Based on staff interviews, the facility failed to have a qualified professionals to direct the facility's activity program. This practice had the potential to affect all of the residents at the facility. The findings included: On 12/16/24 at 10:35 AM an interview was conducted with the Activity Director (AD). She stated that she had worked at the facility for the past several years as a nursing assistant and then became the Life Enrichment Specialist on the memory care unit around May 2023 and then moved into the AD position for the facility in December 2023 after the previous AD resigned. She stated she had never received any formal activities training from the facility, completed any state training courses, and to her knowledge was not certified. …
F680 citations in North Carolina
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
North Carolina cites F680 more often than its own record predicts
1.03 times the share F680 takes of citations nationally.
Of every deficiency written in North Carolina in 2024, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F680 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 staff interviews, the facility failed to have a qualified professional to direct the facility's activity program. This practice had the potential to affect all 106 residents at the facility. The findings included: On 12/3/24 at 2:13 PM an interview was conducted with the Assistant Activity Director (AD). She stated that she started working at the facility on October 16th, 2024. She stated that there was an Activity Director (Admission Coordinator) when she started who left the beginning of November 2024. The Assistant Activity Director stated she had no training other than when the AD was working at the facility. The Assistant Activity Director could not give any details of any training the AD gave her. The Assistant Activity Director indicated she had no college degree. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.99× |
| 2024 | 0.08% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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