Provider Name: CARLYLE SENIOR CARE OF WILLISTON LLC
Address: 5721 SPRINGFIELD HWY, WILLISTON, SC 29853
Phone: (803) 266-3229
County: Barnwell (050)
Ownership Type: For profit - Limited Liability company
Certified Beds: 44
Average Residents Per Day: 43.2 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CARLYLE SENIOR CARE OF WILLISTON LLC
First Approved Date: October 14, 1990
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: 2 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.79771, LPN Staff Hours Per Day: 1.0616, RN Staff Hours Per Day: 0.5384, Licensed Staff Hours Per Day: 1.6000
Total Nurse Staff Hours Per Day, per resident: 3.39779
Weekend Nurse Staff Hours: 2.92718, Weekend RN Staff Hours: 0.5410
PT Staff Hours Per Day, per resident: 0.0192
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9749, Case Mix LPN Hours Per Day: 0.6344, Case Mix RN Hours Per Day: 0.2829
Adjusted Nurse Aide Hours Per Day, per resident: 1.85446, Adjusted LPN Hours Per Day: 1.2349, Adjusted RN Hours Per Day: 0.7169
Total Adjusted Nurse Hours Per Day, per resident: 3.70289
Adjusted Weekend Nurse Hours Per Day, per resident: 3.19002
Health Survey Dates and Scores: Cycle 1: 2023-06-14 (Score: 48), Cycle 2: 2021-12-17 (Score: 0), Cycle 3: 2020-08-26 (Score: 16)
Total Weighted Health Score: 26.667
Reported Incidents: 2, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12649.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 5721 SPRINGFIELD HWY,WILLISTON,SC,29853 (33.4102, -81.413)
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: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2023-04-09
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2023-07-14
Type: Health, Deficiency: Keep residents' personal and medical records private and confidential.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-07-14
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-07-14
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2023-07-14
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
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 2020-09-18
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2020-09-18
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2020-09-18
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
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 2020-09-18
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: