Retreat at Wellmore of Daniel Island

In the surveyor’s words

From the most serious findings on record at Retreat at Wellmore of Daniel Island, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Apr 17, 2026

  Based on a review of facility policy, manufacturers' recommendations, observations, and interviews, the facility failed to: 1. Ensure that food items were stored, prepared, distributed, and or served in accordance with professional standards of practice in one of one main kitchen and four of four satellite kitchenettes. 2. Ensure that staff adequately monitored and documented the sanitation levels of all facility dishwasher machines. Specifically, on 03/18/26, the facility was made aware of concerns with the main kitchen's dishwasher following a service repair by Ecolab and continued to prepare and serve meals using dishware that was not properly sanitized in five of five dishwashers reviewed.On 04/16/26 at 4:20 PM, the State Agency (SA) determined that the facility's non-compliance with… […]

• Immediate jeopardy, isolatedF689Sep 11, 2025

  Based on review of facility policy, record review, video footage and interviews, the facility failed to prevent accidents/hazards for 1 of 3 residents reviewed. Specifically, on 8/30/25, Resident (R)1 had a successful elopement from the facility. R1 was placed at an increased risk of being struck by a vehicle and/or suffering a heat related and inclement illness.On 09/11/25 at 2:22 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death.On 09/11/25 at 2:22 PM, the Executive Director (ED) was notified that the failure to protect R1 from having a successful elopement from the facility constituted Immediate Jeopardy… […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure items in the refrigerator, freezer, and dry storage were properly sealed, labeled, and dated. The facility also failed to discard expired items in dry storage. These failures had the potential to affect all 51 residents who consumed food from the kitchen. Findings include: Review of the facility's policy titled Dating for Food Storage revealed, For labeling, dating items requires special attention. All foods that require time and temperature control (TCS) should be labeled with the following: Common name of the food. Date the food was made. Use by date. The following observations were confirmed on [DATE] at 11:00 AM with the Director of Diet (DD) and the Executive Chef (EC): 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2024

  Based on review of the facility policy, observations, and interviews, the facility failed to ensure that: 1. Staff practiced proper hand hygiene during meal tray preparation and 2. Prepared food was being held at regulatory temperatures on the serving line for hot and cold foods, in 2 of 4 satellite kitchens. Findings Include: Review of the facility policy titled, Preventing Foodborne Illness- Employee Hygiene Sanitary Practices, with a revision date of November 2022 states, Food and nutrition services employees follow appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness. 6. Employees must wash their hands: g. during food preparation, as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks. 9. […]

• No harm, potential for more than minimal, widespreadF812May 13, 2022

  Based on observations, interviews and review of the facility policy titled, Food Receiving and Storage, and Sanitation, the facility failed to store, prepare and serve foods under sanitary conditions in 1 of 1 main kitchen. Findings include: An observation during initial tour of the main kitchen on 5/11/22 at 10:15 AM revealed the following: In the dry storage area; there was Risotto and Coconut Flakes opened with no date, several packages of pasta, rice, vanilla wafers all opened with no date. There was 2 packages of cornbread mix in a plastic bag with a green dried substance inside the bag. The walk in cooler had a CVS bag with 3 soft drinks that belonged to staff. The walk in freezer had a bag of breaded Zucchini opened with no date. […]