Oak Hollow Of Sumter Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Oak Hollow Of Sumter Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Apr 24, 2024

  Based on record review, interviews, and review of facility policy, the facility failed to provide treatment and services to prevent and/or heal Resident (R)6's pressure ulcers for 1 of 1 resident. This failure resulted in R6 acquiring multiple pressure ulcers. On [DATE] at 4:30 PM, the Administrator was provided a copy of the CMS Immediate Jeopardy Template and informed that the failure to provide treatment and services to prevent or heal multiple pressure ulcers for R6 constitued IJ at F686 with an effective date of [DATE]. On [DATE] at 6:18 PM, the facility provided an acceptable IJ Removal Plan. On [DATE], the survey team validated the facility's corrective actions and removed the IJ as of [DATE]. […]

• Immediate jeopardy, isolatedF689Apr 24, 2024

  Based on observations, record review, interviews, and facility policy review, the facility failed to provide adequate supervision to prevent the elopement of 1 of 3 residents reviewed for accidents related to elopement. Specifically, Resident (R)1 had a successful elopement from the facility on 03/30/24. On 4/09/24 at 4:30 PM, the Administrator was provided a copy of the CMS Immediate Jeopardy Template and informed that the failure to provide R(1) with adequate supervision to prevent elopement from the facility constituted Immediate Jeopardy (IJ) at F689 with a start date of 03/30/24. The IJ was related to 42 CFR 483.25 - Quality of Care. On 4/10/24 the facility presented an acceptable IJ Removal Plan. […]

• Actual harm, isolatedF600Jul 2, 2026

  Based on review of facility policy, record review, and interview, the facility neglected to provide services and care to Resident (R)15. Specifically, the facility failed to monitor and prevent inappropriate touching of R15 by R14, for 1 of 27 residents reviewed for abuse.Findings include:Review of the facility's policy titled Abuse Prevention Program with a revised date of December 2016, revealed, Our residents have the right to be free from abuse, neglect, . This includes but is not limited to . sexual or physical abuse . As part of the resident abuse prevention, the administration will: 1. Protect our residents from abuse by anyone including, but not necessarily limited to: . […]

• Actual harm, isolatedF684May 1, 2026

  Based on interview, record review, and facility document and policy review, the facility failed to ensure an assessment was completed for 1 (Resident (R)67) of 1 sampled resident reviewed for an injury of unknown origin when the resident experienced a change in condition. Specifically, on Friday, 03/27/26, Certified Nurse Assistant (CNA)15 discovered R67 had a red, swollen left arm and informed the Unit Manager (UM) of the resident's change in condition. There was no evidence that the facility assessed R67's arm until Monday, 03/30/26, when an x-ray revealed R67 had a displaced fracture of the left humerus (the long bone in the upper arm). […]

• Actual harm, isolatedF600Dec 20, 2024

  Based on interview, record review, facility document review, and facility policy review, the facility failed to protect the resident's right to be free from physical abuse by another resident for 2 (Resident (R)5 and R6) of 5 residents reviewed for abuse. Specifically, R4, who had a history of physical aggression, physically abused and injured R5. Additionally, R4 physically abused R6. Findings included: An undated facility policy titled, Abuse Prevention Program indicated, Our residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]