NORTH CHARLESTON, S.C. (WCSC) - Newly released state records detail years of neglect allegations at a North Charleston rehabilitation facility, including complaints of residents left in filth, insect infestations, unanswered call bells and chronic understaffing.
For Charlean Kelly, those allegations against Riverside Health and Rehab are not just words on paper. They mirror the treatment she says her mother, Ethel Kelly, endured at the facility.
When dementia and physical challenges made it difficult for Charlean Kelly to care for her mother, the family placed her at Riverside, expecting safety, compassion and dignity. Instead, Charlean Kelly says, they found neglect, filth and cries for help that went unanswered.
“She meant everything to us and to have to leave her day after day, I felt horrible,” Charlean Kelly says. “It’s like someone took a bucket of urine and poured it on her clothes.”
A serious fall at the facility, the family says, broke not only Ethel Kelly’s body but the family’s trust.
Newly obtained records from the South Carolina Department of Public Health show dozens of complaints in recent years alleging unsanitary conditions, a pervasive stench, dirty walls and floors, staff arguing in hallways and loud music blasting from nurses’ stations.
“The facility has no clean linen, towels nor washcloths,” one complaint reads. “The residents’ call bells ring and no one answers them. Residents lay on a dry pad but underneath pad bed wet with urine or feces. There are bugs crawling throughout the facility. Staff sit around [a] desk using profanity with music loud while dancing.”
One complaint alleges ants bit a resident. Another describes a wheelchair without footrests that caused an open sore when a resident’s foot dragged against the wheel.
“[The] resident fell and was found on the floor in [a] pool of blood,” a different complaint reads. “[The power of attorney] had a meeting with the facility. The head nurse stated if a resident wants to fall it is their right.”
One complaint details a resident’s death they considered to have involved a “high concern for neglect.”
The S.C. Department of Public Health cited the facility for some issues, including cleanliness, staffing, improperly administering medications, spiders and improper food preparation, but did not issue a citation after investigating others, documents show.
The facility submitted correction plans following the citations, according to state records.
In an email, Riverside officials say the facility is committed to quality care and takes every complaint seriously. Complaints are a routine part of regulation and should not be portrayed as proof of systemic neglect, the email states.
As for the Kelly family’s concerns, Riverside leaders say they have no record of getting complaints about hygiene or unanswered call bells. The facility says it understands how frightening it is for families to learn of a fall, but adds federal privacy laws limit what it can share publicly about residents.
Sam Brooks, the director of public policy for the advocacy group The Consumer Voice, says inadequate staffing is at the heart of most nursing home failures.
“Inadequate staffing results in harm, results in poor care to residents and overall it really underpins most of the bad occurrences that happen in nursing homes,” Brooks says. “Unfortunately, if you’re living in a for-profit home or for-profit chain, it’s very common you’re going to receive bad care, and it’s gotten even worse since the pandemic.”
Riverside has faced scrutiny before. Previous Live 5 Investigations show former complaints, some confirmed by the state, others dismissed, have included allegations of urine-soaked beds, maggots in wounds, bug infestations and overfilled catheter bags. Court records show dozens of lawsuits against the facility alleging medical negligence, wrongful death and preventable suffering. Many cases have been settled, some were dismissed and others remain pending.
Charlean Kelly says she wanted to move her mother from the facility, but she had to keep her at Riverside because of her mother’s insurance.
“I want her to have good, decent treatment,” she says. “It was killing me because I wasn’t able to give her the 100 percent care that she needed and deserved.”
Brooks says improving care will require stronger staffing standards, tougher enforcement and a commitment to treating every resident with dignity.
For Kelly’s family, that commitment is personal. They want Ethel Kelly’s story to spark change.
“Now that she’s no longer with us, it’s like, ‘Mom, I’m going to make sure that I pursue this just to make sure justice is done in some type of way,” Charlean Kelly says.
Riverside’s Administrator De’Shaon Davis sent the following statement via email:
As always, we appreciate the opportunity to address the concerns raised and provide some context to the issues you’ve highlighted.
As background, I feel it is important for you to understand the purpose of the complaint process in South Carolina nursing homes. This mechanism is in place to help facilities like ours stay compliant with federal and state regulations and to address and correct issues when they are identified. We view it as a tool for continuous improvement and welcome guidance from the state on all fronts. However, it’s crucial to note that a complaint from a resident, family member, or even facility staff, is not an automatic validation of wrongdoing, and the existence of a complaint does not make it inherently true. Every complaint we receive is investigated and addressed through our internal grievance procedures, and if required under the law, it is reported to the state for an independent investigation. Sometimes, individuals report concerns directly to the state without notifying us first, which is their right. Either way, we strive to address issues promptly and take appropriate corrective actions when necessary to prevent recurrence.
Regarding the specific complaints from the state that you provided to me, we wish to clarify that the majority of these were from as far back as almost two and a half years ago. Each complaint has been thoroughly investigated and addressed as necessary. We caution against turning the complaint process, which is a standard and necessary procedure in all nursing homes, into a sensational news piece. It’s essential to present a balanced perspective that takes into account the proactive measures we take to identify and resolve any issues and the improvements made as a result of the complaint process.
With respect to the complaints from Ms. Kelly’s family, I am sure you are aware by now with as many pieces as you have written about our facility, that we are limited in what we can share with you about her care due to federal and state privacy laws. However, after looking into the concerns you raised, we can say we do not have a record of receiving any complaints from Ms. Kelly’s family regarding her hygiene or our staff’s alleged failure to answer calls or assist Ms. Kelly. We are disheartened that Ms. Kelly’s family feels there was “limited transparency” regarding her fall but we understand how scary it is to learn that your loved one fell and the frustration that comes with dealing with insurance companies during such difficult times.
Finally, while we understand your interest in an on-camera interview, we believe that our focus should remain on the well-being of our residents and the smooth operation of our facility, and therefore will not be participating in an in-person interview at this time. Again, thank you for your understanding and for giving us the opportunity to address these concerns. We remain committed to providing the quality care to all of our residents.