Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Springdale Healthcare Center during CMS and state inspections, most recent first.
A resident with a history of seizures was admitted with orders for multiple anti-seizure medications, but missed several doses due to pharmacy delivery issues and lack of timely provider notification. The missed doses led to seizure activity requiring hospital transfer. Staff interviews confirmed delays in medication reconciliation and communication, resulting in a significant medication error.
The facility failed to maintain proper sanitation in the kitchen, with observations revealing a sticky, dirty floor and a heavily soiled deep fryer. The cleaning schedule was not consistently followed, as confirmed by the Dietary Manager and Assistant. The Administrator acknowledged the unsatisfactory cleanliness during an inspection.
A facility failed to administer medications timely for six residents, as per physician's orders. A nurse was observed with nine resident profiles indicating late medications, and admitted to being behind all day. The MAR showed significant delays in administering medications like Gabapentin, Carvedilol, and others. The DON stated that staff should notify physicians and families of late medications and monitor residents' responses.
The facility failed to ensure proper infection control practices, including the use of PPE and hand hygiene, for residents under Enhanced Barrier Precautions. Staff did not consistently sanitize equipment between uses, and housekeeping staff neglected PPE protocols. Additionally, the facility did not offer COVID-19 immunization education or track immunization status for some residents, as required by policy.
A resident was admitted with pressure ulcers that were not promptly reported to the physician, delaying treatment. The admitting LPN noted excoriation but did not obtain necessary wound care orders until days later, contrary to facility policy.
The facility failed to thoroughly investigate an altercation between two residents, one with dementia and bipolar disease and the other with schizoaffective disorder and dementia with agitation. After the incident, which involved one resident slapping the other, the facility did not interview other residents present to assess their safety or psycho-social wellbeing. The Social Services Director did not conduct any safety check interviews, contributing to the deficiency.
The facility failed to implement comprehensive care plans for two residents, leading to unmet care needs. One resident, with dysphagia and dementia, did not receive necessary referrals and consultations after a fall. Another resident, requiring dialysis, experienced a lapse in care when a CNA attempted to take blood pressure on the arm with a dialysis fistula, contrary to care plan directives.
The facility failed to conduct care conferences for two residents, leading to their preferences and concerns not being included in their care plans. One resident, with moderate cognitive impairment, had no documented care conferences and expressed a desire to discuss her care. Another resident, cognitively intact, had not had a care conference since his last MDS assessment and had concerns about room placement. The Social Services Director acknowledged being behind on scheduling due to staffing issues, and the DON and Administrator were unaware of the missed conferences.
A resident with severe cognitive impairment and heart failure experienced a significant weight loss of 10.2% over several months due to the facility's failure to adequately assess and monitor their nutritional status. Despite policy requirements, the facility did not consistently reweigh the resident or notify medical staff of significant weight changes. The RD recommended weekly weights and increased supplements, but these were not implemented, and the Unit Manager was unaware of the weight loss. The DON confirmed no frequent weight monitoring was initiated, and there was no documentation of notifying the medical doctor.
A resident with dementia was found with topical medications, Dakin's Solution and Remedy Barrier Creme, left unattended in their room, leading to an alleged ingestion incident. The medications were intended for the resident's roommate, and staff interviews revealed uncertainty about how they ended up in the room. The resident was sent to the emergency room for evaluation, where no ill effects were found.
The facility failed to protect residents from abuse, as evidenced by two incidents where a CNA verbally abused a resident and another CNA was rough during incontinence care, causing a skin tear. Both residents were cognitively intact and reported the incidents, leading to the termination or removal of the involved CNAs.
A facility failed to timely report an allegation of physical abuse involving a resident who sustained a skin tear during incontinence care. The incident was reported to the state survey agency several days late due to the RN's belief that it was more related to resident behavior than abuse. The Administrator acknowledged the delay and confirmed the incident should have been reported immediately.
