Based on record review, and Responsible Party and staff interviews, the facility failed to refund the balance of an expired resident's personal fund account within thirty days to the individual or probate jurisdiction administering the resident's estate (Resident #107) and failed to refund Social Security checks received after a resident transferred to another nursing facility (Resident #104) for 2 of 2 residents reviewed for personal funds.Findings included:1. Resident #107 was admitted to the facility on [DATE].A discharge Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #107 passed away at the facility.The Resident Statement for Resident #107 with a billing date of [DATE] revealed a payment in the amount of $10,304.00 received on [DATE] was applied to room charges for… …
F569 citations in North Carolina
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F569 less often than its own record predicts
0.44 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 F569.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F569 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 staff interviews and record review of resident trust accounts, the facility failed to convey funds within 30 days and forward the balance of funds to the estate of an expired resident for 2 of 3 residents reviewed for personal funds (Resident #281 and Resident #134). The findings included: 1. Resident #281 was admitted to the facility on [DATE] and expired on [DATE]. Review of the resident trust account for Resident #281 conducted on [DATE] revealed a balance of $125. 22 was not conveyed to the resident's estate within 30 days of her death on [DATE]. An interview was conducted on [DATE] at 12:00 PM, in conjunction with a record review with the Financial Counselor who revealed the check had not been sent to the Clerk of Court within the designated 30 days. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.40× |
| 2024 | 0.08% | 0.69× |
| 2025 | 0.05% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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