F661 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F661 less often than its own record predicts
Versus expected share0.76×
0.76 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.05%
Of every deficiency written in North Carolina in 2025, this is the portion that was F661.
North Carolina0.05%
National0.06%
Share of all citations that were F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F661 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.
J · Immediate jeopardy, isolatedOctober 17, 2023
Based on record review, family, staff, Medical Director, and Pharmacist interviews, the facility failed to ensure a safe and orderly discharge for 1 of 1 sampled resident when Resident #3 was discharged to the community with medications prescribed for another resident (Resident #8) instead of his own medication on 4/9/23. On 4/18/23 Resident #3's Primary Care Physician (PCP) discovered that Resident #3 had been taking multiple medications he was not prescribed and had not taken his own prescribed medications since his discharge from the facility on 4/9/23. Discharging a resident with medications not prescribed for him and without his own prescribed medications had a high likelihood of resulting in serious harm. …
D · No harm, potential for more than minimal, isolatedJanuary 16, 2025
Based on record review, and staff and Responsible Party interviews, the facility failed to send 2 of 9 residents (Resident # 188 and Resident # 189) with a list of their ordered medications and Discharge Summary when they were discharged from the facility on 7/26/2024. Resident #188 was discharged on [DATE] with Resident #189's Discharge Summary and Medication List. Resident #188 did not receive the correct Discharge Summary and Medication List until 7/29/2024. Resident #189 was discharged without a Discharge Summary and Medication List on 7/26/2024 and the Family Member returned to the facility on [DATE] to obtain the Discharge Summary and Medication List.
Findings included:
1. Resident #188 was admitted to the facility on [DATE] with diagnoses of arthritis and fractures. …
B · No harm, potential for minimal, patternNovember 2, 2023
Based on record review and facility staff interviews, the facility failed to complete a comprehensive discharge summary for 1 of 1 resident reviewed for discharge. (Resident #63).
The Findings included:
Resident #63 was initially admitted to the facility on [DATE].
Review of Resident #63's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #63 ' s cognition was moderately impaired. A review of the discharge MDS assessment dated [DATE] revealed it was a planned discharge.
Review of Resident #63's electronic medical record revealed he was discharged from the facility on 06/27/23 to another skilled facility. …
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