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. …
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.
Against expectation — 2025
North Carolina cites F655 more often than its own record predicts
1.03 times the share F655 takes of citations nationally.
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.
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. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 0.90× |
| 2024 | 0.68% | 0.98× |
| 2025 | 0.67% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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