Millennium Post Acute Rehabilitation
Millennium Post Acute Rehabilitation in West Columbia, SC — inspection on March 12, 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 R75's Face Sheet, located under the Profile tab of the electronic medical record (EMR), indicated the resident was admitted to the facility on [DATE].
Review of R75's Care Plan, located under the Care Plan tab of the EMR and dated 05/18/22, indicated the resident had the potential for weight loss and would refuse being weighed at times.
The goal identified on the care plan was to provide a physician ordered diet.
Review of R75's quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/21/24 and located in the ASPEN MDS viewer, indicated the resident had a Brief Interview for Mental Status (BIMS) score of 11 out of 15, which indicated the resident was moderately cognitively impaired.
The assessment indicated the resident did not sustain any significant weight loss.
Review of R75's Physician Orders, located under the Orders tab of the EMR and dated 01/23/25, indicated the resident was identified with significant weight loss, and the medical provider ordered to add Mighty Shakes (nutritional supplement) with meals.
During an interview on 03/10/25 at 11:51 AM, R75 stated he was aware that he was losing weight, but he was unsure why.
During an observation on 03/10/25 at 12:35 PM, R75 had his meal tray on his bedside table and there was no Mighty Shake on his tray. At 1:14 PM, Certified Nurse Aide (CNA)1, pulled the resident's tray from the meal cart, and confirmed that the resident did not receive a Mighty Shake.
During an observation on 03/11/25 at 8:32 AM, R75's meal tray was observed and there was no mighty shake on his tray.
The resident's meal ticket was reviewed during this observation, and there was no Mighty Shake listed on his meal ticket.
During an interview on 03/11/25 at 8:33 AM, CNA2 stated the Mighty Shakes came from the kitchen, and if the resident was ordered the shake, it would be on his tray.
425105
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 425105 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Millennium Post Acute Rehabilitation 2416 Sunset Boulevard West Columbia, SC 29169