F561 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F561 more often than its own record predicts
Versus expected share1.76×
1.76 times the share F561 takes of citations nationally.
Share of North Carolina citations0.67%
Of every deficiency written in North Carolina in 2025, this is the portion that was F561.
North Carolina0.67%
National0.38%
Share of all citations that were F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F561 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.
J · Immediate jeopardy, isolatedJune 12, 2023
Based on record review, observation, resident, staff, and family interviews, the facility failed to honor a resident's (Resident #49) right to choose their preferred method of bathing and the resident's right to refuse a shower. On 4-22-23, Resident #49 had refused her shower three times and on the third refusal Nurse #1 was informed of Resident #49's refusal to take a shower. Nurse #1 informed Nursing Assistant (NA) #1 and NA #2 that the resident had to take a shower regardless of Resident #49's refusal. Nurse #1 and 5 NAs (NA #1, NA #2, NA #3, NA #4, and NA #5) proceeded to force Resident #49, who was combative and stating she did not want to get out of bed and have a shower, out of the bed, into a shower chair and into the shower. …
Based on observation, record review and staff interview and Nurse Practitioner (NP) interviews, the facility failed to allow 1 of 4 residents the choice to take a shower (Resident #1). Resident #1 was very sad and stated she felt less than a person not being able to get a shower.
The findings included:
Resident #1 was admitted to the facility on [DATE] with a diagnosis that included major depressive disorder and spinal stenosis.
Review of physician order dated 3/20/20 revealed Resident #1 was to have a shower on Monday, Wednesday, and Friday.
The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #1 was cognitively intact and was dependent on 2 staff for bathing. …
D · No harm, potential for more than minimal, isolatedAugust 21, 2026
Based on record review, resident and staff interviews, the facility failed to honor a resident's choice and provide showers as scheduled for 1 of 3 residents reviewed for choices (Resident #79). The findings included: Resident #79 was admitted to the facility on [DATE] with diagnoses that included hemiplegia (paralysis) and hemiparesis (weakness) following cerebral infarction (stroke). A quarterly Minimum Data Set assessment dated [DATE] indicated Resident #79 was cognitively intact and required substantial/maximum assist with showers/baths. A review of Resident #79's active care plan updated 6/16/26 included a problem area of Activity of Daily Living (ADL) self-care performance deficit related to impaired mobility. Intervention included assistance with ADLs as needed. …
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