Inspection Reports for Rice Estate Rehabilitation and Healthcare

100 FINLEY RD, SC, 29203-9264

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

23% better than South Carolina average
South Carolina average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2025

Inspection Report

Routine
Deficiencies: 1 Date: Mar 7, 2025

Visit Reason
The inspection was conducted to evaluate the facility's compliance with pharmaceutical services regulations, specifically focusing on the reconciliation of controlled drugs on medication carts.

Findings
The facility failed to implement pharmacy procedures for the reconciliation of controlled drugs on four medication carts, as licensed nurses repeatedly failed to sign the controlled drug count sheets during shift changes to verify completion of the counts.

Deficiencies (1)
Failure to implement pharmacy procedures for the reconciliation of controlled drugs on four medication carts due to licensed nurses not signing controlled drug count sheets during shift changes.
Report Facts
Medication cart count sheet missing signatures: 31

Employees mentioned
NameTitleContext
LPN2Licensed Practical NurseIdentified missing signatures on controlled drug count sheets for Arbor Medication Cart #2 and confirmed expectations for signing.
RN2Registered NurseIdentified missing signatures on controlled drug count sheets for Arbor Medication Cart #1 and confirmed expectations for signing.
LPN5Licensed Practical NurseIdentified missing signature on controlled drug count sheet for March 1, 2025, for a medication cart and confirmed expectations for signing.
LPN7Licensed Practical NurseIdentified multiple missing signatures on controlled drug count sheets for January through March 2025 for a medication cart and confirmed expectations for signing.
Director of NursingDirector of Nursing (DON)Confirmed expectation that nursing staff sign controlled substance logs at shift change and acknowledged failure to implement pharmacy procedures for reconciliation of controlled drugs.

Inspection Report

Deficiencies: 2 Date: Dec 20, 2023

Visit Reason
The inspection was conducted to assess compliance with resident rights notification and food safety standards at Rice Estate Rehabilitation and Healthcare.

Findings
The facility failed to inform residents of their rights, rules, and grievance procedures as required, with residents unaware of their rights or how to file grievances. Additionally, the facility failed to properly sanitize meal thermometers and did not label or date food items correctly in two kitchens.

Deficiencies (2)
Failed to inform residents of their resident's rights, rules, and regulations governing resident conduct and responsibilities during their stay.
Failed to properly sanitize a meal thermometer between tray line testing and failed to properly label and date items in the walk-in cooler and freezer in two kitchens.
Report Facts
Residents selected for rights council review: 4 Food items temped without proper sanitization: 3 Number of kitchens reviewed for food labeling: 2

Employees mentioned
NameTitleContext
Activity TherapistReviewed rights verbally with residents but had no documentation.
Social WorkerVisits residents and documents visits but does not review residents' rights.
AdministratorStated expectation that rights are reviewed during resident council meetings and posted on facility walls.
Head ChefInterviewed regarding sanitization expectations between food temperature checks.

Inspection Report

Complaint Investigation
Census: 14 Capacity: 75 Deficiencies: 5 Date: Jan 7, 2022

Visit Reason
The inspection was conducted due to complaints regarding failure to notify resident representatives and ombudsman of hospital transfers, failure to provide written bed hold policy information, failure to revise care plans after changes in resuscitation status, unsanitary conditions in a kitchenette, and infection prevention and control deficiencies on the COVID-19 unit.

Complaint Details
The complaint investigation found substantiated deficiencies related to notification failures for hospital transfers and bed hold policies, care plan inaccuracies, unsanitary food service conditions, and infection control lapses on the COVID-19 unit.
Findings
The facility failed to provide timely written notifications to resident representatives and the Ombudsman regarding hospital transfers and bed hold policies for one resident. The care plan for one resident was not revised to reflect a change in resuscitation status. The kitchenette in one unit was found unsanitary with food spills and mildew in the ice machine. Infection prevention and control practices were inadequate, including improper PPE use, improper doffing procedures, uncovered laundry delivery, and inconsistent staff COVID-19 screening.

Deficiencies (5)
Failure to notify resident's representative and Ombudsman in writing of hospital transfer.
Failure to provide written information regarding facility's bed hold policy at time of transfer.
Failure to revise care plan after change in resuscitation status, documenting both full code and DNR.
Kitchenette in one unit was unsanitary with food spills and mildew in ice machine, risking foodborne illness.
Failure to ensure staff wore appropriate PPE on COVID-19 unit, improper doffing, uncovered laundry delivery, and inconsistent staff COVID-19 screening.
Report Facts
Residents on [NAME] unit: 14 Total residents in sample: 24 Total licensed capacity: 75 Food spill coverage: 25

Employees mentioned
NameTitleContext
President of Clinical Operations, Registered Nurse (VPCORN)Interviewed regarding failure to provide written notifications and infection control practices
Director of Social ServicesInterviewed regarding care plan deficiencies and advanced directives
MDS CoordinatorInterviewed regarding care plan documentation of resuscitation status
Unit Manager (UM)1Interviewed regarding care plan, infection control, and staff screening procedures
Certified Dietary Manager (CDM)Interviewed regarding kitchenette sanitation and ice machine condition
Environmental Services AideInterviewed regarding housekeeping duties and COVID-19 screening compliance
Director of MaintenanceInterviewed regarding housekeeping supervision and ice machine cleaning contract
Licensed Practical Nurse (LPN)1Observed and interviewed regarding PPE use on COVID-19 unit
Certified Nursing Assistants (CNA)2, CNA3, CNA4Interviewed regarding PPE doffing and COVID-19 screening procedures
Licensed Practical Nurse (LPN)3Interviewed regarding COVID-19 screening compliance

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