Sedgewood Manor Health Care Center
Inspection Findings
F-Tag F0919
F 0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of facility policy, record review, and interviews, the facility failed to ensure call lights were within reach for Resident (R)1, Resident R2, Resident R3, Resident R8 and Resident R9, 5 of 5 rooms reviewed for call light placement.Findings include:Review of the facility's policy titled, Call Lights: Accessibility and Timely Response with a copyright date of 2025 states, The purpose of this policy is to assure the facility is adequately equipped with a call light at each residents' bedside, toilet, and bathing facility to allow residents to call for assistance. Call lights will directly relay to a staff member or centralized location to ensure appropriate response.Policy Explanation and Compliance Guidelines5. Staff will ensure the call light is within reach of the residents and secured, as needed.Review of Resident R1's Face Sheet revealed Resident R1 was admitted to the facility on [DATE REDACTED] with the diagnosis including but not limited to muscle weakness (generalized), unspecified sequelae of cerebral infarction, dementia, and essential hypertension.Review of Resident R1's Quarterly Minimum Data Set (MDS) with
an Assessment Reference Date (ARD) of 10/17/2025 revealed that Resident R1 has the Brief Interview of Mental Status (BIMS) score of 07 out of 15, which indicates Resident R1 has severe cognitive impairment.During an
observation on 12/30/25 at 01:23 PM revealed Resident R1's call light was on the floor at the foot of the bed. The resident was lying in bed watching television.During an observation on 12/30/25 at 01:23 PM, Resident R9's call light was found at the head of the bed, on the floor.During an observation on 12/30/25 at 03:30 PM, Resident R8's call light was unreachable in their room.During an observation on 12/30/25 at 3:30 PM, Resident R2's call light was found
on the floor.During an observation on 12/30/25 at 3:30 PM, Resident R3's call light was found on the floor.During an
interview on 12/30/25 at 1:24 PM, Resident R1 stated, They took the call light from me. They give you a hard way to go around here. They save me for last to help. They take a long time to change me. I am wet now from peeing on myself.During an observation on 12/30/25 at 01:26 PM, the Certified Nursing Assistant (CNA) in training came to cut off the call light. She stated she is in orientation, and she would go get the CNA who is taking care of Resident R1. The surveyor informed the new CNA that the call lights were on the floor. The new orientee acknowledged that the call lights were on the floor but did not pick up the call light to make reachable for the resident. During an interview on 12/30/25 at 1:51 PM, CNA3 stated, Resident R1 is not oriented.
She usually pulls her call light out of the wall. Today is a good day. Most days she is screaming and tries to get out of bed.During an interview on 12/30/25 at 3:03 PM the Administrator stated, call lights are supposed to be within reach for all residents.During a second interview on 12/30/25 at 3:16 PM, the Administrator stated, With my team, we educate staff annually. When incidents occur, I have a meeting with the department heads and we decide on what we need to implement going forward. The training we used to educate our staff is completed via paper and/or electronically on Relias.
Residents Affected - Some
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Sedgewood Manor Health Care Center in Hopkins, 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 Hopkins, 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 Sedgewood Manor Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.