Deficiency Index

The Arboretum At The Woodlands

Greenville, South Carolina · CCN 425394

14 surveys since 2011, 7 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
45
Surveys
14
Harm or worse
7
Immediate jeopardy
0
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse7

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
30
Ownership
Non profit - Other
Chain
Independent
County
Greenville
Medicare-certified since
2009

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Oct 24, 2024

746 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.755.61
Registered-nurse hours per resident day1.60—
Annual nurse turnover37.8%42.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 45 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F7611×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

From the most serious findings on record at The Arboretum At The Woodlands, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF609Oct 24, 2024

    Based on facility policy, record review, observation, and interview, the facility failed to report an allegation of potential abuse/neglect to the abuse coordinator for hours after it was reported to a staff member for 1 of 1 resident (R)6, reviewed for abuse. Findings include: Review of the facility policy titled Abuse Prevention and Investigation reported under the policy, Neglect is the failure of the community, it's employees or service providers to provide goods and services necessary to avoid physical harm, mental anguish or emotional distress. […]

  • No harm, potential for more than minimal, isolatedF761Oct 24, 2024

    Based on observation, and staff interview, the facility failed to ensure discontinued medications were removed from the treatment cart with pharmacy labels that were blacked out in marker. Additionally, open treatment items were not dated for 1 medication room and 1 of 2 treatment carts reviewed for medication storage. Findings include: Multiple requests were made at the time of the survey for a policy on medication storage, none was provided. On 10/22/24 at 08:09 AM, an observation of the Medication Room revealed SPS Suspension Kaexalate 60 milliliters (ml) was not open, but was in the cabinent. Most of the label has been removed and a partial piece on the left side remains. […]

  • No harm, potential for more than minimal, isolatedF609Feb 2, 2024

    Based on interviews, record reviews, document reviews, and facility policy review, the facility failed to ensure allegations of abuse were reported immediately, but not later than two hours after an allegation was made, for 2 (Resident (R)1 and R2) of 3 sampled residents reviewed for abuse prohibition and failed to report the results of an investigation for 1 (R2) of 3 sampled residents reviewed for abuse prohibition. Findings included: A review of the facility's policy titled, Abuse Prevention, Reporting and Investigation dated 01/31/2018, revealed, 9. Reporting a. […]

Read 23 findings in full →The most serious and the most recent: 23 of 45 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 24, 2024Standard2 findings
  • Feb 2, 2024Complaint1 finding
  • Aug 20, 2020Standard1 finding
  • Jan 15, 2019Complaint2 findings · 2 harm
  • Feb 22, 2018Standard4 findings
  • May 4, 2017Standard8 findings · 2 harm
  • Aug 11, 2016Standard2 findings
  • Apr 8, 2015Standard5 findings
Show the 6 earlier surveys
  • Jun 18, 2014Standard and complaint8 findings · 1 harm
  • Feb 21, 2013—1 finding
  • Sep 18, 2012—1 finding
  • Apr 4, 2012—4 findings
  • Jun 14, 2011—4 findings
  • Apr 26, 2011—2 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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