Based on record review, and staff, Medical Director, and Orthopedic Surgeon interviews, the facility failed to communicate to the therapy department an Occupational Therapy (OT) referral ordered by Resident #63's Orthopedic Surgeon for evaluation and treatment of the resident's right olecranon (tip of the elbow). On 12/13/24 the resident underwent an open reduction internal fixation (ORIF) surgical procedure (involves making an incision to realign the bone and then holding the pieces together with hardware like plates, screws, or rods). …
F825 citations in North Carolina
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F825 more often than its own record predicts
1.61 times the share F825 takes of citations nationally.
Of every deficiency written in North Carolina in 2025, this is the portion that was F825.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F825 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 record review, observation and staff interviews, the facility failed to conduct an evaluation to determine therapy needs. This was for 1 of 1 resident reviewed for rehabilitation services (Resident #10). The findings included:Resident #10 was readmitted to the facility on [DATE] with a diagnosis of stroke affecting the left side, contracture of left elbow and left hand and aphasia (a communication disorder caused by damage to the brain which results in the inability to speak, read, or write). The quarterly Minimum Data Set, dated [DATE] revealed Resident #10 was severely cognitively impaired with impairment to both sides of her upper and lower body. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2024 | 0.08% | 0.69× |
| 2025 | 0.24% | 1.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction