Based on observations and staff interviews, the facility failed to maintain clean and sanitary nourishment rooms for 2 of 2 nourishment rooms reviewed for environment (Nourishment room [ROOM NUMBER] and Nourishment room [ROOM NUMBER]). The findings included: a. On 8/31/26 at 10:40 AM the following observations of Nourishment room [ROOM NUMBER] were made with the presence of the Dietary Manager:The cabinet under the sink, located to the side of the ice machine in Nourishment room [ROOM NUMBER], revealed moisture damage and buckling, to the lower right side of the cabinet. The inside of the cabinet revealed moisture damage and blackish brown spots of matter on the floor and right-side wall of the cabinets. …
F921 citations in North Carolina
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F921 less often than its own record predicts
0.06 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 F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F921 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, observation and staff interview, the facility failed to maintain a sanitary environment by having cigarette butts littered throughout the courtyard and smoking area for 1 of 1 outdoor courtyard designated for smoking. Findings Included: An observation of the facility's smoking area on 09/07/22 09:30 AM revealed 2 entrances and 2 exits. Continued observation also revealed 78 cigarette butts littered throughout the facility's courtyard. An interview with the facility's Housekeeping Director on 09/07/22 at 9:31 AM who was in the courtyard of the facility at the time of interview, revealed the housekeeping department was responsible for cleaning the courtyard area including sweeping and removing the cigarette butts and acknowledged the cigarettes butts should not be on… …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2024 | 0.08% | 0.10× |
| 2025 | 0.05% | 0.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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