Calhoun Convalescent Center: Feces on Floor, Gnats - SC
The certified nursing assistant assigned to the resident, identified in inspection records as R80, told inspectors on March 23 that she had been in the room but had not walked over to the side where feces and urine covered the floor. She confirmed the odor was terrible. She confirmed it could be smelled from down the hall. She did not say she had reported it for immediate cleaning.
The Director of Housekeeping told inspectors the same day that R80 had done this in a previous room on another hall, that he had been this way since he arrived, and that the tiles needed to be replaced. She confirmed the room was "very offensive" with a "terrible odor" and gnats throughout. She confirmed that R80 could not have a roommate because of what had happened with a previous one. She confirmed he was given disposable trays and Styrofoam dishes because he would not return regular plates and silverware.
Nobody had cleaned the room.
When inspectors returned the next morning, the Director of Housekeeping said staff would do a deep clean of everything in R80's room since he was currently in the hospital. That was the first time a deep clean had been mentioned.
The administrator, interviewed on March 25, described a quarterly deep-cleaning schedule in which housekeeping tries to cover eight to ten rooms some weeks. She said staff sweep, mop, empty trash, and clean bathrooms. She said R80 goes through cycles where he becomes convinced someone is coming to take him home, barricades himself in his room, and refuses all services. She said staff ask every day whether they can clean his room, give him a shower, help him dress. She said residents have the right to refuse.
She also said he needs a dementia unit, and that the facility sends email referrals trying to find him placement.
But she agreed, when inspectors pressed her, that the room still needed to be cleaned every day.
The inspection, conducted by the Centers for Medicare and Medicaid Services, cited the facility for failing to maintain a sanitary environment. The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting a small number of residents.
That classification sits at the lower end of the federal severity scale. It does not mean what happened was minor.
A man with dementia was living in a room where feces had accumulated on the floor long enough to warp the tiles. His assigned aide confirmed she had not walked to the part of the room where the waste was. The housekeeping director knew the room was infested with gnats. The administrator knew he urinated into the fan. The facility's response, before inspectors arrived, was a quarterly cleaning rotation.
The administrator's explanation, that R80 refused help and that residents have the right to refuse, describes a real and documented challenge in dementia care. Residents can and do refuse. That refusal does not eliminate a facility's obligation to maintain sanitary conditions in the space where a person lives.
She said they ask every day. The tiles still needed to be replaced.
R80 was in the hospital when the deep clean was finally scheduled. The room that had smelled down the hall, that had drawn gnats, that had feces on the floor and urine in the fan, was going to be cleaned because he was not in it to refuse.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Calhoun Convalescent Center from 2025-03-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: October 31, 2026 · Our methodology
Calhoun Convalescent Center in Saint Matthews, SC was cited for violations during a health inspection on March 26, 2025.
She confirmed the odor was terrible.
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.