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🔎 The Cardinal At North Hills

Inspection Results

Nursing Homes North Carolina Raleigh The Cardinal At North Hills

Inspection Overview

The Cardinal At North Hills has been cited for a total of 8 deficiencies since we began saving each survey.

In North Carolina, the average facility has **29.80 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.

Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL
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Detailed Deficiency List (Most Recent First)

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-09-21
Correction Date: 2023-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey Date: 2023-09-21
Correction Date: 2023-10-13
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2022-07-27
Correction Date: 2022-07-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2022-07-27
Correction Date: 2022-07-28
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey Date: 2022-07-27
Correction Date: 2022-08-08
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2022-07-27
Correction Date: 2022-07-27
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey Date: 2022-07-27
Correction Date: 2022-07-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2019-05-22
Correction Date: 2019-06-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**