Retreat at Wellmore: Immediate Jeopardy Finding - SC
The September 2025 complaint inspection resulted in an immediate jeopardy finding under F0689, the federal tag covering accident prevention and supervision. Immediate jeopardy is the highest level of harm regulators can assign, reserved for situations where a facility's failures have placed residents in serious danger or have already caused serious harm.
The inspection found gaps in elopement training, response protocols, and timely supervision. New staff had not been receiving elopement training during orientation. Annual refresher training for existing staff had not been conducted. The problems affected a small number of residents.
Elopement, in nursing home terms, means a resident with cognitive or physical impairments leaves a secured area without staff awareness. The consequences can be fatal. Residents who elope may wander into traffic, into extreme heat or cold, or become lost entirely before anyone realizes they are gone.
The facility's own corrective action plan, submitted to regulators, acknowledged the failures directly. Going forward, the plan stated, new hires will receive elopement training during orientation, and all staff will undergo annual refresher training administered by administrative nursing staff. Family input will also be incorporated into individualized care plans at the start of admission, with the facility's interdisciplinary team carrying out that process.
The facility told regulators it had achieved compliance by September 3, 2025, eight days before the inspection was formally documented.
What the plan does not describe is what happened to the residents affected before any of those fixes were put in place.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Retreat At Wellmore of Daniel Island from 2025-09-11 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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Retreat at Wellmore of Daniel Island in Charleston, SC was cited for immediate jeopardy violations during a health inspection on September 11, 2025.
The September 2025 complaint inspection resulted in an immediate jeopardy finding under F0689, the federal tag covering accident prevention and supervision.
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.