F886 in North Carolina. Pick another state for the same tag.
Against expectation — 2023
North Carolina cites F886 more often than its own record predicts
Versus expected share1.22×
1.22 times the share F886 takes of citations nationally.
Share of North Carolina citations0.10%
Of every deficiency written in North Carolina in 2023, this is the portion that was F886.
North Carolina0.10%
National0.08%
Share of all citations that were F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F886 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, widespreadDecember 15, 2020
Based on record review, staff interviews and physician interview the facility failed to implement their coronavirus (COVID-19) testing policy when staff failed to conduct required COVID-19 testing on 103 of 103 residents and 28 of 28 staff after receiving a positive test result for Nursing Assistant (NA) #1 on [DATE] and failed to ensure NA #2 did not work at the facility after a known community exposure. These failures occurred during the COVID-19 Pandemic. As of [DATE], the facility reported 82 residents and 22 staff had tested positive for the COVID-19 virus.
Immediate Jeopardy began on [DATE] when NA #1 tested positive for the COVID-19 virus and the facility failed to initiate testing of all residents for [MEDICAL CONDITION]. …
E · No harm, potential for more than minimal, patternApril 26, 2023
Based on staff, family, and physician interviews, and record review the facility failed to implement their policy for COVID-19 testing when 1 of 1 sampled resident (Residents # 8) presented with symptoms consistent with possible COVID-19 on 3/1/23 and did not initiate testing of other residents and staff who had been exposed to Resident #8 on 3/1/23 until 3/3/23. On 3/3/23 when testing occurred, twelve residents and three staff members tested COVID positive. The outbreak was contained to one of two facility skilled nursing wings. Findings included:
Review of the facility's policy, entitled 2022 COVID-19 Response Program revealed the policy originated on 10/2022 and was last reviewed in 4/2023. …
B · No harm, potential for minimal, patternDecember 16, 2022
Based on record review and staff interviews, the facility failed to maintain COVID-19 test results in the residents' medical record for 5 of 5 sampled residents reviewed (Resident #6, Resident #21, Resident #43, Resident #52, and Resident #56).
Findings included:
The facility's COVID-19 test results binders revealed COVID-19 rapid antigen tests were completed on residents during the following dates/weeks: 06/03/22 to 06/04/22, 06/05/22 to 06/11/22, 06/12/22 to 06/18/22, 06/26/22 to 06/27/22, 11/21/22 to 11/26/22, 11/27/22 to 12/03/22, and 12/04/22 to 12/10/22.
1. Resident #6 was admitted to the facility on [DATE].
Review of Resident #6's medical record revealed a nurse progress note dated 11/30/22 at 4:23 PM that noted Resident #6 tested positive for COVID-19. …
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