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F-tags by state · North Carolina
Most common nursing home citations in North Carolina
8,533 health citations were recorded at 414 of 417 rated nursing homes in North Carolina over the last three inspection cycles, about 20.5 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.
Citations8,53320.5 per rated facility
Facilities cited414of 417 rated
Actual harm (G–I)3855% of citations
Immediate jeopardy (J–L)5246% of citations
Top 25 F-tags in North Carolina
"State share" is the percentage of rated North Carolina nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.
| # | Tag | Requirement | Category | Citations | State share | U.S. share |
|---|---|---|---|---|---|---|
| 1 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition & dietary | 420 | 65% | 76% |
| 2 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Administration | 388 | 59% | 11% |
| 3 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Quality of life & care | 378 | 55% | 69% |
| 4 | F641 | Ensure each resident receives an accurate assessment. | Assessment & care planning | 362 | 58% | 37% |
| 5 | F761 | 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. | Pharmacy services | 352 | 59% | 59% |
| 6 | F880 | Provide and implement an infection prevention and control program. | Infection control | 314 | 51% | 81% |
| 7 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Assessment & care planning | 219 | 39% | 58% |
| 8 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | Quality of life & care | 219 | 38% | 44% |
| 9 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Abuse, neglect & exploitation | 207 | 36% | 35% |
| 10 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | Quality of life & care | 203 | 38% | 46% |
| 11 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Resident rights | 189 | 34% | 39% |
| 12 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Assessment & care planning | 188 | 34% | 35% |
| 13 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident rights | 188 | 34% | 43% |
| 14 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Assessment & care planning | 173 | 33% | 42% |
| 15 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Resident rights | 171 | 31% | 30% |
| 16 | F760 | Ensure that residents are free from significant medication errors. | Pharmacy services | 159 | 29% | 25% |
| 17 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Quality of life & care | 132 | 28% | 33% |
| 18 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Resident rights | 131 | 27% | 25% |
| 19 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | Assessment & care planning | 115 | 24% | 29% |
| 20 | F732 | Post nurse staffing information every day. | Nursing & physician services | 114 | 24% | 17% |
| 21 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Abuse, neglect & exploitation | 111 | 22% | 17% |
| 22 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Quality of life & care | 110 | 23% | 39% |
| 23 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Resident rights | 105 | 22% | 12% |
| 24 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Pharmacy services | 101 | 18% | 38% |
| 25 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Pharmacy services | 100 | 21% | 23% |
Citations by category
Citations by survey year
Partial years reflect the rolling three-cycle window.
Check a specific North Carolina nursing home
The report card lists every citation for one facility with the severity decoded, and ranks it against the other 417 rated facilities in the state.
How this works
Source and method
CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in North Carolina. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.
Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.
Frequently asked questions
What is the most common nursing home citation in North Carolina?
F812 (Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.) is the most-cited F-tag in North Carolina, with 420 citations at 273 facilities, or 65% of the state's rated nursing homes, compared with 76% nationally.
How many nursing home citations are there in North Carolina?
8,533 health citations across 414 of 417 rated nursing homes in the last three inspection cycles, about 20.5 per facility. 385 involved actual harm and 524 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.
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