F657 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F657 less often than its own record predicts
Versus expected share0.90×
0.90 times the national share — cited less often here than elsewhere.
Share of North Carolina citations1.69%
Of every deficiency written in North Carolina in 2025, this is the portion that was F657.
North Carolina1.69%
National1.87%
Share of all citations that were F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F657 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, isolatedAugust 27, 2026
Based on record review, observation, and staff interviews, the facility failed to revise resident care plans in the areas of indwelling urinary catheter (Resident #3), and a scabies infestation (a contagious skin infestation caused by mites), (Resident #74) for 2 of 29 residents reviewed for care plans.Findings included:1. Resident #3 was admitted to the facility on [DATE] with diagnosis that included a Stage 4 (full thickness wound) sacral pressure ulcer.Review of a physician order dated 05/18/26 for Resident #3 revealed the following order: Indwelling urinary catheter for wound. …
B · No harm, potential for minimal, patternJanuary 30, 2025
Based on record review and staff interviews, the facility failed to revise a care plan for an indwelling urinary catheter for 1 of 3 residents whose care plans were reviewed (Resident #1).
The findings included:
Resident #1 was admitted to the facility on [DATE] with diagnoses that included a neuromuscular disorder of the bladder.
A nursing progress note dated 9/18/24 read that Resident #1's indwelling urinary catheter was removed.
A significant change in status Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #1 had frequent urinary incontinence. He was not coded as having an indwelling urinary catheter.
Review of Resident #1's active care plan, last reviewed on 12/3/24, revealed a care plan for an indwelling urinary catheter due to neurogenic bladder. …
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