Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

The Forest At Duke Inc

Durham, NC · 4 certified beds · Last Life Safety survey November 19, 2024

CMS Certification Number 345542 · first certified February 2008

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NC

11 citations — more than 56% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to March 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was November 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility11NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0612023-12102024-11
Citations at each Life Safety survey
Survey dateCitations
June 9, 20220
December 6, 20231
November 19, 202410

Most-cited tags

Most-cited tags at this facility
K-09231K-07001K-05411K-04001K-03451K-03721K-05211K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.12024-11-19
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.12024-11-19
K-0541Install properly constructed and protected linen or trash chutes.12024-11-19
K-0400Meet fire sprinkler requirement for tall buildings.12024-11-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-11-19
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-11-19
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-11-19
K-0311Have an enclosure around a vertical opening shaft.12024-11-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 19, 2024 — 10 citations

Citations issued on November 19, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 31, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (March 31, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 31, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 31, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 31, 2025)
K-0400Meet fire sprinkler requirement for tall buildings.Deficient, Provider has date of correction (March 31, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 31, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 31, 2025)
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (March 31, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 31, 2025)

December 6, 2023 — 1 citation

Citations issued on December 6, 2023
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 31, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.