Based on observation, record review and interviews with the resident and facility staff, the facility failed to keep a mechanical lift working properly to ensure a resident was safely transferred from the bed to a wheelchair. The mechanical lift's leg positioning device did not lock in place resulting in the lift tilting, the resident being dropped suddenly in the chair and the overhead beam on the lift striking the resident's head. The facility staff continued to use the malfunctioning lift after the incident. This was evident for one of three residents reviewed for accidents (Resident #106). Immediate Jeopardy (IJ) began on 02/02/18, when Resident #106 was transferred from the bed to the wheelchair with a malfunctioning lift. …
F908 citations in North Carolina
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F908 less often than its own record predicts
0.42 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 F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F908 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, observations, and staff interviews, the facility failed to keep essential equipment clean and in safe operating order for 2 of 2 dryers (dryer #1 and dryer #2) observed for safe operating conditions.On 08/21/2026 an interview and a continuous observation was made of the laundry room with the District Housekeeping Manager and the facility's Housekeeping Manager beginning at 9:49 AM and ending at 9:55 AM. The District Housekeeping Manager was asked to open the dryer lint trap access panels to be able to observe the dryer lint traps. The observation revealed dryer #1 and dryer #2 with copious amounts of lint observed on both lint traps of the dryers and each had a visible sheet of lint hanging from the lint traps. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2024 | 0.20% | 0.45× |
| 2025 | 0.19% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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