F565 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F565 more often than its own record predicts
Versus expected share3.77×
3.77 times the share F565 takes of citations nationally.
Share of North Carolina citations1.01%
Of every deficiency written in North Carolina in 2025, this is the portion that was F565.
North Carolina1.01%
National0.27%
Share of all citations that were F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F565 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, isolatedJuly 1, 2026
Based on record review and staff interviews, the facility failed to report a resident concern to administration for investigation for 1 of 3 residents reviewed for dignity and respect (Resident #18).Findings included: Resident #18 was admitted to the facility on [DATE]. Her active diagnoses included mild cognitive impairment of uncertain or unknown etiology, unspecified mood disorder due to known physiological condition, and anxiety disorder. Resident #18's minimum data set assessment dated [DATE] revealed she was assessed as cognitively intact. She was dependent on staff for toileting hygiene and rolling left to right in bed. She had impairment on one side of her upper and lower extremities. …
B · No harm, potential for minimal, patternJuly 9, 2026
Based on record review and resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address repeated dietary concerns voiced by residents during Resident Council meetings for 6 of 12 months reviewed (January 2026, February 2026, March 2026, April 2026, May 2026, and July 2026).Findings included:The Resident Council minutes for the period August 2025 through July 2026 were reviewed and revealed the following:Resident Council minutes dated 01/09/26 noted in part, old business was noted as read and approved and any issues not resolved were moved to new business. Under new business, residents voiced food was the main concern, menus have been reviewed with food managers, and the diet doesn't reflect residents' likes or dislikes. …
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