Failure to Administer Seizure Medications as Ordered
Penalty
Summary
A significant medication error occurred when a resident was admitted to the facility with physician's orders for multiple seizure medications, including Keppra, Vimpat (Lacosamide), and Zonisade. The facility failed to administer these medications as ordered, resulting in the resident missing one dose of Keppra, three doses of Vimpat, and two doses of Zonisade. The resident had a medical history of metabolic encephalopathy, seizure disorder, and status epilepticus, and was admitted following a hospital discharge. The failure to provide the prescribed seizure medications was due to several factors. The medications Vimpat and Zonisade were not delivered by the pharmacy, and there was no hard script sent from the hospital for Vimpat. The Keppra was delivered late in the evening, after the scheduled administration time. Nursing staff did not promptly notify the provider about the unavailability of the medications, and the required medication reconciliation and provider communication were not completed in a timely manner. The DON and LPNs involved confirmed that the missed doses were not identified or communicated to the provider until after the resident had already missed several doses. As a result of the missed doses, the resident experienced seizure activity and was found unresponsive with seizure-like activity by staff after a family member alerted them. The resident had a total of six seizures, each lasting one to three minutes, and was subsequently transported to the hospital. Interviews with facility staff and the nurse practitioner revealed that there was a lack of timely communication regarding the missing medications and the need for provider intervention, which contributed to the resident's adverse event.
Deficient Kitchen Sanitation and Cleaning Practices
Penalty
Summary
The facility failed to maintain cleanliness and sanitation standards in the kitchen, specifically concerning the kitchen floor and the deep fryer. Observations on two separate occasions revealed that the kitchen floor was sticky and dirty, with food crumbs and grease splatters present. The deep fryer was found to be heavily soiled with caked dried grease on various parts, including the top, sides, and wheels. Interviews with the Dietary Assistant and Dietary Manager confirmed the lack of cleanliness, with the Dietary Manager acknowledging the need for cleaning and the Dietary Assistant noting that the fryer had been in this condition for some time. The facility's cleaning schedule, as per their Nutrition Policies and Procedures, required daily sweeping and mopping of the kitchen floor and weekly cleaning of the deep fryer. However, documentation showed that these tasks were not consistently completed, with the floor cleaning only documented once in a week and the deep fryer cleaning not documented at all for the specified period. The Dietary Manager, who had been in the position for three weeks, stated that the floors were supposed to be cleaned every night, but the lack of documentation and the observed conditions indicated otherwise. The Administrator also confirmed the unsatisfactory state of cleanliness during an inspection.
Medication Administration Delays in LTC Facility
Penalty
Summary
The facility failed to ensure timely administration of medications according to physician's orders for six residents. The facility's policy allows medications to be administered within one hour before or after the designated time. However, observations and interviews revealed that a registered nurse was behind on medication administration, resulting in late administration for several residents. The nurse's computer screen showed nine resident profiles in red, indicating late medications, and the nurse admitted to being behind all day. A licensed practical nurse and unit manager confirmed the delays and assisted the registered nurse in catching up with the electronic medication administration system. The electronic Medication Administration Records (MAR) showed that medications for six residents were administered late. For example, one resident received Gabapentin, Carvedilol, and Acetaminophen hours after the scheduled time. Another resident received Hiprex, Metoprolol tartrate, and a nutritional supplement late. Other residents also experienced delays in receiving medications such as Hydralazine, Tizanidine, Alprazolam, Creon, and Sodium bicarbonate. The Director of Nursing stated that staff should notify the physician and family if medications are late and monitor the resident's response after administration.
Infection Control and PPE Deficiencies in LTC Facility
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices, as evidenced by multiple deficiencies observed during the survey. Staff did not consistently use the required personal protective equipment (PPE) or perform hand hygiene when caring for residents under Enhanced Barrier Precautions (EBP). For instance, a Certified Nurse Aide (CNA) provided personal hygiene care to a resident with a Foley catheter without wearing a gown, despite signage indicating the need for gowns and gloves. Similarly, a Unit Manager did not perform hand hygiene before applying gloves while providing wound care to another resident, and a CNA assisting in the same room did not initially wear the required PPE. The facility also failed to sanitize patient care equipment between uses. A Registered Nurse (RN) did not sanitize a blood pressure machine after using it on one resident before it was used on another. This oversight was acknowledged by the RN, who realized the lack of sanitizing supplies on the medication cart. The Director of Nursing (DON) and Infection Preventionist (IP) confirmed that equipment should be sanitized between uses, but this practice was not consistently followed. Additionally, housekeeping staff did not adhere to PPE and hand hygiene protocols while cleaning rooms under EBP. Observations revealed that housekeepers either did not wear gloves or failed to perform hand hygiene after handling soiled materials. Furthermore, the facility did not offer COVID-19 immunization education or track immunization status for some residents, as required by their policy. The Infection Prevention Nurse admitted to not having documentation of COVID-19 immunizations being offered to certain residents, and the DON confirmed that all residents should be offered the vaccine and education, with documentation of consent or declination.
Failure to Notify Physician of Resident's Pressure Ulcers
Penalty
Summary
The facility failed to notify the physician of a change in condition for a resident, identified as R134, which delayed treatment for pressure ulcers. R134 was admitted with diagnoses including protein-calorie malnutrition and an unspecified open wound to the left lower leg. Upon admission, R134 was found to have two unstageable pressure ulcers on the sacrum, which were not included in the hospital discharge summary. The facility's policy required that any significant abnormal findings be reported to the physician, but this was not done in a timely manner. The Director of Nursing confirmed that the admitting LPN assessed R134 and noted excoriation to the sacrum, applying barrier cream but failing to notify the physician or obtain orders for wound care. Physician orders for the sacral wounds were not obtained until several days after admission. This oversight was contrary to the facility's wound care policy, which mandates immediate evaluation, reporting, and documentation of skin condition changes.
Inadequate Investigation of Resident Altercation
Penalty
Summary
The facility failed to conduct a thorough investigation of an altercation between two residents, R59 and R0, which was reviewed for abuse. R59, who had dementia and bipolar disease, was admitted to the facility and was known to wander in the living unit. R0, diagnosed with schizoaffective disorder and dementia with agitation, was involved in an incident where R0 slapped R59 after a verbal exchange in the dining room. The facility's investigation documented the incident as abuse and noted that staff could not prevent R0 from slapping R59. Despite the facility reporting the incident within the required two-hour timeframe and initiating an investigation, there was no evidence that residents who witnessed the altercation were interviewed to assess their sense of safety or any impact on their psycho-social wellbeing. The Social Services Director (SSD) admitted to not conducting any safety check interviews with other residents in the dining room following the incident. This lack of comprehensive investigation and follow-up with other residents present during the altercation contributed to the deficiency identified by the surveyors.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to implement comprehensive care plans for two residents, R80 and R93, which placed them at risk for unmet care needs. For R80, who was admitted with dysphagia and dementia, the care plan was not updated to include necessary referrals and consultations following a fall that resulted in a laceration. Despite the Interdisciplinary Team's (IDT) decision to request a neurology consultation and a referral to a memory care unit due to R80's wandering behaviors, these actions were not documented or followed up on. The Director of Nursing and the Social Services Director both confirmed the lack of follow-up and documentation for these critical referrals. For R93, who required dialysis due to end-stage renal disease, the care plan included a directive not to take blood pressure on the arm with the dialysis fistula. However, during an observation, a Certified Nursing Assistant attempted to apply a blood pressure cuff to the arm with the fistula, indicating a failure to adhere to the care plan. The Unit Manager intervened to correct the action, but the incident highlighted a lapse in communication and adherence to the care plan directives, as evidenced by the posted sign in the resident's room that was not initially followed.
Failure to Conduct Care Conferences for Residents
Penalty
Summary
The facility failed to ensure that care conferences were held for two residents, which increased the risk of their preferences and concerns not being included in their care plans. Resident 72, who was cognitively intact upon admission but later showed moderate cognitive impairment, had no documented care conferences since her admission. She expressed a desire to discuss her care, particularly regarding a gastroenterology consult, but had not been invited to any care conferences. Similarly, Resident 86, who was cognitively intact, had not had a care conference since his last MDS assessment, despite expressing concerns about his room placement. The Social Services Director (SSD) confirmed that care conferences were expected to be held quarterly in coordination with MDS assessments, but acknowledged being behind on scheduling them due to being the only social worker during a specific period. The Director of Nursing (DON) and Administrator were unaware of the missed care conferences for both residents and stated that it was the Social Services department's responsibility to send out invitations. The lack of care conferences for these residents was not documented in their medical records, indicating a failure in the facility's care planning process.
Failure to Monitor Nutritional Status Leads to Significant Weight Loss
Penalty
Summary
The facility failed to adequately assess and monitor the nutritional status of a resident, identified as R46, who was reviewed for weight loss. R46, who was severely cognitively impaired and diagnosed with heart failure, experienced a significant weight loss of 10.2% from July to January. Despite the facility's policy requiring reweighing and notification of significant weight changes, these actions were not consistently followed. The resident's care plan included interventions such as obtaining weights per protocol and notifying the medical doctor of significant weight changes, but these were not effectively implemented. The Registered Dietitian (RD) noted a weight loss of 5% in one month and 10% over three and six months, recommending weekly weights and increased supplement intake. However, weekly weights were not performed, and the RD was not provided with further weights to validate changes. Interviews revealed that the Unit Manager was unaware of the resident's weight loss and the need for weekly weights, and the Director of Nurses confirmed that no frequent weight monitoring was initiated by medical staff. Additionally, there was no documentation of staff notifying the medical doctor of the identified weight loss, and no in-services were conducted to re-educate staff on weight monitoring.
