By Greenville Senior Advisor Care Team · October 5, 2026
DPH Healthcare Quality's monthly enforcement report lists each administrative and consent order with the inspections behind it, the violations cited and the penalty. Orders are reserved for serious or repeated problems, so most facilities never appear; when one does, read the full entry and ask what changed.
Where the reports are
DPH posts the reports on its Healthcare Quality Enforcement Actions page, one PDF per month, going back many years. Each opens with a summary table of orders and penalties by facility type, followed by numbered entries. An entry names the licensee and the facility's business name, for example a limited liability company doing business as a named assisted living community, and states the facility type.
What an entry contains
Each entry has three parts. The first lists the dates DPH staff inspected or investigated the facility and the violations cited, written as plain statements such as a failure to report a serious incident within 24 hours or a failure to follow the facility's own policies. The second describes the enforcement process: a notice by certified mail, an enforcement conference, and the resulting consent order or administrative order with its penalty. The third lists prior orders against the same party in the past five years.
A consent order means the facility agreed to the penalty and corrective steps without a contested hearing. An administrative order is issued by DPH and can be appealed. Some penalties are partly stayed, meaning suspended, on condition that the facility stays in substantial compliance for a period, and the report will later note if DPH called in the stayed amount.
How penalties are set
Regulation 60-84 sorts CRCF violations into three classes. Class I violations present imminent danger or a substantial probability of death or serious harm; Class II violations have a negative impact on health, safety or well-being; Class III covers the rest. DPH may use a penalty schedule that rises with repeat violations within 36 months:
| Violation within 36 months | Class I | Class II | Class III |
|---|---|---|---|
| 1st | $500-1,500 | $300-800 | $100-300 |
| 2nd | $1,000-3,000 | $500-1,500 | $300-800 |
| 3rd | $2,000-5,000 | $1,000-3,000 | $500-1,500 |
| 4th | $5,000 | $2,000-5,000 | $1,000-3,000 |
| 5th | $5,000 | $5,000 | $2,000-5,000 |
| 6th | $5,000 | $5,000 | $5,000 |
A penalty in the thousands of dollars usually reflects several violations over multiple visits rather than one bad day.
Which Upstate facilities appear since January 2025?
Matching every CRCF and nursing home entry in the reports from January 2025 to September 2026 against the four counties' license roster, we found orders naming these facilities:
| Facility | City | Report month | Penalty stated |
|---|---|---|---|
| Easley Retirement Center | Easley | March 2026 | see report |
| Pearl at Five Forks | Simpsonville | April 2026 | see report |
| Upstate Residential Care | Anderson | December 2025 | $5,100 |
| Brushy Creek Post Acute | Greer | May 2026 | $8,000 |
Statewide, the reports in that period list 23 CRCF orders and 2 nursing home orders. Matches are by facility name, so a facility that changed names may need a manual check.
How to look up an older order
Our facility pages cover January 2025 onward. For earlier history, open DPH's enforcement page and work backward through the monthly PDFs, which go back many years under both DPH and DHEC. Search each PDF for the facility's business name and for its licensee's legal name, since a facility may have changed names or operators. Each entry's Prior Orders section also summarizes orders from the previous five years, which is often the quickest way to see a pattern.
If you find an older order, ask the current administrator about it. A change of operator since then may have changed staffing and leadership, which is relevant, but it is still fair to ask what was fixed.
Requesting the underlying inspection report
An enforcement entry summarizes the violations; the inspection report behind it gives the detail, including what surveyors observed and the facility's plan of correction. Regulation 60-84 makes inspection and investigation reports public on written request to DPH, with individuals' names redacted. In the request, name the facility, its license number from DPH's Find a Facility map and the inspection dates listed in the enforcement entry.
The facility itself must have its reports and plans of correction on file, so asking the administrator first is often faster. A facility that answers openly is giving you useful information about how it handles problems.
What a clean record does and does not mean
Most deficiencies DPH cites are corrected through a written plan of correction and never become an order. A facility absent from the reports has not recently been sanctioned; that is useful, but it does not mean its inspections were clean. The inspection report, available on written request to DPH or from the facility itself, is the fuller picture.
For nursing homes, CMS Care Compare adds federal inspection results, deficiency counts and fines, which our nursing home pages reproduce alongside any DPH order.
Frequently asked questions
What is a consent order?
An agreement in which the facility accepts a penalty and corrective actions without a contested hearing.
How often does DPH publish enforcement reports?
Monthly, on its Healthcare Quality Enforcement Actions page, covering orders executed in that period.
Does a facility have to tell families about an order?
No rule requires it to volunteer one, so ask directly and check the reports yourself.
What are Class I, II and III violations?
Under Regulation 60-84, Class I presents imminent danger, Class II harms health, safety or well-being, and Class III covers other violations.