Based on record review and staff interviews the facility failed to transmit the quarterly Minimum Data Set within the required time frame for 1 of 26 resident assessments reviewed (Resident #5). Findings included: Resident #5 was admitted into the facility on [DATE]. Resident #5's medical record revealed his quarterly Minimum Data Set, dated dated dated [DATE] was signed as completed on 04/15/24 with a transmission date of 06/11/24. An interview was conducted on 06/17/24 at 1:37 PM with the Minimum Data Set Coordinator. She stated she was aware that the quarterly Minimum Data Set for Resident #5 had not been transmitted within the designated time frame. She stated she knew Resident #5's MDS was transmitted late. An interview was conducted on 06/14/24 at 11:15 AM with the Administrator. …
F640 citations in North Carolina
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F640 more often than its own record predicts
1.16 times the share F640 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F640 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 and staff interviews, the facility failed to complete or transmit to CMS (The Centers for Medicare and Medicaid Services) database a discharge Minimum Data Set (MDS) assessment for 7 of 10 residents reviewed for discharge MDS assessments (Resident #20, #80, #109, #36, #58, #77, and #142).The findings included:1a. Resident #20 was admitted to the facility on [DATE].A review of a nurse progress note dated 1/20/26 indicated Resident #20 was sent to the hospital for evaluation following a health event.A review of Resident #20's Electronic Medical Record (EMR) revealed no discharge MDS was completed, and Resident #20 did not return to the facility.b. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 2.11× |
| 2024 | 0.60% | 1.83× |
| 2025 | 0.34% | 1.16× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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