Based on record review, and staff, family member, Physician Assistant (PA), and Medical Director interviews the facility failed to ensure staff recognized the seriousness of signs and symptoms of dehydration for a resident receiving a diuretic (Lasix 20 mg daily) and who had decreased fluid intake. Resident #294 was first identified with decreased nutritional and fluid intake on [DATE] requiring staff to push fluids (deliberately drink beyond what thirst dictates to avoid dehydration) through [DATE]. …
F692 citations in North Carolina
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F692 less often than its own record predicts
0.42 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 F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F692 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 observations, record review, staff interviews, and Registered Dietician (RD) interview, the facility failed to follow the RD's recommendation to reweigh a resident identified with significant weight loss to determine if the change in weight status was accurate for 1 of 5 residents reviewed for nutrition (Resident #26). The findings included: Resident #26 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #26 had moderate cognitive impairment with no behaviors or rejection of care. Resident #26 weighed 210 pounds (lbs) on admission and had no or unknown significant weight loss. He had a mechanically altered diet and supplemental tube feedings. …
Based on observations, record review and staff, Registered Dietitian, and Physician interviews, the facility failed to follow a Registered Dietitian's recommendation to discontinue supplemental shakes due to a dialysis resident (Resident #54) who had a significant weight gain and a diagnosis of congestive heart failure for 1 of 1 resident reviewed for nutrition services. Findings included: Resident #54 was admitted to the facility on [DATE]. Diagnoses included chronic kidney disease (CKD) with end stage renal disease (ESRD) dependent on dialysis, gout (a type of arthritis), and congestive heart failure (CHF). The Minimum Data Set quarterly assessment dated [DATE] revealed Resident #54 was cognitively intact and was coded as receiving dialysis services. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.63% | 0.50× |
| 2024 | 0.99% | 0.84× |
| 2025 | 0.48% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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