Cheraw Healthcare
Inspection Findings
F-Tag F0760
F 0760 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
40 mg a single dose of hydralazine 100 mg and a single dose of gabapentin 100 mg. Patient's blood pressure is low and mental status is somewhat subdued. The patient received Narcan and 1 L of LR by EMS and 1 mg of Narcan by EMS.During an interview on 11/03/25 at 10:03 AM, Registered Nurse (RN)1 stated it all started when Resident R1 was in the restroom yelling for help. I had already pulled the medications for her roommate, and they were in a cup. I carried the cup of medication into the room and helped Resident R1 get up from the toilet and then gave her the medications that were for her roommate. When I realized it was a mistake, I started monitoring her. She became diaphoretic and her heart rate decreased. So, I notified my Unit Manager and she called the Nurse Practitioner and got an order to transport the resident to the ER.During an interview on 11/06/25 at 12:03 PM the DON stated she could not find in the medical record where the vital signs were monitored. She stated that she would expect the nurse to monitor the vital signs so that she could report them to the physician.During an interview on 11/06/25 at 12:10 PM, the Unit Manager stated that she knew the nurse was monitoring the vital signs. RN1 had come to her and told her
she thought she gave the wrong medications to the resident and I told her to call the physician and give him
the information and go from there. The Unit Manager confirmed that the vital signs were not in the medical
record and stated that she would expect the nurse to document them in the medical record. On 11/06/25 at 6:45 PM, the facility provided an acceptable IJ Removal Plan, which included the following:1. MD notified, and Resident was sent to the hospital on [DATE REDACTED]. Returned to facility on 08/26/2025. Resident returned with no adverse effects.2. All residents were assessed by the Director of Nursing on 08/24/2025 with all residents without distress. VItal signs obtained and reviewed for abnormalities, none noted. All residents assessed by Director of Staff Developement on 11/06/2025. Roommate MAR (Medication Administration Record) reviewed for medication administration on 08/23/2025. Resident received medications as ordered.3. Resident's names placed outside doors and pictures placed on EMR on every resident.
Identification bracelets placed on all residents on 11/06/2025. Inservice on Medication Administration, Medication Errors Policy & Procedures was completed on 08/25/2025. Director of Staff Development and/or designee to provide skills competency to each nurse before next scheduled shift.4. DON to monitor medication administrations skills competencies weekly x4, monthly x3, then quarterly until compliance has been met.5. Compliance date 08/24/2025.
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Cheraw Healthcare in Cheraw, SC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Cheraw, SC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Cheraw Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.