Deficiency Index

F655 citations in North Carolina

Baseline care plan · Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F655 in North Carolina. Pick another state for the same tag.

Against expectation — 2025

North Carolina cites F655 more often than its own record predicts

Versus expected share1.03×

1.03 times the share F655 takes of citations nationally.

Share of North Carolina citations0.67%

Of every deficiency written in North Carolina in 2025, this is the portion that was F655.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What North Carolina surveyors wrote

F655 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.

D · No harm, potential for more than minimal, isolatedMarch 19, 2026

Based on record review, resident representative and staff interviews, the facility failed to develop a baseline care plan that addressed the resident's immediate needs related to fall prevention and pain management for 1 of 12 residents reviewed for baseline care plans (Resident #3).The findings included:Review of the FL2 (a North Carolina Medicaid form that documents a patient's medical condition and needs for long term care facilities) completed 12/18/25 revealed Resident #3 had a diagnosis of chronic neck pain, chronic pain syndrome, and mild dementia. …

Trinity Elms

B · No harm, potential for minimal, patternMay 21, 2025

Based on record review, staff interviews, resident and Responsible Party (RP) interviews, the facility failed to provide the resident or the RP a written summary of the baseline care plan and medication list for 2 of 4 residents reviewed for care planning (Resident #75 and Resident #91). The findings included: 1. Resident #75 was admitted to the facility on [DATE]. The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #75 had severe cognitive impairment. Resident 75's electronic health record revealed no documentation that Resident #75 or his RP received a written summary of the baseline care plan and medications. …

Laurel Park Rehabilitation and Healthcare Center

The short window

Recent years

YearShare of North Carolina citationsvs expected
20230.72%0.90×
20240.68%0.98×
20250.67%1.03×

Shares of citations, not counts: earlier years hold fewer inspections.

What else North Carolina surveyors cite →

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