Based on observation, record review and interviews with the resident and staff, the facility failed provide an adaptive call bell the resident could activate to call for assistance. This resulted in the resident relying on her voice to yell for assistance. This deficient practice occurred for 1 of 1 resident reviewed for accommodation of needs (Resident #122). The findings included: Resident #122 was admitted to the facility on [DATE] with diagnosis which included quadriplegia (paralysis of all four limbs) and hemiplegia (paralysis of one side of the body). An admission Minimum Data Set (MDS) dated [DATE] revealed Resident #122 was moderately cognitively intact and dependent upon two staff members for bed mobility, eating, toilet use, personal hygiene, and bathing. …
F558 citations in North Carolina
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F558 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Carolina in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F558 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 observation, record review and interviews with the resident and staff, the facility failed to ensure a dependent resident could access a call bell that was out of reach for 1 of 21 residents reviewed for accommodation of needs (Resident #16). Findings included:Resident #16 was admitted to the facility on [DATE].Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 was severely cognitively impaired and needed assistance with activities of daily living. During an observation on 6/15/2026 at 11:26 a.m., and at 11:31 a.m. Resident #16 was observed sleeping and the call bell button was clipped to the call cord and hanging from the outlet on the wall, away from Resident #16's reach. In an interview with Resident #16 on 6/15/2026 at 11:32 a.m. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 0.62× |
| 2024 | 0.48% | 0.41× |
| 2025 | 1.06% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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