Unattended Medications Lead to Potential Ingestion Incident
Penalty
Summary
The facility failed to ensure that two topical medications, Dakin's Solution and Remedy Barrier Creme, were not left unattended in a dementia resident's room, leading to a potential ingestion incident. The medications, intended for the resident's roommate, were found in the room, and it was alleged that the resident had ingested the Dakin's Solution. The facility's policy requires medications to be stored securely and only accessible to authorized personnel, which was not adhered to in this case. Interviews with staff revealed uncertainty about how the medications ended up in the room and whether the Dakin's Solution was ingested, as the bottle was found empty. The resident involved, who has a history of metabolic encephalopathy and vascular dementia, was unable to participate in a mental status interview due to cognitive impairments. The incident was reported by the resident's roommate, who has a history of fabricating stories. Despite this, the resident was sent to the emergency room for evaluation, where tests showed no ill effects from the alleged ingestion. The facility's failure to secure medications as per policy resulted in a potential risk to the resident's safety.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect residents from physical and verbal abuse by staff, as evidenced by two incidents involving residents. In the first incident, a resident with diabetes mellitus, neuropathy, and paraplegia, who was cognitively intact, reported that a CNA made offensive and inappropriate comments, cursed, and yelled at them after they requested their coffee to be heated. The incident was substantiated by an LPN who witnessed the altercation, leading to the termination of the CNA's employment. The resident and their roommate confirmed the loud argument, although the roommate could not recall specific details of the exchange. In the second incident, a resident with chronic pain syndrome, osteoarthritis, and anxiety disorder, who was also cognitively intact, reported that a CNA was rough during incontinence care, resulting in a skin tear on the resident's left arm. The resident admitted to swinging at the CNA, who then grabbed the resident's arm to prevent being hit. The facility's investigation found that the CNA did not willfully inflict injury, but the CNA was removed from the facility. The resident did not express ongoing distress from the incident, and the nurse who treated the skin tear confirmed the resident's account. Both incidents highlight the facility's failure to ensure a safe environment free from abuse, as required by their policy. The facility's leadership prohibits all forms of abuse and mandates immediate reporting and investigation of any allegations. Despite these policies, the incidents involving verbal and physical altercations between staff and residents indicate lapses in adherence to these standards, resulting in harm and distress to the residents involved.
Failure to Timely Report Allegation of Physical Abuse
Penalty
Summary
The facility failed to timely report an allegation of physical abuse to the state survey agency for one resident. The facility's policy mandates that any abuse allegations must be reported immediately, but not later than 2 hours if serious bodily injury is involved, or within 24 hours if not. In this case, a resident reported that a CNA had been rough during care, resulting in a skin tear. The incident occurred on 02/02/24, but the state survey agency was not notified until 02/06/24, which was beyond the required reporting timeframe. The delay was due to the RN's belief that the incident was more related to resident behavior than abuse, and the Administrator confirmed that the incident should have been reported immediately. The resident involved was admitted with diagnoses including chronic pain syndrome, osteoarthritis, and anxiety disorder, and was cognitively intact with a BIMS score of 15. The resident was dependent on staff for toileting hygiene and was always incontinent of bowel and bladder. During the incident, the resident swung at the CNA, who then put up her arm to block the swing, resulting in a skin tear. The RN cleaned and treated the skin tear but did not report the incident as abuse until several days later. The Administrator acknowledged the reporting delay and confirmed that the incident should have been reported to the state agency on the day it occurred.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Camden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kershaw Health Karesh Long Term Care | 4.6 mi | — | 1 | 0 |
| Pruitthealth- Ridgeway | 8.9 mi | — | 10 | 0 |
| Ridgeway Manor Healthcare Center | 16.4 mi | — | 6 | 0 |
| Pruitthealth- Blythewood | 17.2 mi | — | 2 | 0 |
| Wildewood Downs | 18.4 mi | — | 2 | 0 |
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