Carlyle Senior Care: Respiratory Care Failure - SC
Federal inspectors flagged the incident during a complaint inspection at Carlyle Senior Care of Aiken in September 2025. The resident identified in the report as R5 was the one held. The CNA, identified as CNA2, physically grabbed and restrained him in the manner inspectors described as a bear hug hold.
The Director of Nursing did not defend what happened. She told inspectors that CNA2 should not have grabbed and held R5 the way she did. She said staff should have first tried other diversional techniques to calm him down. Then she said something that made the incident harder to dismiss as a simple lapse in judgment: the bear hug, she acknowledged, could be considered a restraint.
Nobody had trained staff to do it.
That detail sits at the center of the violation. It was not a sanctioned crisis intervention. It was not a technique the facility had evaluated, approved, or prepared its employees to perform. It was something a nursing assistant did to a resident's body without the training, authorization, or oversight that would have made it defensible.
CMS cited the facility under F0550, which covers resident dignity and respect. The level of harm was classified as minimal harm or potential for actual harm, and inspectors noted that few residents were affected.
The classification does not change what the Director of Nursing put on the record: that her staff used a physical hold on a resident that her own facility had never sanctioned, and that no one working there had been trained to perform it.
R5 was bear-hugged by someone who had no instruction on how to do it, or whether to do it at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Carlyle Senior Care of Aiken from 2025-09-12 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
Carlyle Senior Care of Aiken in Aiken, SC was cited for violations during a health inspection on September 12, 2025.
Federal inspectors flagged the incident during a complaint inspection at Carlyle Senior Care of Aiken in September 2025.
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.