Retreat At Wellmore Of Lexington
Retreat at Wellmore of Lexington in Lexington, SC — inspection on May 22, 2025.
Found 1 citation. 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
Review of the facility policy titled Admission Assessment and Follow Up: Role of the Nurse with a revision date of September 2012, revealed, Steps in the Procedure: 11.
Reconcile the list of medications from the medication history, admitting orders, the previous MAR (if available), and the discharge summary from previous institution, according to established procedures.
Review of R43's Face Sheet revealed R43 was admitted to the facility on [DATE], with diagnoses including but not limited to: cerebral infarction, depression, and anxiety.
Review of R43's unspecified Minimum Data Set, dated dated dated [DATE], revealed the resident had an active diagnoses of depression and anxiety disorder.
Further review of the MDS indicated R43 was receiving antianxiety and antidepressant medications.
Review of R43's Discharge Summary from a (local hospital) dated 03/04/25, revealed R43's discharge medications from the hospital included: Bupropion (Wellbutrin) 300 mg (milligram) 24 hour ER (extended release) tablet, take 1 tablet (300 mg total) by mouth daily.
Review of the Pharmacy Orders for R43 revealed that on 02/28/25 and on 03/11/25, R43 had an order for Bupropion 300 mg tablet that was coded T1T1D.
According to the key, T1T1D indicates, take 1 tablet by mouth daily.
This was confirmed by the Director of Pharmacy Operations (DPO).
Review of R43's Physician Orders dated 03/04/25 at 5:52 PM, revealed the following order, Bupropion 300 mg 24 hour tablet, extended release every 8 hours at 06:00 AM, 02:00 PM, and 10:00 PM.
Review of R43's Medication Administration Record (MAR) revealed, Bupropion 300 mg 24 hour tablet, extended release every 8 hours was administered to R43 on the following dates: on 03/04/25-R43 received 1 dose of medication at 10:00 PM. On 03/05/25-R43 received 1 dose of medication at 6:00 AM, 2:00 PM, and 10:00 PM. On 03/06/25-R43 received 1 dose of medication at 6:00 AM, 2:00 PM, and 10:00 PM. On 03/07/25-R43 received 1 dose of medication at 6:00 AM, 2:00 PM, and 10:00 PM. On 03/08/25-R43 received 1 dose of medication at 6:00 AM.
Review of R43's Treatment Administration Record (TAR) did not reveal an order or documentation for antidepressant side effect monitoring.
425412
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 425412 B.
Wing 05/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Retreat at Wellmore of Lexington 200 Wellmore Drive Lexington, SC 29072