Based on record review and staff interviews, the facility failed to submit a request for Preadmission Screening Resident Review (PASRR) for a newly admitted resident with a serious mental illness diagnoses for 1 of 7 residents reviewed for PASRR (Resident #8).Findings included:A Level I PASRR Determination Notification dated 09/04/25 revealed Resident #8 did not meet the federal definition for mental illness, the PASRR remained valid, and no further screening was required unless a significant change occurred with the individual's status that suggest a diagnosis of mental illness.Review of Resident #8's hospital Discharge summary dated [DATE] included the mental illness diagnoses bipolar disorder with recurrent episode depressed and PTSD (Post Traumatic Stress Disorder). …
F645 citations in North Carolina
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F645 less often than its own record predicts
0.63 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 F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F645 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.
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.58× |
| 2024 | 0.32% | 0.50× |
| 2025 | 0.39% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction