Nursing home inspections in North Carolina
North Carolina surveyors cite accuracy of assessments (F641) at 2.48× its national share.
The same chapter of the regulations — resident assessment and care planning — holds this state’s widest gap the other way: “Develop and implement a complete care plan that meets all the…”, at 0.74×.
F641 · 95 citations · 2025 surveys
The shape of it — 2025
Cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
The evidence
Every tag North Carolina cites above its expected share
Ensure each resident receives an accurate assessment.
95 citations across 94 facilities · Resident Assessment and Care Planning Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
67 citations across 67 facilities · Quality of Life and Care Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
81 citations across 77 facilities · Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
112 citations across 110 facilities · Nutrition and Dietary Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
55 citations across 48 facilities · Resident Assessment and Care Planning Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
64 citations across 58 facilities · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
113 citations across 101 facilities · Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
98 citations across 94 facilities · Infection Control Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
53 citations across 53 facilities · Resident Assessment and Care Planning Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
63 citations across 57 facilities · Quality of Life and Care Deficiencies
How severe those findings were
Scope and severity
9.9% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3644.4% | K851.0% | L40.0% |
| Actual harm | G3534.3% | H110.1% | I— |
| No harm, potential for more than minimal | D4,73257.5% | E1,75821.4% | F3073.7% |
| No harm, potential for minimal | A— | B4365.3% | C1822.2% |
Browse all 419 North Carolina nursing homes →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction