Based on record review and staff interviews the facility failed to ensure the arbitration agreement clearly communicated that the right to rescind within 30 days could be requested verbally or in writing. Additionally, the facility failed to ensure the arbitration agreement stated that with each new admission more than 30 days after discharge, a new arbitration agreement would be offered and the facility failed to maintain a formal written policy governing the arbitration agreement process. The deficient practice has the potential to affect all residents admitted to the facility. …
F847 citations in North Carolina
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F847 less often than its own record predicts
0.98 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 F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F847 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 and interviews with resident representatives and staff, the facility failed to explain the arbitration agreement to a resident's representative prior to having them sign the agreement. This occurred for 2 of 5 residents reviewed for arbitration (Resident #1 and Resident #66).The findings included:A review of the facility's undated arbitration agreement read that the residents or resident representatives acknowledge they had read and understood the agreement and that it had been explained in plain language.a. Review of Resident #1's arbitration agreement dated 10/7/25 revealed neither box was checked indicating if the resident/resident Representative accepted or declined the agreement. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 2.52× |
| 2024 | 0.08% | 0.48× |
| 2025 | 0.14% | 0.98× |
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