Based on record review and interviews with staff, Pharmacy Consultant, Nurse Practitioner, and Medical Director, the facility failed to ensure a resident's medication order for an as needed psychotropic medication had a stop date of 14 days for 1 of 5 residents reviewed for unnecessary medications (Resident #5). Findings included:Resident #5 was admitted to the facility on [DATE] with diagnoses that included anxiety.Resident #5's quarterly Minimum Data Set, dated [DATE] showed she had moderate cognitive impairment, received a high-risk antianxiety medication, and received hospice care. …
F605 citations in North Carolina
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F605 less often than its own record predicts
0.82 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 F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F605 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.
What else North Carolina surveyors cite →
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