Sprenger Health Care Of Port Royal
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
down his arm. His arm was bruised, and he had 2 significant scrapes on his arms. The nurse said he had just fallen. So here, my Dad had just left the building unsupervised, and now, he falls for the umpteenth time . On 11/25/25, the facility provided a removal plan, which included:1. On 11/22/25 by approximately 6:00 P.M., DON conducted a whole house audit to ensure that elopement risk assessments were complete, and all at risk residents were in the secured unit, with wander guard orders. No concerns were noted.2. On 11/22/25 by approximately 6:00 P.M., DON/designee conducted a Whole house audit of elopement assessments completed and accuracy ensured. Any discrepancies corrected and appropriate parties notified. All notifications and any changes to plan of care to be documented. No concerns were noted.3. On 11/22/25 at approximately 6:30 P.M., an ad hoc Quality Assurance Performance Improvement (QAPI) meeting was held with the Administrator, Regional Quality Assurance Nurse, Director of Clinical Services, Regional Administrator, COO, CEO, Executive Director of QA via telephone. The meeting discussed requirements of physician visits, elopement risk, notifications, communication, current orders, conditions, and corresponding policies.4. On 11/22/25 by approximately 8:30 P.M., the DON educated all Nursing staff
on elopement policies and procedures, such as frequency of assessment, appropriate intervention (secured unit, wander guards), tools used to communicate any issues (elopement assessments, behavior charting, nurses' notes).5. On 11/22/25 by approximately 8:30 P.M., the DON completed education for all nurses on notification of change in condition policy and recognizing s/s of a change in condition.6. On 11/22/25 at approximately 8:45 P.M., Dr. [NAME], Medical Director, was notified of QAPI meeting discussion and the corrective action plan.7. On 11/24/25 by approximately 8:00 P.M., the Administrator and DON/ Regional Quality Assurance Nurse completed verbal education to all facility physicians and nurse practitioners regarding facility elopement policy and procedures, elopement risk, change of condition including elopement risk changes.8. Beginning on 11/24/25, the DON/designee would audit all admissions for elopement assessments, notifications and documentation every business day for four weeks then randomly thereafter for a total of two months. Quality Assurance (QA) would review the results of the audits weekly.9. Beginning on 11/24/25, the DON/designee would audit all nurses' notes for significant change and proper notification and documentation each business day for four weeks, then randomly thereafter for a total of two months. QA would review the results of the audits weekly.10. Beginning on 11/24/25, the DON/designee would audit four residents elopement risk each week to check for any changes in elopement risk, if new risk identified, MD and RP notification completed, orders for secured unit and wander guard implemented as well as any needed follow up was completed for four weeks, then randomly thereafter for a total of two months. QA would review the results weekly.
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Sprenger Health Care of Port Royal in Port Royal, 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 Port Royal, 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 Sprenger Health Care of Port Royal or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.