Based on resident and staff interviews, the facility failed to deliver resident mail unopened for 3 of 7 residents reviewed for mail delivery (Resident #29, Resident #91, and Resident #100). The findings included: a. Resident #29 was admitted to the facility on [DATE]. Resident #29's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #29 was cognitively intact. An interview on 11/05/24 at 10:24 AM with Resident #29 revealed that he had received opened mail that was addressed to him. He stated that it had happened on more than one occasion but was unable to give specific dates. Resident #29 stated the mail that was opened was related to his financial status. b. …
F576 citations in North Carolina
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
North Carolina cites F576 more often than its own record predicts
1.83 times the share F576 takes of citations nationally.
Of every deficiency written in North Carolina in 2024, this is the portion that was F576.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F576 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 interviews with residents and staff, the facility failed to ensure residents' right to receive mail delivered on Saturdays. This had the potential to affect 107 of 107 residents in the facility.Findings included:A Resident Council group interview was conducted on 05/06/26 at 11:00 AM with Residents #46 (Resident Council President), #33, #35, #42, and #83 in attendance. In addition, the Activity Director was present during the group interview at the residents request. Resident #35 reported if mail was delivered to the facility on Saturday, it was not delivered to the residents until Monday by the Activities Director. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.76× |
| 2024 | 0.24% | 1.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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