Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Lake Emory Post Acute Care
Inman, SC · 88 certified beds · Last Life Safety survey July 18, 2024
CMS Certification Number 425303 · first certified February 1991
Ownership
Operated by FUNDAMENTAL HEALTHCARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within SC
8 citations — more than 93% of the 187 certified nursing homes in SC. Compared within SC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (August 2025 to April 2026), and past the point by which nine in ten SC facilities have been surveyed. This facility’s last Life Safety survey was July 2024. Facilities in SC are typically surveyed 13–21 months after the last one (median 15), measured over 286 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in SC, and nationally. Surveyors differ markedly between states, so the SC figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in SC | 1 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 24, 2021 | 0 |
| February 3, 2023 | 5 |
| July 18, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 2 | 2024-07-18 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2023-02-03 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2023-02-03 |
| K-0500 | Meet other general requirements that are deficient. | 1 | 2023-02-03 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-07-18 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2023-02-03 |
| K-0912 | Have power receptacles that are properly grounded. | 1 | 2024-07-18 |
What the citations cover
- Smoke Deficiencies 3
- Services Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Egress Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Services Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Emergency Preparedness Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 18, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (August 12, 2024) |
February 3, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (April 19, 2023) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (April 19, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 19, 2023) |
| K-0500 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (April 19, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (April 19, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.