Based on observation, record review, staff and resident interviews, the facility failed to assess for the ability to self-administer medications for 2 of 2 residents reviewed for self-administration of medications (Resident #24 and Resident #14). The findings included: 1. Resident #24 was admitted to the facility on [DATE]. Review of Resident #24's physician orders revealed there were no orders for fluocinonide 0.05 % topical solution medication (used for scalp itching and irritation). There was an order dated 07/27/2026 for topical triple antibiotic (Neomycin-Bacitracin-Polymyxin) ointment to be applied as needed for lip sores and kept at bedside for the resident to apply. Review of Resident #24's medical record revealed he had not been assessed for self administration of medication. …
F554 citations in North Carolina
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F554 more often than its own record predicts
1.53 times the share F554 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F554 findings written in North Carolina, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations, record review, resident and staff interviews, the facility failed to assess the ability of a resident to self-administer medications (Salonpas patches) that were kept at the bedside for 1 of 1 residents (Resident #17) reviewed for self-administration of medications. Findings Included: Resident #17 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. Review of the care plans dated 3/5/2018 revealed that resident #17 was not care planned for self-administration of medications. Review of the quarterly Minimum Data Set ((MDS) dated [DATE] revealed that Resident #17 was cognitively intact. Resident #17 had adequate hearing, clear speech, able to understand and make herself understood, and had adequate vision (wore corrective lenses). …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 1.49% | 2.69× |
| 2024 | 0.95% | 1.75× |
| 2025 | 0.87% | 1.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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