Provider Name: MCCOY MEMORIAL NURSING CENTER
Address: 207 CHAPPELL DRIVE, BISHOPVILLE, SC 29010
Phone: (803) 484-5636
County: Lee (300)
Ownership Type: For profit - Limited Liability company
Certified Beds: 120
Average Residents Per Day: 113. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CARLYLE SENIOR CARE OF BISHOPVILLE, LLC
First Approved Date: September 21, 1989
Affiliated Entity: CARLYLE SENIOR CARE (599)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 3 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.33789, LPN Staff Hours Per Day: 0.8188, RN Staff Hours Per Day: 0.4225, Licensed Staff Hours Per Day: 1.2413
Total Nurse Staff Hours Per Day, per resident: 3.57919
Weekend Nurse Staff Hours: 3.00159, Weekend RN Staff Hours: 0.2842
PT Staff Hours Per Day, per resident: 0.0401
Nurse Staff Turnover: 29.5, Nurse Turnover Note:
RN Turnover: 18.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9022, Case Mix LPN Hours Per Day: 0.6328, Case Mix RN Hours Per Day: 0.2813
Adjusted Nurse Aide Hours Per Day, per resident: 2.50382, Adjusted LPN Hours Per Day: 0.9548, Adjusted RN Hours Per Day: 0.5657
Total Adjusted Nurse Hours Per Day, per resident: 4.00564
Adjusted Weekend Nurse Hours Per Day, per resident: 3.35922
Health Survey Dates and Scores: Cycle 1: 2022-04-02 (Score: 16), Cycle 2: 2020-08-20 (Score: 4), Cycle 3: 2018-11-30 (Score: 80)
Total Weighted Health Score: 22.667
Reported Incidents: 0, Substantiated Complaints: 2
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 207 CHAPPELL DRIVE,BISHOPVILLE,SC,29010 (34.2276, -80.256)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Allow residents to self-administer drugs if determined clinically appropriate.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-01
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-01
Type: Health, Deficiency: Ensure staff are vaccinated for COVID-19
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-01
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-09-14
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-09-01
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-09-01
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-09-01
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-09-01
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0015, Version: New
Description: Address subsistence needs for staff and patients.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-10
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-09-14
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-09-14