Autumn Care Of Raeford
Autumn Care of Raeford in Raeford, NC — inspection on February 26, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #116's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #116 was cognitively intact. On 02/26/2026 at 8:41 AM an observation of a medication pass was made of Nurse #1 who was medicating Resident #116.
Nurse #1 was observed to remove one aspirin 8 mg enteric coated (EC) tablet from a stock bottle and placed it in a cup of medications she was preparing to administer to Resident #116.
Nurse #1 was observed to administer the aspirin tablet to Resident #116.
During the same medication observation, Nurse #1 did not administer the polyethylene glycol 3350 powder, 17 grams to Resident #116.At 8:50 AM on 02/26/2026 an interview was conducted with Nurse #1 who explained that she did not notice it was EC and not chewable aspirin.
The Nurse stated she did not administer the polyethylene glycol because he refuses the medication and did not find the need to ask if he wanted the medication. An interview with Resident #116 was conducted on 02/26/2026 at 9:03 AM. He stated he moved his bowels every day to every other day and will let the nurse know if he did not have a bowel movement within that timeframe. An interview was conducted with the Director of Nursing (DON) on 02/26/2026 at 12:10 PM.
The DON stated she expected the nurses to administer the medications according to the physicians' orders.
The resident was assessed and there were no issues found from the EC aspirin that was administered.
The DON also stated Resident #116 is alert and oriented and will make it known if he did not have a daily bowel movement.A telephone interview with the Medical Doctor (MD) was conducted on 02/26/2026 at 1:33 PM.
She stated she was aware of the medication errors that Nurse #1 had made.
There were no adverse reactions from the missing dosage of polyethylene and the administration of an EC aspirin instead of the chewable aspirin.
She also stated she expected the nurses to look closer at the medication administration record to avoid making errors and to give the medications that were ordered.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.