Life Care Center of Hilton Head

In the surveyor’s words

From the most serious findings on record at Life Care Center of Hilton Head, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 17, 2025

  Based on review of the facility policy, record review, and interviews, the facility failed to ensure Resident (R)26 was free from sexual abuse by R56. Due to both residents' cognitive status and diagnoses, the survey team utilized The Reasonable Person Approach when addressing this noncompliance.On 07/15/2025 at 8:38 PM, the State Agency determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations had caused or was likely to cause serious harm, psychosocial harm, serious impairment or death.On 07/15/2025 at 8:38 PM, the Administrator was notified that the failure to protect Resident (R)26 from sexual abuse by R56 constituted Immediate Jeopardy (IJ) at F600.On 07/15/2025 at 8:38 PM, the survey team provided the Administrator with a copy… […]

• No harm, potential for more than minimal, widespreadF761Jul 17, 2025

  Based on observation, record review, interview and manufacturer labelling, the facility failed to ensure that medications were securely stored on 1 of 4 medication carts observed during medication pass and further failed to ensure that expired and outdated medications were removed from 4 of 4 medications carts and 2 of 2 treatments carts.Findings include: Review of the facility policy titled Storage and Expiration Dating of Medications and Biologicals revised on 08/01/24 states, Facility should ensure all medications and biologicals, including treatment items, are securely stored in a locked cabinet/cart or locked medication room that is inaccessible by residents and visitors. […]

• No harm, potential for more than minimal, patternF677Jul 17, 2025

  Based on review of facility policy, observation, interview, and record review, the facility failed to ensure residents were provided showers or baths for 5 out of 5 residents and nail care for 1 of 5 residents reviewed for activities of daily living. Findings include:Review of the facility policy titled, Activities of Daily Living (ADL) with a reviewed date of 09/10/24, revealed, Residents will receive assistance as needed for completing ADLs. Additionally, A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene.Review of the facility policy titled, Refusal of Care or Treatment with a reviewed date of 09/05/24, revealed, If the resident refuses other care activities such as bathing,… […]

• No harm, potential for more than minimal, isolatedF609Jul 17, 2025

  Based on review of facility policy, record review, and interviews, the facility failed to ensure an allegation of abuse was reported in a timely manner. Specifically, the facility was notified of an allegation of sexual abuse on 07/09/25 and did not report the allegation of abuse to the State Agency until 07/16/25.Findings include:Review of the facility's policy, with a reviewed date of 09/05/24, titled, Incident and Reportable Event Management, states, Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury,… […]

• No harm, potential for more than minimal, isolatedF658Jul 17, 2025

  Based on review of facility policy, observation, record review, and interview, the facility failed to ensure that a nutritional supplement was accurately measured as to volume as specified in physician orders for 1 of 5 residents observed during medication pass administration.Findings include:Review of the facility policy titled Administration of Medications reviewed on 09/16/24 states, Right Dose. Check the MAR (Medication Administration Record) and the doctor's order before medicating. […]