Woodruff Manor
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
medications. I haven't had any problems with those pills.During an interview on 09/02/25 at 1:43 PM, Nurse Practitioner (NP) stated, I do remember that, and I remember telling them to call the pharmacy. I am a palliative nurse practitioner. So, when someone calls us we rely on what they say. I instructed them to call
the practitioner.During an interview on 09/02/25 at 1:50 PM, the Pharmacist stated, We run 24 hours. No one mentioned this incident to me as the pharmacist director until today. This incident was probably called into our main office. All of the pharmacists who were working at that time and shift are no longer with us.During an interview on 09/02/25 at 3:15 PM, LPN1 stated, It was a total mix-up. I looked at Point Click Care (electronic medical record system) and told myself I was going to look at [Resident R1]. I pulled the medications and popped them out of the container. When I went in the room, we started talking. I usually give the other resident her medications first, but I didn't. I ended up giving [Resident R2's] medication to [Resident R1]. When I went back to PCC, I realized I didn't. I reported the incident. I contacted my supervisor. We went through her allergies.
She has a statin allergy. We immediately called the NP. The allergy she had to statins was muscle cramps. I monitored her all night. It was a big mix-up. We did education. We went over the six rights of education. The nurse supervisor watched me pull medications to make sure I was pulling medications correctly.During an
interview on 09/02/25 at 2:03 PM, the DON stated, They called me when it happened. The supervisor called me and reported that the resident received the wrong medication. They had already called the provider and the pharmacist and were instructed on what to do and the signs and symptoms to look for. I conducted one-on-one education with [LPN1]. During an interview on 09/02/25 at 2:09 PM, the Administrator stated, We knew it was a medication error. We looked to see if it would have any side effects, and we did one-to-one education with that nurse. The night shift supervisor is good about going around and monitoring the nurses.
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Woodruff Manor in Woodruff, 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 Woodruff, 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 Woodruff Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.