Deficiency Index

F895 citations in North Carolina

Administration Deficiencies

Have a Compliance and Ethics Program.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F895 in North Carolina. Pick another state for the same tag.

Against expectation — 2024

North Carolina cites F895 more often than its own record predicts

Versus expected share3.23×

3.23 times the share F895 takes of citations nationally.

Share of North Carolina citations0.04%

Of every deficiency written in North Carolina in 2024, this is the portion that was F895.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What North Carolina surveyors wrote

F895 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.

D · No harm, potential for more than minimal, isolatedMay 9, 2024

Based on record review, Resident, former staff, Corporate Human Resources Representative and current staff interviews, the Governing Body or its designated person failed to have the Business Office Manager sign a Duty to Disclose Conflict of Interest form and approve or deny a plan to purchase property from a resident for 1 of 1 resident (Resident #8) reviewed for compliance and ethics policy implementation. The findings included: A review of the facility's Ethical Business Practices and Conflicts of Interest policy effective April 2015 (last revised 1/18/2024) stated employees are expected to conduct themselves to avoid actual impropriety and/or the appearance of impropriety in making business decisions. …

Autumn Care of Waynesville

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