Based on record review and staff interviews, the facility failed to verify that 1 of 5 nurses, Nurse #4, had a valid, non-expired nursing license. The facility was responsible for ensuring that all nursing staff employed had current licenses. The findings included: Review of facility's workers directory on [DATE] and an interview with the Human Resource Manager on [DATE] at 2:32 PM revealed Nurse #4 was hired on [DATE] as a Licensed Practical Nurse (LPN) and was still employed by the facility. A review of Nurse #4's LPN license with the North Carolina Board of Nursing (NCBON) revealed her LPN license approval date was [DATE] with an expiration date of [DATE]. A phone interview was conducted on [DATE] at 11:38 AM with Nurse #4. …
F836 citations in North Carolina
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F836 less often than its own record predicts
0.71 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 F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F836 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.
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.43× |
| 2025 | 0.05% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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