, potential for more than minimal, patternF761Aug 6, 2026

  Based on observations, interviews, and facility policy review, the facility failed to ensure medications were properly stored during medication pass and that lock boxes containing Schedule IV (controlled substances) medications were permanently affixed on two of two units (Carolina and Virginia). This deficient practice had the potential to result in unauthorized access, diversion, loss, theft, or misuse of medications or controlled substances. Findings include: Review of the facility's policy titled, Medication Storage in the Facility with a revision date of 02/25/25 revealed, Policy Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. […]

• No harm, potential for more than minimal, isolatedF583Aug 6, 2026

  Based on observation, interviews, and facility policy review, the facility failed to ensure personal health-related information was maintained in a secure manner for two of two observations when computer screens displayed resident identifiable information. This deficient practice had the potential for unauthorized access to residents' private health information. Findings include: Review of the facility's undated policy titled, Safeguarding Resident Identifiable Information revealed It is the policy of this facility to implement reasonable and appropriate measures to protect and maintain the safety and confidentiality of the resident's identifiable information, and to safeguard against unauthorized release of information and records. Policy Explanation and Compliance Guidelines.7. […]