F919 in North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F919 less often than its own record predicts
Versus expected share0.32×
0.32 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.14%
Of every deficiency written in North Carolina in 2025, this is the portion that was F919.
North Carolina0.14%
National0.45%
Share of all citations that were F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F919 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.
K · Immediate jeopardy, patternJanuary 11, 2022
Based on observation, record review, resident, staff, and physician interviews the facility failed to have a functional call system in place for 8 of 8 (resident #29, #46, #35, #14, #69, #87, #89 and #71) residents who had the physical and cognitive ability to use the call system on the memory care unit (500 and 600 hall). Failure to allow residents to call for assistant in an emergency is likely to cause serious injury, serious harm, or death.
Immediate Jeopardy began on 1/2/2022 when it was observed that residents on the memory care unit with the cognitive and physical ability to use the call system did not have a functional call system in the residents' rooms and they did not have an alternate means to call for assistance. …
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on observation, resident and staff interviews, the facility failed to ensure the resident call light system was functioning properly for 1of 21 residents observed for resident call system (Resident #16). Findings included:Resident #16 was admitted to the facility on [DATE] with diagnoses that included depression, dementia and facial weakness.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 was severely cognitively impaired and needed assistance with activities of daily living. An observation of Resident #16's call light was conducted on 6/15/2026 at 11:26 a.m. and at 11:31 a.m. When the call light was pressed, it did not illuminate on the outside of her door in the hallway. …
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