F580 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F580 more often than its own record predicts
Versus expected share1.52×
1.52 times the share F580 takes of citations nationally.
Share of North Carolina citations2.26%
Of every deficiency written in North Carolina in 2025, this is the portion that was F580.
North Carolina2.26%
National1.48%
Share of all citations that were F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F580 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, isolatedAugust 25, 2026
Based on record review, review of recorded transcripts, and interviews with staff, Nurse Practitioner, and Medical Director, the facility failed to notify the physician and/or medical provider of all relevant information to ensure the necessary follow up care was provided following a fall with head injury. Resident #116 was receiving antiplatelet medications (an antiplatelet prevents blood clots and increases the risk of bleeding). On [DATE] at approximately 1:07 AM, Resident #116 experienced an unwitnessed fall his room and Nurse #1's assessment identified a quarter-sized hematoma (collection of blood outside of a blood vessel caused by bleeding into surrounding tissue) to the right side of his head. …
Based on record review and staff and Nurse Practitioner interview, the facility failed to immediately notify the Responsible Party (RP) and the physician of Resident #1 experiencing a fall with reported pain immediately after the fall and throughout the day. This failure to immediately notify the physician resulted in a delay in diagnostics and necessary medical treatment for a fractured hip. The result of the x-ray that followed was the diagnosis of a fractured hip that resulted in the resident being sent out for medical treatment. This deficient practice affected 1 of 3 residents reviewed for notification of change (Resident #1). …
D · No harm, potential for more than minimal, isolatedAugust 21, 2026
Based on record review and interviews with staff and resident's Responsible Party (RP), the facility failed to notify the resident's Responsible Party (RP) when Resident #44 received a PICC line (a peripherally inserted central catheter that is used to deliver medicines and other treatments directly to the large central veins near the heart) and intravenous (IV) antibiotics. This deficient practice occurred for 1 of 3 residents reviewed for notification of change (Resident #44).Findings included:Resident #44 was admitted on [DATE] with diagnoses which included cellulitis of right toe, non-pressure chronic ulcer of right foot, diabetes, adult failure to thrive, and severe vascular dementia.Review of Resident #44's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident had… …
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