Based on staff interviews and record reviews, the facility failed to have effective systems in place to ensure there were dietary staff to prepare meals when dietary staff did not arrive to work on the 1/22/23. The Central Supply Clerk and three Nurse Aides (NAs) prepared breakfast, lunch, and dinner resident meals without checking the internal temperature of cooked foods before serving and did not serve resident mechanically altered diets as ordered. This led to the high likelihood for residents to be at risk of choking or aspiration. This situation affected 9 of 9 residents (Resident #1, Resident #22, Resident #53, Resident #69, Resident #31, Resident #57, Resident #8, Resident #17, and Resident #26) for 3 of 3 meals. …
F802 citations in North Carolina
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F802 less often than its own record predicts
0.31 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 F802.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F802 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, staff interview, and record review the facility failed to have sufficient dietary staff to serve the breakfast meal on time on 5/22/2025 for 7 of 7 halls. The findings included: Based on review of the meal serving times for the facility, breakfast was scheduled between 7:00 AM and 8:00 AM. On 05/22/2025 observations between 9:00 AM and 9:40 AM revealed breakfast carts arriving on the halls. On 5/23/2025 at 11:02 AM An interview was conducted with [NAME] #1. [NAME] #1's name was not on the schedule for 5/22/2025. [NAME] #1 (who prepared breakfast on 5/22/2025) revealed she usually did not work at the facility in the dietary department and only helped to fill the needs in the dietary department. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.72× |
| 2024 | 0.16% | 0.80× |
| 2025 | 0.05% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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