Based on record review, and staff, Pharmacy Consultant, Pharmacy Quality Assurance Manager, and Physician interviews, the facility failed to have effective systems in place for accurate acquiring of medications and the pharmacy failed to have effective systems in place to prevent refilling a medication order 3 times after the stop date. On [DATE] Resident #162 was seen in the emergency department (ED) for shortness of breath, dyspnea, COPD exacerbation and fluid overload and returned to the facility just before midnight. …
F755 citations in North Carolina
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F755 less often than its own record predicts
0.59 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 F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F755 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 observation, record review, and interviews with residents, staff, and pharmacist for three of three residents (Residents # 5, # 10, #15) whose medications were reviewed the facility failed to ensure 1)nurses had access to back up pain medications in the facility's supply and the pain medications were replenished and available for administration (Residents # 10 and # 15) 2) narcotic pain prescriptions were faxed to the pharmacy correctly in order they be filled (Resident # 15) 3) allergies to pain medications were clarified in a time frame which did not interfere with the delivery of the pain medication from the pharmacy (Resident # 15) 4) prescription request for narcotic pain medication refills were submitted to the physician prior to a resident's supply running out (Resident #… …
Based on record review and staff and physician assistant interviews, the facility failed to reorder a resident's diazepam (a medication used to treat anxiety, muscle spasms, and seizures) for 24 hours after they administered the last dose which resulted in the resident missing 5 doses of the medication for 1 of 3 residents reviewed for provide pharmaceutical services to meet the needs of residents (Resident #1). The findings included:Resident #1 was admitted to the facility on [DATE] with diagnoses that included multiple sclerosis, other muscle spasms, muscle weakness, and major depressive disorder.Review of Resident #1's admission Minimum Data Set assessment dated [DATE] revealed Resident #1 to be cognitively intact with no delusions, behaviors, rejection of care, or instances of… …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.87% | 0.41× |
| 2024 | 1.67% | 0.78× |
| 2025 | 1.40% | 0.59× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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