F624 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F624 more often than its own record predicts
Versus expected share1.97×
1.97 times the share F624 takes of citations nationally.
Share of North Carolina citations0.10%
Of every deficiency written in North Carolina in 2025, this is the portion that was F624.
North Carolina0.10%
National0.05%
Share of all citations that were F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F624 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, isolatedApril 3, 2023
Based on record review and staff, resident, Nurse Practitioner, Medical Director, Home Health Director, Dialysis Center, Clinical Manager and Equipment Company Manager interviews the facility failed to provide a safe and orderly discharge for 2 of 5 residents reviewed for discharge (Resident #1 and #2). Resident #1 was transported to a medical appointment on 3/16/23 and was informed by the Facility Transporter she was being discharged that day. When they returned to the facility, Nurse #6 and the Administrator came out to the van to give Resident #1 her discharge paperwork and she expressed her concern about not being able to get up and down her steps in her wheelchair to the parking lot to access transportation for dialysis services. …
Based on record review and resident, Resident Representative,staff, Infusion Center staff, Nurse Practitioner, and Medical Director interviews the facility failed to provide a safe and orderly discharge for 1 of 3 residents (Resident #1). On 8/28/23 Resident #1 had a scheduled medical appointment and prior to the appointment the resident's belongings were packed by staff and were sent with him to the appointment. Resident #1 was not provided with discharge paperwork or discharge instructions and did not understand what was happening. The discharge location was not verified, home health services were not ordered at the time of discharge, and the resident was not followed up with to ensure his needs were met. …
D · No harm, potential for more than minimal, isolatedApril 17, 2025
Based on record review, and interim Guardian and staff interviews, the facility failed to provide a safe and orderly discharge. The facility failed to make a referral to law enforcement and adult protective services on the day of discharge which caused a delay in Resident #203 receiving support in the home. This was for 1 of 2 residents reviewed for discharge (Resident #203).
Findings included:
Resident #203 was admitted to the facility on [DATE] which included metabolic encephalopathy, mood disorder, anxiety disorder and hallucinations.
Resident #203's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact. …
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