Based on record review and staff interviews, the facility failed to provide written notification of the bed hold policy when a resident was transferred to the hospital for 1 of 1 resident reviewed for hospitalization (Resident #70). Findings included: Resident #70 was admitted on [DATE]. His diagnoses included Type 2 diabetes mellitus with foot ulcer. Resident #70's admission Minimum Data Set, dated dated dated [DATE] indicated he was cognitively intact. Nursing documentation dated 1/03/25 at 2:10 PM indicated Resident #70 had been aware of his need to be transferred to the emergency room for evaluation. Messages had been left for his first and second contacts to call the facility regarding Resident #70. Resident #70 had been discharged to the hospital for an acute condition on 1/3/25. …
F625 citations in North Carolina
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F625 less often than its own record predicts
0.67 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 F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F625 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 observations, record review, resident, and staff interviews, the facility failed to provide written bed hold notices for 2 of 4 residents reviewed for hospitalization (Resident #1 and Resident #24). The findings included: 1. 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. Review of the medical record for Resident #1 revealed no written bed hold notice had been provided. 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 | 0.58% | 0.93× |
| 2024 | 0.24% | 0.34× |
| 2025 | 0.19% | 0.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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