PruittHealth-Dillon: Hygiene, Food Safety Failures - SC
The resident, identified as R2, was observed on June 18 lying in bed with disheveled hair, dirty nails, and dried food on her face and clothing. The next day, inspectors found her wearing the same black shirt with a bright pink emblem, still with dirty nails, unkempt hair, and dried food covering her face, clothes, and bed sheets.
On June 20, R2 remained in the same black and pink shirt. Her nails were still dirty, her hair remained unkempt, and dried food continued to cover her clothes, face, and sheets. That evening at 4:34 PM, inspectors observed the same conditions persisting.
R2 was admitted to the facility in March 2023 from a hospital with multiple diagnoses including chronic obstructive pulmonary disease, heart failure, lung cancer, and dementia. Her assessment showed moderate cognitive impairment.
Certified Nursing Assistant CNA1, who was assigned to R2's care, told inspectors she follows the resident's shower schedule and provides bed baths on non-shower days. She claimed nail care and hair care were included when she provided daily living assistance.
Another nursing assistant, CNA4, acknowledged the unacceptable conditions. "It is never acceptable for residents not to get assistance daily with ADL care," she told inspectors.
The facility's own policy from 2014 defines Activities of Daily Living as "the task of everyday life" and states that the ability to perform these tasks measures a person's functional status.
Inspectors also discovered multiple medication documentation failures involving a cognitively intact resident requiring oxygen therapy. R55, admitted with respiratory syncytial pneumonia and sleep apnea, had a physician's order for oxygen at 2 liters per minute via nasal cannula as needed, starting May 16.
Nursing staff failed to document when oxygen was administered, why it was given, or the results from May 16 through June 20. Multiple nurses incorrectly recorded the oxygen flow rate as 3 liters per minute instead of the prescribed 2 liters on five separate occasions in May and June.
Licensed Practical Nurse LPN4 admitted that staff don't always document when residents use as-needed oxygen, only for continuous usage. The Director of Nursing told inspectors she expects staff to document oxygen use even for as-needed orders and to maintain accurate records.
R55 also lacked a care plan addressing her oxygen needs despite using oxygen as a special treatment noted in her quarterly assessment. Her last care plan conference occurred March 4, and a required quarterly review scheduled for June 2 never happened, according to nursing staff.
The resident told inspectors she was unsure when facility staff last spoke with her about her care plan.
In the kitchen, inspectors found expired and improperly stored food during their June observation with the Dietary Manager. Two rotten heads of cabbage dated from an earlier period remained in the cooler alongside three undated cucumbers mixed with potatoes.
Staff had left an opened jar of Italian dressing that expired before the inspection date. A large container of applesauce bore a date but no expiration information.
The Kitchen Manager-Dietary Manager told inspectors that all staff receive training on proper labeling, storing, and discarding of expired items. She said the facility follows a first-in, first-out policy for all storage areas and expects staff to properly label, date, and discard expired items.
The facility's 2014 policy requires all staff handling food to follow proper labeling, dating, and storage procedures to ensure food safety.
Infection control violations occurred when staff failed to sanitize their hands while serving meals to residents. On June 19 at 8:18 AM, inspectors observed Northside unit staff passing breakfast trays without sanitizing their hands. Later that day at 12:37 PM, Certified Nursing Assistant CNA3 distributed lunch trays without hand sanitization.
The following evening, CNA4 served dinner trays without sanitizing her hands.
Both nursing assistants knew the policy. CNA3 told inspectors the procedure requires sanitizing hands before entering and after leaving each resident's room with no exceptions. CNA4 said staff must wash hands before and after passing meal trays.
The facility's 2014 infection prevention policy specifically lists "passing meal trays to residents" as an indication requiring hand washing or hand sanitizer use.
The Director of Nursing confirmed all staff must sanitize hands before and after distributing meal trays and whenever hands become soiled.
The inspection also revealed issues with psychotropic medication use. A resident with dementia, anxiety, and depression displayed exit-seeking behaviors throughout her stay. When staff had difficulty redirecting the agitated resident, the Medical Director ordered a one-time dose of Haloperidol 5 mg.
The facility's response included scheduling training for the Medical Director on intervention recommendations for residents with increased agitation that follow manufacturer guidelines while meeting federal regulations against chemical sedation. New psychotropic orders will receive monthly review by the medical director and quality committee.
Federal inspectors completed their survey on June 21, 2024, citing the facility for failures in care planning, activities of daily living assistance, food safety, medical record maintenance, and infection control. The violations affected residents across multiple areas of basic care and safety.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pruitthealth- Dillon from 2024-06-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 14, 2026 · Our methodology
PruittHealth- Dillon in Dillon, SC was cited for violations during a health inspection on June 21, 2024.
The resident, identified as R2, was observed on June 18 lying in bed with disheveled hair, dirty nails, and dried food on her face and clothing.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at PruittHealth- Dillon?
- The resident, identified as R2, was observed on June 18 lying in bed with disheveled hair, dirty nails, and dried food on her face and clothing.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Dillon, SC, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from PruittHealth- Dillon or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 425113.
- Has this facility had violations before?
- To check PruittHealth- Dillon's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.