Deficiency Index

F757 citations in North Carolina

Unnecessary drugs · Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F757 in North Carolina. Pick another state for the same tag.

Against expectation — 2025

North Carolina cites F757 less often than its own record predicts

Versus expected share0.91×

0.91 times the national share — cited less often here than elsewhere.

Share of North Carolina citations0.72%

Of every deficiency written in North Carolina in 2025, this is the portion that was F757.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What North Carolina surveyors wrote

F757 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.

J · Immediate jeopardy, isolatedJuly 6, 2023

Based on record review and staff, Pharmacist, Nurse Practitioner, and Physician interviews the facility failed to provide effective monitoring of medication blood levels and manage dose changes for a seizure medication (valproic acid). On 5/10/23 Resident #10's valproic acid level was 108 (therapeutic level is 50-100 mcg/mL). The laboratory results were reported to the on-call provider who ordered a decrease in the daily dosage of Resident #10's valproic acid. No orders were entered into the resident's record that day for any repeat valproic acid level to be drawn. On 5/12/23 Resident #10's Physician electronically signed an order to repeat the valproic acid level on 5/15/23. …

Alamance Health Care Center

H · Actual harm, patternJune 4, 2021

Based on record review, hospital record review, family interview, staff interviews, consultant pharmacist, nurse practitioner, and physician interviews, the facility administered multiple unnecessary doses of a steroid medication to Resident #1 over the course of six days which had an outcome of elevated blood sugars requiring insulin administration to correct. The facility also failed to monitor blood sugars after the physician ordered monitoring. Resident #1 was admitted to the hospital and diagnosed with urinary tract infection with [CONDITION(S)]. This problem affected 1 of 3 Residents (Resident #1) reviewed for medication errors. …

Maple Grove Health and Rehabilitation Center

D · No harm, potential for more than minimal, isolatedAugust 21, 2026

Based on observations, record review, review of an online reference service for medical professionals, and interviews with the Medical Director, Consultant Pharmacist, and staff, the facility failed to monitor for therapeutic levels of divalproex (a medication which may be used to treat seizures or mood disorders, Resident #3) and levothyroxine (a medication used to treat hypothyroidism, Resident #12) for 2 of 5 residents reviewed for unnecessary medications.Findings included:1. …

Signature Healthcare of Chapel Hill

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Recent years

YearShare of North Carolina citationsvs expected
20231.06%1.32×
20240.72%1.02×
20250.72%0.91×

Shares of citations, not counts: earlier years hold fewer inspections.

What else North Carolina surveyors cite →

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