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Health Inspection

Nhc Healthcare - Lexington

March 12, 2025 · West Columbia, SC · 2993 Sunset Blvd
Citations 1
CMS Rating 3/5
Beds 170
Provider ID 425333
Healthcare Facility
Nhc Healthcare - Lexington
West Columbia, SC  ·  View full profile →
Inspection Summary

NHC Healthcare - Lexington 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.

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Inspection Findings

FF689

Review of a document provided by the facility titled Specific Medication Administration Procedures with a revision date of 02/25/25, documented, When equipment is completely dry, store in a plastic bag with resident's name and the date on it.

Review of R19's Face Sheet revealed R19 was admitted to the facility on [DATE], with diagnoses including but not limited to: acute recurrent sinusitis, chronic maxillary sinusitis, and mild intermittent asthma.

Review of R19's Physician Orders revealed, Prescription ipratropium-albuterol solution for nebulization; 0.5 mg-3 mg (2.5 mg base)/; amt: 1 neb; inhalation

Twice A Day - PRN, PRN 1, PRN 2 Open Ended with a start date of 02/17/25.

Review of R19's Care Plan last revised on 01/13/25, revealed, Complications, at risk for related to disease processes of hypertensive CKD stage 4, iron deficiency anemia, hypothyroidism, primary generalized osteoarthritis, depression, mild intermittent asthma, other chronic pain, GERD, other B12 deficiency anemia, hypokalemia, hypomagnesemia, prurigo nodularis, polyneuropathy, left shoulder pain, chronic sinusitis, insomnia, anxiety disorder, vitamin D deficiency, dysphagia, constipation, hallucinations, difficulty walking, cramp and spasm, localized edema, non-pressure chronic ulcer to left foot, abnormalities of gait and mobility, unspecified lack of coordination, and generalized muscle weakness, [R19] has history of C1 displaced vertebra fracture.

Approaches directed staff to, NEBULIZER MASK - CHANGE NEBULIZER TUBING AND MASK EVERY 3 DAYS Edited: 02/02/2024 Nebulizer Care: RINSE MASK AND CHAMBER WITH TAP WATER. LET DRY ON PAPER TOWEL AFTER EACH NEBULIZER TREATMENT Created: 02/02/2024.

Observe resident for signs of respiratory distress such as shortness of breath, wheezing, gasping, shallow breathing Created: 08/19/2021.

425333

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 425333 B.

Wing 03/12/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Nhc Healthcare - Lexington 2993 Sunset Blvd West Columbia, SC 29169

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 West Columbia, 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 NHC Healthcare - Lexington or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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