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

The Cardinal at North Hills

Raleigh, NC · 15 certified beds · Last Life Safety survey September 19, 2024

CMS Certification Number 345572 · first certified June 2017

Ownership

Operated by KISCO SENIOR LIVING · For profit - Limited Liability company

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

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NC

8 citations — more than 34% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 3. 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 (November 2025 to January 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was September 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

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

1 physical-environment citation 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 8 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.

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 facility8NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0762023-0922024-09
Citations at each Life Safety survey
Survey dateCitations
July 27, 20220
September 21, 20236
September 19, 20242

Most-cited tags

Most-cited tags at this facility
K-09182K-05111K-03411K-05211K-03631K-03721K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-09-19
K-0511Have properly installed electrical wiring and gas equipment.12024-09-19
K-0341Install a fire alarm system that can be heard throughout the facility.12023-09-21
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-09-21
K-0363Install corridor and hallway doors that block smoke.12023-09-21
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-09-21
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-09-21

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 3
  • Services Deficiencies 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies3
Services Deficiencies2

Every citation on file

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

September 19, 2024 — 2 citations

Citations issued on September 19, 2024
TagWhat the surveyor checksStatus
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 8, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 8, 2024)

September 21, 2023 — 6 citations

Citations issued on September 21, 2023
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (November 17, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 17, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 17, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 17, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 17, 2023)

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