F559 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F559 less often than its own record predicts
Versus expected share0.43×
0.43 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.05%
Of every deficiency written in North Carolina in 2025, this is the portion that was F559.
North Carolina0.05%
National0.11%
Share of all citations that were F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F559 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.
D · No harm, potential for more than minimal, isolatedAugust 15, 2025
Based on record review, and responsible party (RP) and staff interviews, the facility failed to notify the Responsible Party in advance of a room change for 1 of 1 resident reviewed for transfer to a new room in the facility (Resident #4).The findings included:Resident #4 was admitted to the facility on [DATE].The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #4 was moderately cognitively impaired. Review of a note written by the Social Service Director dated 5/20/2025 revealed the Social Service Director called and left the Responsible Party (RP) a voice mail informing them of the room change for Resident #4 and an email was sent. …
B · No harm, potential for minimal, patternJuly 7, 2022
Based on record reviews, resident and staff interviews, the facility failed to provide a resident written notification explaining the reason for a room change and failed to provide the resident with the opportunity to see the new room location and meet the new roommate prior to the room change for 1 of 1 sampled resident (Resident #38).
Findings included:
Resident #38 was admitted to the facility on [DATE].
The admission Minimum Data Set (MDS) dated [DATE] assessed Resident #38 with moderate impairment in cognition. The MDS indicated Resident #38 could make herself understood and was able to understand others.
Review of Resident #38's medical record revealed she was moved from room [ROOM NUMBER] to room [ROOM NUMBER] on 06/09/22. …
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