1. health and fitness
2. drugs

Team Advocacy Inspection for March 25, 2015
Beard’s Residential Care Facility #3
Inspection conducted by Brandy Earle, P&A Team Advocate, and Caitlin McMahan,
Volunteer
Facility Information
Beard’s Residential Care Facility is located in Florence County at 201 N Brockington Street,
Timmonsville, SC 29161-1503. Team arrived at the facility at 11:26 AM and exited the facility at 1:57 PM. The
administrator was not present for the inspection. The facility is operated by James Beard Jr. There was one
staff member present when Team arrived. The facility is licensed for 8 beds. The census was 6 on the day of
Team’s inspection. The DHEC license had an expiration date of December 31, 2015. A current administrator’s
license was posted. The facility had a written emergency plan to evacuate to Williamsburg Residential Care, 14
WRCF St, Kingstree, SC 29556.
Overview of Visit
During Team’s visit we interviewed three residents; talked to residents and staff; reviewed three
resident records, medications and medication administration records; and toured the facility. Team observed
lunch. Lunch was a substitute meal consisting of rice, pork roast, gravy, mixed vegetables, cornbread, Jello,
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and pink lemonade. A substitution menu was posted. Team did conduct an exit interview with the staff
member present.
Report Summary
The kitchen sink temperature was recorded at 110.4 degrees. The residence was not kept within the
comfortable temperature range; it was recorded at 70 degrees. The foundation of the house was uneven
throughout, with large dips between rooms. A dresser drawer in one of the resident rooms is broken and does
not shut completely. The shower handles are loose from the wall, with a tear in the molding and a large
amount of rust surrounding the handles. There were razors left on the resident bathroom floor. There was a
large amount of rust around and inside the shower head. A light fixture in the living room was loose from the
ceiling. There was a broken window pane taped in place on the frame of the front door. The railing of the
ramp was not sturdy and had broken pieces. The mat placed on the ramp was also torn and needed to be
secured to the ramp. A vent cover was detached from the wall in the living room. One resident reported
needing eyeglasses. One resident reported not having at least 7 outfits of in-season clothing. One resident
reported that the administrator and staff did not treat him with respect and he did not feel safe in the facility.
When asked what happens when the house rules are broken, the same resident responded, “all kinds of crazy
stuff.”
Areas of Commendation
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The facility had a large front yard including a gazebo and enough lawn furniture for all residents to sit
outside at the same time. Residents were outside playing checkers when Team arrived.
The residents seemed to have a good rapport with staff and each other.
There were many options for board games and card games for the residents to choose from.
The residents stated that activities do occur within the facility on a daily basis.
The residence had a well-furnished living room with a large flat screen television.
The residence was decorated nicely with flowers and framed pictures throughout.
The meal provided to the residents had large portions and the residents complimented the staff
member who cooked.
Staff was very cooperative and interested in improving the facility and services for residents.
Staff records contained the necessary CPR/first aid training. SLED checks were also completed.
Resident records were very organized.
The personal funds ledger displayed the 2015 COLA increase.
A current TB risk assessment was available.
The fire extinguishers were monitored on a monthly basis. Fire drills were conducted quarterly on
each shift.
Annual HVAC, electrical and fire alarm inspections were current.
Areas Needing Improvement
Health/Safety
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The kitchen sink temperature was recorded at 110.4 degrees.
The foundation of the house was uneven throughout, with large dips between rooms.
The railing of the ramp was not sturdy and had broken pieces.
Supervision & Administrator
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DHEC inspections were not available for review. [Note: Staff reported that information was kept at
Beard Residential Care Facility 1.]
Residents’ Rights
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One resident reported that the administrator and staff did not treat him with respect and he did not
feel safe in the facility.
The same resident, when asked what happens when he breaks the house rules, stated “all kinds of
crazy stuff.”
Recreation
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One resident reported wanting to do more in the community.
Residents’ Activities of Daily Living (ADLs)
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One resident reported that he did not have 7 outfits of in-season clothing.
One resident reported only having one pair of shoes.
One resident reported needing eyeglasses.
Medication Storage and Administration
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Resident A had a prescription for Clopidogrel 75mg tablet; take 1 tablet by mouth once daily. The
medication was not signed on the MAR on 3/24/15 and 3/25/15.
Resident A had a prescription for Benztropine 1 mg tablet; take 1 tablet by mouth twice daily. The
medication was crossed out on the MAR with no note to document that the medication had been
discontinued.
Resident A had a prescription for Divalproex SOD Dr 500 tablet; take 1 tablet by mouth twice daily. The
medication was crossed out on the MAR with no note to document that the medication had been
discontinued.
Resident B had a prescription for Quetiapine fumarate 100 mg; take 1 tablet by mouth at bedtime. The
medication was included in pre-pack slots that were dated by the pharmacy but was not listed the
resident’s current MAR. [Note: Team noted that the medication was listed on the MAR but it was
marked as discontinued on 3/10/15. Staff will contact the pharmacy to make correction.]
Resident C had a prescription for the controlled substance Diazepam 10 Mg tablet; take 1 tablet by
mouth daily at bedtime. The medication was not signed off for on 3/24/15 at 8 pm on the Controlled
Drug Record. [Note: Team noted that medication was also listed on Resident’s MAR and was signed on
for 3/24/15 at 8 pm.]
Resident C had a prescription for Gabapentin 600 mg tablet; take 1 tablet by mouth 3 times a day, 8
a.m., noon and 8 pm. The noon dosage for the medication was not signed off on 3/25/15 and the night
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dosage for 3/14/15 was not signed off. [Note: Staff reported that resident was given the medication at
noon during our review. Staff made correction on the MAR.]
Resident C had a prescription for Lithium Carb 300 mg capsule; take 1 capsule by mouth every morning
and take 2 capsules by mouth every day at bedtime. The medication was not signed off for on
3/14/15.
Meals & Food Storage
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No concerns noted.
Resident Records
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The residents’ records did not contain the Medicaid number for each resident
Resident Personal Needs Allowances
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No concerns noted.
Appropriateness of Placement
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No concerns noted.
Personnel Records
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No concerns noted.
Housekeeping, Maintenance, Furnishings
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The residence was kept at 70 degrees which is not in the range of comfortable temperature.
A dresser drawer in one of the resident rooms is broken and does not shut completely or open easily.
The shower handles are loose from the wall, with a tear in the molding and a large amount of rust
surrounding the handles.
There were razors left on the resident’s bathroom floor in between the shower and the sink.
There was a large amount of rust around and inside the shower head.
A light fixture in the living room was loose from the ceiling and the ceiling was torn.
There was a broken window pane taped in place on the frame of the front door.
The railing of the ramp was not sturdy and had broken pieces falling off.
The mat placed on the ramp was also torn and needed to be secured to the ramp.
A vent cover was detached from the wall in the living room wall.
Additional Recommendations
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One resident reported wanting to work.
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Please Note: Residents listed in the report are assigned random gender identification. This is for the purpose
of making the report easier to read. However, the gender does not identify the individuals in the report.
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