Based on record review and staff interviews, the facility failed to certify the accuracy of pain interview responses relative to the resident's condition for 1 of 1 resident reviewed for pain. (Resident #518) Findings included: Resident #518 was admitted to the facility on [DATE]. Record review of Resident #518's Nurse Practitioner (NP) progress note dated 11/20/23 indicated Resident #518 was not sleeping well due to pain. Review of occupational therapy treatment encounter notes for Resident #518 dated 11/20/23 indicated Resident reported 10/10 global pain affecting function. Review of Medical Director's progress note for Resident #518 dated 11/22/23 indicated Resident has pain and numbness in bilateral arms and legs. …
F642 citations in North Carolina
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
North Carolina cites F642 more often than its own record predicts
1.45 times the share F642 takes of citations nationally.
Of every deficiency written in North Carolina in 2023, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F642 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 an annual MDS assessment within 14 days of the Assessment Reference Date (ARD, the last day of the look-back period) for 1 of 36 residents (Resident #7) whose MDS assessments were reviewed. The findings included: Resident #7 was admitted to the facility on [DATE] with reentry on 7/24/21 from a hospital. Her cumulative diagnoses included Alzheimer's disease and malnutrition. Review of the resident's Minimum Data Set (MDS) assessments revealed an annual MDS had an Assessment Reference Date (ARD) of 10/30/21. Her last quarterly MDS had an ARD date of 5/31/22. …
What else North Carolina surveyors cite →
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