Bishop Gadsden Episcopal Health Care Center

Charleston, SC · 41 beds · Non profit - Corporation

84 Trust Score
Grade: B+ LOW Risk → Stable

Red Flags

  • 1 citation(s) at the highest severity level — immediate risk to residents

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (1.45 hrs vs 0.66 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
3
0.8x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

April 24, 2025

6 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe and appropriate respiratory care for a resident when needed.

March 19, 2024

6 deficiencyies
F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0841 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0841 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

Show details

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

February 16, 2022

8 deficiencyies
F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0761 Potential Harm Scope/Severity: F

Pharmacy Service Deficiencies

Show details

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Immediate Jeopardy Scope/Severity: K

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0761 Potential Harm Scope/Severity: F

Pharmacy Service Deficiencies

Show details

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Immediate Jeopardy Scope/Severity: K

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.45
RN hrs/res/day
1.18
LPN hrs/res/day
3.01
CNA hrs/res/day
5.07
Weekend hrs/res/day
30%
Total nurse turnover
31%
RN turnover

A nurse checks on each resident roughly every 4.3 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • KERRISON, LYNNE L

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/21/2012

    Individual
  • TIPTON, SARAH

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2007

    Individual
  • ADAMS, DAVID

    CORPORATE DIRECTOR

    Since since 01/01/2022

    Individual
  • BALDWIN, ROBERT

    CORPORATE DIRECTOR

    Since since 01/01/2022

    Individual
  • CARTER, HEYWARD

    CORPORATE DIRECTOR

    Since since 01/01/2017

    Individual
  • HILL, JOANNE

    CORPORATE DIRECTOR

    Since since 01/01/2021

    Individual
  • KELLEY, MELINDA

    CORPORATE DIRECTOR

    Since since 01/01/2018

    Individual
  • KELLY, PATRICK

    CORPORATE DIRECTOR

    Since since 01/01/2021

    Individual
  • LOMAX, NADINE

    CORPORATE DIRECTOR

    Since since 01/01/2020

    Individual
  • ROBINSON, KATHERINE

    CORPORATE DIRECTOR

    Since since 01/01/2020

    Individual
  • SMITH, GREGORY

    CORPORATE DIRECTOR

    Since since 01/01/2020

    Individual
  • WOODLIFF-STANLEY, RUTH

    CORPORATE DIRECTOR

    Since since 01/01/2022

    Individual
  • CHRISTIE, BARBARA

    CORPORATE OFFICER

    Since since 01/01/2020

    Individual
  • HUSSAIN, BRIAN

    CORPORATE OFFICER

    Since since 01/01/2015

    Individual
  • VINGI, ROBERT

    CORPORATE OFFICER

    Since since 01/01/2016

    Individual
  • KERRISON, LYNNE L

    W-2 MANAGING EMPLOYEE

    Since since 12/22/2016

    Individual
  • TIPTON, SARAH

    W-2 MANAGING EMPLOYEE

    Since since 12/22/2016

    Individual

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