Chandler Creek Post Acute
Chandler Creek Post Acute in Greer, SC — inspection on February 23, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 02/23/26 at 1:00 PM, LPN1 stated, I made an error.
LPN1 reports that on the day of the incident during the morning medication pass, she pre-pulled medications for more than one resident at a time.
She had already prepared R2's medications and R3's medications.
While she was about to give R2's medications that's when R3 asked for pain medication.
She then retrieved R3's Oxycodone and then went to give R2 her medications first but got distracted.
She then administered medications to R2.
Afterward, when she went to give R3's medications, she realized that R2's medications were still in the cup on the cart and that R2 had received R3's medications by mistake. LPN1 immediately reported the error to her supervisor.
During an interview on 02/23/26 at 1:25 PM, the Director of Nursing (DON) stated that when a medication error occurs, the resident's condition should be assessed, vital signs checked, the Nurse Practitioner notified, and the incident reported to the State Agency.
The DON stated she was on maternity leave at the time of the incident and confirmed that a report was not submitted.
She stated that the ADON was unaware that the incident needed to be reported.During the same interview, the DON was asked if the facility had submitted a report since discovering the incident.
She stated, Well I thought since y'all were here we didn't have to now.
The surveyor informed the DON that the facility had a duty to self-report because this was a complaint received by the State Agency.
The DON stated she would submit the report immediately.During interview on 02/23/26 at 1:36 PM, the ADON states that LPN1 notified her immediately after administering the medication. the ADON further stated she was unsure if the Administrator was notified of the incident.
The ADON also noted that she was unaware she was required to report the incident to the State Agency.
During an interview on 02/23/26 at 2:43 PM, the Facility Administrator (FA) stated that he was only made aware of the medication error recently, when he spoke with [R1].
The FA confirmed that a report was not sent to the State Agency. He also stated that the ADON discovered the incident and that he was not informed of it at the time.
425138 02/23/2026
Chandler Creek Post Acute 401 Chandler Rd Greer, SC 29651
by 2/24/2026 or before the licensed nurses' next scheduled shift.11. On 2/23/2026, the
jeopardy to resident health or Pass, including medication errors, by the Regional Assistant Director of Clinical Services.12. On safety 2/23/2026, the Director of Nursing completed a review of hospitalizations since 12/1/2025 to determine if any were related to medication error.13. On 2/23/2026, the Director of Nursing completed
reporting compliance.14. On 2/23/2026, nurse management will begin to randomly select each nurse daily to observe medication passes x 7 days, then weekly x 4 weeks, then monthly x 2 months.15.
The nurse involved in the deficiency will have completed medication pass competency daily x 7 days, weekly x 4 weeks, monthly x 2 months, and quarterly x 2.DATE OF COMPLIANCE: 2/24/2026