MUSC Health Chester Nursing Center

In the surveyor’s words

From the most serious findings on record at MUSC Health Chester Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on review of the facility policy, observations, and interviews, the facility failed to properly store and label food items and ensure expired food was discarded in accordance with professional food safety standards in the walk-in freezer, refrigerators, and dry storage shelf. Failure to properly label and store food has the potential for widespread harm of food-borne illnesses. Findings include: Review of the facility policy titled, Food and Supply Storage, with a revision date of 01/25 states, All food, non-food items and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption. Under Procedures, it states, Cover, label and date unused portions and open packages. […]

• No harm, potential for more than minimal, widespreadF814Aug 10, 2022

  Based on observation and interview, the facility failed to maintain the dumpster area in a sanitary manner to prevent the harborage of pests 3 out of 3 days of the survey. A foul-smelling liquid leaked out of the dumpster onto the asphalt extending as far as approximately 15 feet across a parking lot; there were flies in this area during each observation. In addition, there was garbage on the asphalt near/along the edge of the dumpster all 3 days of the survey. Findings include: During the initial kitchen inspection conducted on 08/08/22 between 9:53 AM-10:47 AM, the dumpster area was observed with the Chef. There was a large garbage compactor/dumpster located behind the facility on asphalt adjacent to a parking area. […]

• No harm, potential for more than minimal, isolatedF582Apr 11, 2024

  Based on record review and staff interview, the facility failed to ensure each Medicare resident and/or resident representative (RP) whose Medicare therapy services were terminated received a copy of form Centers for Medicare and Medicaid Services (CMS) 10123 Notice of Medicare Non-Coverage (NOMNC) and CMS -10055 Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) for two of three residents (Resident (R) 48, and R42) reviewed for beneficiary notices out of a total sample of 13 residents. […]

• No harm, potential for more than minimal, isolatedF657Apr 11, 2024

  Based on review of the facility policies, record reviews, and interviews, the facility failed to update and revise the code status on comprehensive care plans for two residents of 13 sampled residents (Resident (R) 14 and R22). Findings include: Review of the facility's policy MDS [Minimum Data Set] Comprehensive Care Plan, revised on [DATE] indicated . The Care Plan will reflect the current and best practice standards to provide care . The Care Plan will be revised on an on-going basis to reflect changes in the Resident and the services the Resident is receiving . […]

• No harm, potential for more than minimal, isolatedF677Apr 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure dependent residents received showers/baths including the washing of hair for one of one resident reviewed for activities of daily living (ADLs), (Resident (R) 46) out of a total sample of 13. R46 was observed with uncombed and greasy hair; and facility documentation of showers/baths was incomplete. Findings include: Review of the facility's policy titled Residents (sic) Activity of Daily Living revealed Ensuring all staff, across all shifts and departments, understand the principles of quality of life, and honor and support these principles for each resident; and Ensuring (sic) that the care and services provided are person-centered, and honor and support each resident's preferences, choices, values, and… […]