Based on family interview, record review, staff interviews, and emergency medical services (EMS) report the facility failed to obtain physician orders for one (Resident #4) of five residents reviewed for admission procedures. Findings included: There was no documentation in the electronic medical record of Resident #4 other than the hospital discharge summary dated as uploaded by the facility on 7/10/2024. The hospital discharge summary, for the 7/3/2024 to 7/10/2024 hospital stay, revealed Resident #4 had the discharge diagnoses of generalized muscle weakness, chronic lymphocytic leukemia, age related physical debility, primary hypertension, Stage 3 chronic kidney disease, Type 2 diabetes mellitus, and a history of transient ischemic attack (stroke). …
F635 citations in North Carolina
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
North Carolina cites F635 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 2024, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F635 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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