Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F837 less often than its own record predicts
Versus expected share0.88×
0.88 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.05%
Of every deficiency written in North Carolina in 2025, this is the portion that was F837.
North Carolina0.05%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F837 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.
L · Immediate jeopardy, widespreadFebruary 24, 2022
Based on North Carolina State of Emergency press releases, email review, text message review, record review, resident, emergency/disaster relief staff, Emergency Medical Services (EMS), police, corporate, and facility staff interviews, the Governing Body (GB) (Principle LTC (Long Term Care)) which manages Pine Ridge Health and Rehabilitation Center of Thomasville, failed to review, and prepare Administrator #2 regarding the facility emergency preparedness plan, how to enact the emergency preparedness plan, and how to manage a facility in the midst of a staffing crisis during inclement weather. …
E · No harm, potential for more than minimal, patternMarch 27, 2025
Based on observation, record review, and staff, [NAME] President of Property Management, and plumber interviews, the governing body failed to ensure the replacement of aged, malfunctioning, and corroded sewer lines. Due to the state of disrepair of the sewer lines, sewage backed up on multiple occasions each month through sewer cleanout access ports to the point where the replacement of the sewer lines was required to stop the sewer lines from overflowing. When the sewer lines would overflow, several facility toilets on the same hall could not be flushed because they would start to overflow. …
C · No harm, potential for minimal, widespreadOctober 24, 2024
Based on record review, and staff and the Executive Director of the NC Board of Nursing Home Administrators interviews, the facility failed to have a licensed Administrator in place to oversee the daily staff and resident operations of the skilled nursing facility. This failure had the potential to affect all residents residing in the facility.
The findings included:
An interview was completed with the Executive Director of the NC Board of Nursing Home Administrators on [DATE] at 11:12 AM. The Executive Director of the NC Board of Nursing Home Administrators was notified on [DATE] by the unlicensed Administrator via telephone call that her license had expired on [DATE]. …
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