The Greens At Cabarrus
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
protocol to increase his dose to 12 mg. Unit Manager #1 explained she believed she wrote a physician order to increase his dose to 12 mg, but upon reviewing the physician orders, reported she had not written
the order. Unit Manager #1 explained Resident #1 should have received 12 mg of warfarin on 11/11/25, 11/12/25, and 11/13/25. The Unit Manager #1 reported the lab was unable to obtain the blood sample for
the PT/INR on 11/13/25 and she had written an order to have an immediate PT/INR lab drawn 11/14/25. A follow-up interview was conducted with Unit Manager #1 on 11/14/25 at 1:00 PM and she reported Resident #1's PT/INR results was 2.8 and he would resume warfarin 12 mg at 8:00 PM on 11/14/25. The NP was interviewed on 11/14/25 at 12:48 PM and she reported Resident #1 had been difficult to get to a therapeutic PT/INR level which would be 2.0-3.0, and he required frequent warfarin dosage adjustments.
The NP reported the lab results were sent to the facility, and the Unit Managers used the physician approved warfarin protocol to adjust the warfarin dose. The NP explained that missing the 3 doses of warfarin did not harm Resident #1. The NP reported when she was notified of the missed warfarin, she checked on Resident #1 and he was fine. The NP concluded that she expected the staff to follow the warfarin protocol for all residents receiving warfarin. The Director of Nursing (DON) was interviewed on 11/14/25 at 2:48 PM. The DON reported on 11/14/25 Unit Manager #1 was reviewing the PT/INR results from 11/13/25 and noticed that the PT/INR for Resident #1 was not obtained. The DON explained the facility ordered for an immediate PT/INR lab draw and notified the NP of the missed medication. The DON reported Unit Manager #1 reported she thought she put in the new warfarin order, but it was not in the system. The DON reported she expected the changed warfarin orders to be entered into the system according to the warfarin protocol. The Administrator was interviewed on 11/14/25 at 3:45 PM and she reported she expected the policy and procedures to be followed to prevent medication errors.
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The Greens at Cabarrus in Concord, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Concord, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Greens at Cabarrus or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.