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

The Carrolton of Fayetteville

Fayetteville, NC · 120 certified beds · Last Life Safety survey June 14, 2024

CMS Certification Number 345376 · first certified June 1991

Ownership

Operated by CARROLTON NURSING HOMES · For profit - Corporation

  • Ownership changed October 1, 2020 (change of ownership)from MAPLE LTC GROUP, LLC
16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NC

16 citations — more than 78% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 5.5. 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 (August 2025 to October 2025), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was June 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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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.

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 facility16NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
82017-0732018-0752024-06
Citations at each Life Safety survey
Survey dateCitations
July 21, 20178
July 3, 20183
June 14, 20245

Most-cited tags

Most-cited tags at this facility
K-09162K-03212K-01612K-02931K-02111K-09231K-03631K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.22024-06-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22018-07-03
K-0161Use approved construction type or materials.22018-07-03
K-0293Have properly located and lighted "Exit" signs.12017-07-21
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12017-07-21
K-0923Have proper medical gas storage and administration areas.12024-06-14
K-0363Install corridor and hallway doors that block smoke.12017-07-21
K-0511Have properly installed electrical wiring and gas equipment.12017-07-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Construction Deficiencies 2
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Construction Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

June 14, 2024 — 5 citations

Citations issued on June 14, 2024
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (August 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 30, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (August 30, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 30, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 30, 2024)

July 3, 2018 — 3 citations

Citations issued on July 3, 2018
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 27, 2018)
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 (July 27, 2018)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (July 27, 2018)

July 21, 2017 — 8 citations

Citations issued on July 21, 2017
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 20, 2017)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 20, 2017)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 20, 2017)
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 (September 20, 2017)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (September 20, 2017)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 20, 2017)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 20, 2017)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (September 20, 2017)

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