Lake Emory Post Acute Care
Lake Emory Post Acute Care in Inman, SC — inspection on August 26, 2025.
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 08/25/25 at 2:50 PM, the Administrator stated R47 had seizures.
She stated he could go from one end to the next with his aggression.
She confirmed she had unsubstantiated abuse.
She stated she was not aware R47 had tried to hit R13 twice.
She confirmed she was the abuse coordinator.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lake Emory Post Acute Care
59 Blackstock Road Inman, SC 29349
SUMMARY STATEMENT OF DEFICIENCIES
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review, the facility failed to report an allegation of staff to resident physical abuse for one of two (Residents (R)18) abuse allegations reviewed in the sample of 21 residents to the State Agency (SA) immediately, but no later than 2 hours after the allegation was made when the incident involved abuse.
This failure had the possibility to negatively impact all 83 residents currently residing at the facility.Findings include:
Review of the facility's policy titled, Abuse, Neglect, Exploitation, or Mistreatment, revised 11/01/17, indicated, .
The facility shall report immediately, but not later than two hours after the allegation is make if the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not result in serious bodily injury to the Administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures.Review R18's admission Sheet, found in the electronic medical record (EMR) under the Census tab, revealed R18 was admitted to the facility on [DATE] with the diagnoses of Alzheimer's.
Review of the facility's investigative file indicated the facility provided Five-Day Follow-Up Report, dated 07/11/25, revealed, .On 07/07/25, after reporting to work at 3:10 PM, Certified Nursing Assistant (CNA)1 and CNA2, notified the Director of Nursing (DON) of an event that they felt may be alleged abuse that occurred on 07/05/25 at approximately 9:15 PM.
The CNAs alleged Licensed Practical Nurse (LPN)1 forced R18 to take her medication.
The file revealed a body audit was completed on R18 without findings.
The responsible party, nurse practitioner, and Sherriff's department were notified of the allegation. CNA1 and CNA2 were immediately re-educated that any alleged abuse is supposed to be reported immediately.
The details of their alleged abuse were taken, and all three staff members were suspended pending investigation.
The facility's conclusion of investigation stated, Based on the findings of the investigation, there is no evidence of willful intent to cause injury or harm, so abuse is not substantiated.
Abuse re-education initiated. No further suspicion of abuse indicated throughout investigation.
Ongoing monitoring of R18 will continue.
Interventions and care plan updated accordingly and as needed.During an interview on 08/25/25 at 3:10 PM, the Administrator stated she did not substantiate this abuse allegation due to discrepancies in all three staff members' statements.
The Administrator indicated that LPN1 had been terminated for interfering with the investigation.
During a follow-up interview on 08/26/25 at 4:15 PM, the Administrator confirmed CNA1 and CNA2 left work on 07/05/25 without reporting the allegation.
The Administrator stated two days after the alleged incident CNA 1 and CNA2 reported the allegation to the DON on 07/07/25.
During an interview on 08/26/25 at 11:50 AM, the DON stated CNA1 and CNA2 were new hires and had completed abuse education, they knew to report abuse allegations immediately but failed to do so.
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