F610 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F610 less often than its own record predicts
Versus expected share0.19×
0.19 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.29%
Of every deficiency written in North Carolina in 2025, this is the portion that was F610.
North Carolina0.29%
National1.51%
Share of all citations that were F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F610 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.
K · Immediate jeopardy, patternMarch 14, 2024
Based on record review and staff interviews the facility failed to protect residents from the accused staff during an investigation of staff to resident abuse. On 2/15/24 staff observed Nurse Aide (NA) #1 strike Resident #21 with a closed fist twice in the face and push him down on the floor. An abuse investigation was initiated on 2/15/24. On 2/16/24, during the abuse investigation, NA #1 arrived at the facility, clocked in at 6:56 AM and was given a resident care assignment. NA #1 clocked out at 10:56 AM. This deficient practice was for 1 of 3 residents (Resident #21) reviewed for abuse and had the high likelihood of serious injury/harm for other residents. …
Based on observations, record review, and staff, Nurse Practitioner, and Physician interview the facility failed to complete a thorough investigation to determine the possible cause of a suspicious injury for 1 of 3 residents reviewed for abuse (Resident #3). A red area below Resident #3's right eye and facial swelling was identified on 1/22/2023 at 6:46 am which progressed to black and blue bruising under both eyes and left ear on 1/23/2023.
Findings included:
The facility's Abuse, Neglect, Misappropriation of Resident Property, and Exploitation Policy revised on 1/19/2023 stated the Administrator is responsible to ensure complaints of abuse, including injuries of unknown origin are investigated. …
E · No harm, potential for more than minimal, patternAugust 12, 2025
Based on record review and staff interviews, the facility failed to complete a thorough investigation after allegations of resident-to-resident abuse occurred. This deficient practice affected 4 of 30 residents reviewed for abuse (Resident #32, Resident #59, Resident #86, and Resident #125).Findings included: The undated facility abuse policy titled [NAME] Oak Management, Inc. Plan for the Prevention of Elder Abuse was reviewed. A section of policy titled Resident to Resident Abuse stated all forms of abuse, including resident-to-resident abuse, must be reported immediately to the Director of Nursing and the facility administrator. …
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