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: 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: August 4, 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.