Based on record review and interviews with staff, the Physician and Nurse Practitioner (NP), the facility failed to ensure that Nurse Practitioner visits were comprehensive and included a review of the Medication Administration Records (MARs). On [DATE], an emergency room (ED) physician prescribed Lasix (furosemide) 20 milligrams (mg), (diuretic/water pill) daily for 3 days and Prednisone 20 mg, 3 tablets daily for 5 days for dyspnea (shortness of breath), Chronic Obstructive Pulmonary Disease exacerbation (long term lung conditions that cause irreversible damage to the airway), and fluid overload (retention of water and sodium). On [DATE], a nurse entered the Prednisone order into the electronic record but did not activate a 5-day stop date. …
F711 citations in North Carolina
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F711 more often than its own record predicts
1.18 times the share F711 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F711 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 record review, and staff, Physician, and Nurse Practitioner (NP) interview the facility failed to ensure during visits the providers reviewed the total plan of care for Resident # 1's newly diagnosed neurological disorder when there was a change in primary providers and collaborative health care providers added to health care decision making for the resident. Multiple providers saw Resident # 1 and failed to recognize the hospital discharge plan was to have the neurologist see the resident and no appointment had been set up for her and completed prior to discontinuation of her seizure medication. On 2/12/25 Resident # 1's seizure medication was discontinued. Interviews with Resident # 1's NP and Physician revealed neither recalled giving the order. …
Based on record review, and staff and Medical Director interviews, the facility failed to ensure the physician visit included a plan to address an abnormal low thyroid laboratory test from the hospital discharge summary. This deficient practice occurred for 1 of 3 residents reviewed for physician visits (Resident # 1).Findings included:A hospital Discharge summary dated [DATE] indicated Resident #1 had been hospitalized for COVID-19 pneumonia. The discharge summary documented that her thyroid stimulating hormone (TSH) level was low with a result of 0.36 (typical normal range is 0.4-4.0). The discharge summary recommended follow up with primary care provider for repeat thyroid function tests.Resident #1 was readmitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.45× |
| 2025 | 0.14% | 1.18× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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