F760 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F760 more often than its own record predicts
Versus expected share1.70×
1.70 times the share F760 takes of citations nationally.
Share of North Carolina citations2.21%
Of every deficiency written in North Carolina in 2025, this is the portion that was F760.
North Carolina2.21%
National1.30%
Share of all citations that were F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F760 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, isolatedAugust 21, 2026
Based on observation, record review, and interviews with staff, Hospice Nurse, Hospice Physician, and the Medical Director, the facility failed to prevent a significant medication error when Nurse #4 incorrectly entered a physician order for morphine sulfate (a potent opioid pain medication) oral solution to administer 9.5 milliliters (mL) instead of the ordered 0.5 mL. The medication error resulted in Resident #1 being administered a 19 times greater dose of 190 milligrams (mg) of morphine sulfate oral solution instead of the ordered 10 mg per dose in two separate doses for a total of 380 mg on 8/09/26. …
Based on observation, record review, staff, resident, Nurse Practitioner, Medical Director, Pharmacist, and Regional Pharmacy Consultant interviews, the facility failed to ensure a resident was free of significant medication errors when they failed to administer the medication Gabapentin for diabetic polyneuropathy (a chronic nerve disorder caused by long-term high blood sugar in diabetes, leading to damage of multiple peripheral nerves, especially in the feet and legs) for 1 of 3 residents reviewed for medication errors (Resident #1). Resident #1 missed a total of 8 doses of Gabapentin over a 4-day period. Resident #1 stated the pain in his legs was extremely bad and rated his pain at a 10 on a 0-10 scale (0 is no pain 10 is worst pain). …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on record review, observation, Pharmacist, Physician and staff interviews, the facility failed to administer medications in the correct form when Nurse #1 crushed 2 tablets with administration instructions to not crush for 1 of 9 residents reviewed for significant medication errors (Resident #4).The findings included:Resident #4 was admitted to the facility 12/5/17 with diagnoses including stroke, epilepsy (seizures), and hypertension.The quarterly Minimum Data Set assessment dated [DATE] documented Resident #4 was severely cognitively impaired.During an observation with Nurse #1 on 8/26/26 at 9:43 AM, medications for Resident #4 were prepared for administration. …
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