Based on record review, observations, interviews with the Speech Therapist and staff, the facility failed to provide fluids of a nectar thick consistency as ordered by the physician for 1 of 1 resident reviewed for nutrition (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses including vascular dementia and dysphagia (difficulty swallowing). The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1's cognition was moderately impaired. Resident #1 had upper extremity impairment on both sides, needed partial to moderate assistance with eating, and had no signs or symptoms of a swallowing disorder. The care plan dated 04/23/25 indicated Resident #1 received a regular diet with thin liquids. …
F807 citations in North Carolina
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F807 more often than its own record predicts
3.12 times the share F807 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F807.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F807 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 observations, interviews with residents and staff, and record review, the facility failed to provide beverages per resident choice to 3 of 3 sampled residents reviewed for receiving their preferred beverages (Residents #37, #22, and #79). The findings included: 1. Resident #37 was admitted to the facility on [DATE]. Diagnoses included diabetes mellitus, type 2 (DM2), chronic kidney disease (CKD), and iron deficiency anemia, among others. A physician (MD) diet order dated 6/13/22 recorded Resident #37 received a regular diet with regular texture and thin liquids. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 1.03× |
| 2024 | 0.04% | 0.71× |
| 2025 | 0.19% | 3.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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