NHC Healthcare - Charleston

In the surveyor’s words

From the most serious findings on record at NHC Healthcare - Charleston, in the surveyor’s own words.

• Immediate jeopardy, isolatedF757Apr 3, 2026

  Based on interview, record review, and review of facility policy, the facility failed to ensure that Resident (R)24 received medications that had adequate/appropriate indications of use, for 1 of 6 residents reviewed for unnecessary medications. Specifically, the facility administered R24, a resident who does not have a history or diagnosis of blood glucose/sugar complications/diabetes, 10 units of insulin on two separate dates. The facility further failed to ensure that residents' orders were verified appropriately for accuracy and medications had an adequate/appropriate indication of use. R24 reported to facility staff/medical providers that her anxiety had worsened after this medication error, and she now questions every medication she receives from nursing staff at the facility. […]

• Immediate jeopardy, isolatedF600Jul 26, 2024

  Based on interviews, record review, and review of facility policy, the facility failed to protect Resident (R)1 from neglect. Specifically, R1 was admitted to a local hospital with severe bruising, multiple infected wounds, and a foul odor. R1 later expired in the hospital on [DATE]. On [DATE] at 3:40 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of [DATE]. The IJ was related to 42 CFR 483.25 - Freedom from Abuse, Neglect, and Exploitation. On [DATE], the facility provided an acceptable IJ Removal Plan. On [DATE], the survey team validated the facility's corrective actions and the immediacy of the IJ was removed as of [DATE]. […]

• No harm, potential for more than minimal, widespreadF761Apr 3, 2026

  Based on observation, record review, interview, facility policy review, manufacturer and pharmacy labeling review, the facility failed to ensure that drugs and biologicals were properly stored in 2 of 2 medication rooms.Findings include: Review of the facility policy titled MEDICATION STORAGE IN THE FACILITY revised on 2/25/2025, states, Medications and biologicals are stored safely, securely and properly, following manufacturer's recommendations or those of the supplier . All expired medications will be removed from the active supply and destroyed in the facility, regardless of amount remaining. […]

• No harm, potential for more than minimal, isolatedF550Apr 3, 2026

  Based on observation, interview and review of facility policy, the facility failed to ensure Resident (R)9's dignity was protected for 1 of 1 residents observed with catheter bag. Specifically, R9's catheter bag was not covered.Findings include: Review of the facility's policy titled Administrative Procedures Manual . Establishing a Customer Satisfaction Culture revised 2-1-2011 states, Respect your privacy, dignity, and confidentiality. During an observation on 03/31/2026 at approximately 11:11 AM, during the 200 Hall initial tour, a Certified Nursing Assistant (CNA) rolled R9 in his wheelchair to a table in the common area opposite the nursing station and walked away leaving him at the table. […]

• No harm, potential for more than minimal, isolatedF580Apr 3, 2026

  Based on interview, record review, and review of facility policy, the facility failed to ensure that Resident (R)24's Medical Doctor/Director was informed in a timely manner of an inadvertent administration of a medication, for 1 of 3 residents reviewed.Cross reference F757 Findings include:Review of the facility policy titled Policies and Procedures Regarding Change in Patient Status last revised in 2025 revealed, The patient or patient representative is encouraged to be involved in all decision-making regarding changes in the plan of care. Notification of the patient representative, charge nurse on duty is notified immediately of any change in a patient's condition. […]