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Complaint Investigation

Calhoun Convalescent Center

March 30, 2026 · Saint Matthews, SC · 601 Dantzler Street
Citations 1
CMS Rating 1/5
Beds 120
Provider ID 425170
Healthcare Facility
Calhoun Convalescent Center
Saint Matthews, SC  ·  View full profile →
Inspection Summary

Calhoun Convalescent Center in Saint Matthews, SC — inspection on March 30, 2026.

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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies

physical identifying informationThe Search will continue if resident not located to include 2 staff

jeopardy to resident health or located the Charge Nurse will complete a head to toe assessment.

The Social Services Designee will safety assess the resident for emotional distress.The Director of Nursing will notify the appropriate community agencies, attending physician and the resident's legal representative.The facility's Quality

reoccurrencesWhen the missing resident is found, an announcement will be made, Code [NAME] all clear.Residents residing in the facility had an Elopement Risk Assessments updated by 3/24/26 by Director of Nursing/Designee.

Residents identified as elopement risk were placed in the elopement binder and had care plans and profiles updated by Director of Nursing/Designee on 3/24/26Facility Staff were reeducated by the Director of Nursing/Designee on Elopement Policy, including immediate staff response to the door alarm to verify if resident exited facility, and Abuse, Neglect & Misappropriation Policy by 3/24/26Any staff not receiving this education by 3/24/26 will receive prior to their next scheduled shift.New admission elopement risk assessments are being reviewed in Clinical Morning Meeting Monday - Friday by the Director of Nursing/Designee to validate accuracy and interventions validated if indicated.

Quarterly Elopement risk assessments will be reviewed weekly following the MDS schedule to validate accuracy and interventions validated if indicated by the Director of Nursing/Designee.The Maintenance Director/Designee will inspect facility exit doors 3 times weekly for 4 weeks, then weekly for 2 additional months to validate doors are functioning properly.The Administrator will round weekly for 4 weeks then monthly for 2 additional months with the maintenance director validating doors are functioning properly.Ad Hoc QACPI was held on 3/25/26Medical Director was notified of the incident and plan on 3/23/26 and 3/30/26Results of these audits will be presented in the Quality Assurance and Performance Improvement Committee meeting for review and recommendations for 3 months.AOC date: 3/24/26

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 Saint Matthews, 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 Calhoun Convalescent Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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