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Complaint Investigation

Rocky Mount Rehabilitation Center

Inspection Date: November 21, 2025
Total Violations 3
Facility ID 345260
Location Rocky Mount, NC
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Inspection Findings

F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

driver then delivered the controlled substances and a nurse at the facility had to check the medications to ensure accuracy with the manifest and then sign the manifest confirming the delivery was accurate. The Pharmacist stated that each narcotic medication pack was sent to the facility with an individual count down sheet for each pack, and she stated the medication packs normally had 30 tablets per pack. The Pharmacist stated the facility was to notify the pharmacy of any discrepances related to narcotics once identified and she confirmed the information was received from the facility when the discrepancy was identified.During an interview on 9/23/25 at 12:57 pm with the Previous Director of Nursing (DON) she stated she was not present at the facility during the time the narcotics for Resident #38 and Resident #83 were identified as missing but she stated the Administrator, SDC, and corporate office managed the investigation.An interview was conducted with the Administrator on 9/24/25 at 4:25 pm who revealed he was notified at the end of the day on 8/29/25 that there may have been a narcotic discrepancy with one of

the medication carts at the facility but it was not confirmed until 8/31/25. He stated the SDC was present at

the facility at the time and began an investigation to locate the missing medications and after a full search of the facility and investigation the missing narcotics were confirmed. The Administrator stated he reported

the allegation to the appropriate agencies and the facility replaced the missing narcotics. The Administrator stated the facility was unable to substantiate the allegation and did not report Nurse #11 to the North Carolina Board of Nursing because the facility was unable to speak with Nurse #11 about the missing narcotics. The Administrator confirmed that the facility was unable to locate Resident #38's and Resident #83's missing narcotics, that the narcotics were removed from the facility, and that Nurse #11 was the named nurse in the allegation. The facility provided a plan of correction that was not acceptable to the State Agency as the facility did not report Nurse #11, the nurse suspected of misappropriating the narcotic medications for Resident #38 and Resident #83, to the North Carolina Board of Nursing.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/21/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Rocky Mount Rehabilitation Center

160 S Winstead Avenue Rocky Mount, NC 27804

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0695

included in the plan of correction.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/21/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Rocky Mount Rehabilitation Center

160 S Winstead Avenue Rocky Mount, NC 27804

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0839

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0839

validated with the Maryland Board of Nursing.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Rocky Mount Rehabilitation Center in Rocky Mount, NC inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Rocky Mount, 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 Rocky Mount Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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