Based on record review and staff interviews, the facility failed to provide 8 hours of Registered Nurse (RN) coverage for 13 of 30 days reviewed for staffing (6/19/26, 7/2/26, 7/5/26, 7/6/26, 7/7/26, 7/8/26, 7/9/26, 7/10/26, 7/13/26, 7/14/26, 7/15/26, 7/16/26, and 7/17/26). Findings included:Review of the facility's daily nurse staffing postings for 6/19/26 through 7/19/26 revealed there was not a RN scheduled for at least 8 hours a day on 6/19/26, 7/2/26, 7/5/26, 7/6/26, 7/7/26, 7/8/26, 7/9/26, 7/10/26, 7/13/26, 7/14/26, 7/15/26, 7/16/26, and 7/17/26.On 7/20/26 at 3:01 pm the 6/19/26 through 7/19/26 nurse staffing postings with assignments were provided by the Administrator and reviewed with the Director of Nursing (DON). …
F727 citations in North Carolina
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F727 more often than its own record predicts
1.91 times the share F727 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F727 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 interviews, the facility failed to provide Registered Nurse (RN) coverage for at least 8 consecutive hours for 1 of 82 days reviewed for staffing (7/20/25).The findings included:The July 2025 daily posted nurse staffing sheets revealed there was no RN coverage for 7/20/25.The Director of Nursing (DON) was interviewed on 7/23/25 at 5:15pm. The DON explained she was responsible for checking the daily posted staffing sheets everyday Monday through Friday. She discussed checking the weekend daily posted staffing sheets on Monday. The DON stated either the nightshift (11:00pm to 7:00am) nurse or the dayshift (7:00am to 3:00pm) nurse would fill out the posted daily staffing sheets and she would look at it as she entered the building. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 1.11% | 1.62× |
| 2024 | 0.76% | 1.41× |
| 2025 | 0.82% | 1.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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