Based on staff interview and record review the facility failed to provide restorative nursing services to maintain the activity of daily living (ADL) progress made in therapy by 1 of 1 sampled residents (Resident #113) who was reviewed for therapy and restorative services. Findings included: Record review revealed Resident #113 was admitted to the facility on [DATE] and was discharged to another facility on 05/15/18. The resident's documented [DIAGNOSES REDACTED]. Review of therapy documentation revealed Resident #113 was on physical therapy caseload from 01/04/18 until 02/26/18, and was on occupational therapy caseload from 01/05/18 until 02/26/18. …
F676 citations in North Carolina
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F676 less often than its own record predicts
0.16 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 F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F676 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 interviews, record review, and review of the facility's policy titled Restorative Nursing Care, the facility failed to initiate restorative care nursing services for Activities of Daily Living (ADL) for two (2) residents out six (6) residents sampled for ADL decline and rehabilitation and restorative care (Residents' #3 and #5). The findings include:1. Resident #3 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, contracture of right hand, adult failure to thrive, and end stage renal disease (ESRD). …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.14× |
| 2024 | 0.04% | 0.11× |
| 2025 | 0.05% | 0.16× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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