2. Resident #81 was admitted to the facility on [DATE] and had an re-entry of 03/12/25. The significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #81 was moderately cognitively impaired. The discharge MDS assessment dated [DATE] revealed Resident #81 was discharged to the hospital on [DATE] and was readmitted on [DATE]. The nursing progress note dated 03/08/25 revealed Resident #81 was transferred to the hospital. An interview conducted with Resident #81's Resident Representative (RR) on 04/02/25 at 1:35 PM revealed he had not received any type of notice regarding discharge or transfers since Resident #81 was discharged to the hospital on [DATE]. …
F623 citations in North Carolina
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F623 more often than its own record predicts
1.77 times the share F623 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F623 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 record review, resident, and staff interviews, the facility failed to notify residents and their family members in writing of a transfer to the hospital for 3 of 4 residents reviewed for hospitalization (Resident #1, Resident #24, and Resident #33). The findings included: a. Resident #1 was admitted to the facility 1/10/20. A nursing note dated 4/3/24 documented Resident #1 was sent to the hospital for a change in condition. Hospital discharge orders dated 4/7/25 revealed Resident #1 was discharged from the hospital after treatment for acute parotitis (infection of the parotid [salivary] gland). A nursing note dated 4/7/25 documented Resident #1 was readmitted to the facility. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 1.49% | 1.64× |
| 2024 | 1.19% | 1.17× |
| 2025 | 0.72% | 1.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction