Sumter East Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Sumter East Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 20, 2025

  Based on review of facility policy, record review and interview, the facility failed to protect Resident (R)1 from physical abuse by Certified Nursing Assistant (CNA)1. Specifically, CNA1 slapped R1's bilateral stumps to ensure his stumps were flat on the bed, for 1 of 3 residents reviewed for abuse. On 03/20/25 at 2:00 PM the Administrator and the Director of Nursing were notified that the failure to protect a resident from physical abuse constituted Immediate Jeopardy (IJ) at F600. On 03/20/25 at 2:00 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 03/02/25. […]

• Immediate jeopardy, isolatedF604Mar 20, 2025

  Based on review of facility policy, record review and interview, the facility failed to protect Resident (R)1 from being physically restrained by Certified Nursing Assistant (CNA)1. Specifically, CNA1 grabbed both of R1's hands, held them crossed against R1's upper chest during incontinence care, for 1 of 3 residents reviewed. On 03/20/25 at 2:00 PM the Administrator and the Director of Nursing were notified that the failure to protect a resident from being physically restrained constituted IJ at F604. On 03/20/25 at 2:00 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 03/02/25. […]

• Immediate jeopardy, isolatedF689Oct 11, 2024

  Based on review of facility policy, interview, and record review, the facility failed to provide appropriate supervision for Resident (R)78, resulting in R78 successfully eloping from the facility. On 10/09/24 at 11:28 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 09/26/24. The IJ was related to 42 CFR 483.25 - Free of Accidents Hazards/Supervision/Devices. On 10/10/24 at approximately 1:40 PM, the facility provided an acceptable IJ Removal Plan. The survey team validated the facility's corrective actions and determined the facility put forth good faith attempts to address the non-compliance. […]

• Actual harm, isolatedF689Sep 29, 2023

  Based on observation, interview, record review, and facility policy review, the facility failed to properly supervise 1 of 2 residents to prevent a fall, resulting in injury. Specifically, Resident (R)3 wandered into a staff break room and tripped and fell over a hole in the floor, resulting in R3 suffering a closed head injury and pain. This failure constituted actual harm. Findings include: A review of the un-dated facility's policy titled, Accidents and Supervision indicated, The resident environment will remain as free of accident hazards as is possible. Each resident will receive adequate supervision and assistive devices to prevent accidents. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure food was stored off the floor, failed to label, date, and cover stored food, and failed to discard food with expired use by or best by dates in two of two facility kitchens. These failures had the potential to create an environment for food-borne illnesses which could affect 165 residents who consumed food prepared from the facility's two kitchens.Findings include:Review of the facility's undated policy titled, Date Marking for Food Safety, indicated, Policy: The facility adheres to a date marking system to ensure the safety of ready-to-eat, time/temperature control for safety food. Policy Explanation and Compliance Guidelines for Staffing: 1. […]