Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0809
E

Failure to Consistently Provide Evening Snacks to Residents

Nebo, North Carolina Survey Completed on 06-24-2025

Penalty

Fine: $296,905
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to consistently provide evening snacks to residents who requested them, as observed and confirmed through resident and staff interviews. Six cognitively intact residents, some with diagnoses including type 2 diabetes and malnutrition, reported that evening snacks were either rarely offered or not available at all, particularly during evening shifts and weekends. Residents stated that when they requested snacks, staff often informed them that the nourishment rooms were empty or that they did not have access to additional snacks from the kitchen after hours. Staff interviews corroborated these accounts, with nursing assistants indicating that nourishment rooms were frequently unstocked during evening and weekend shifts, and that dietary staff were responsible for restocking but did not always do so. Nursing staff also reported not having access to the kitchen after hours to obtain snacks for residents. The dietary manager was unaware of the issue and had not been informed that nourishment rooms were not being stocked as required during all shifts. Observations confirmed that nourishment rooms were stocked at least once, but this was not done consistently, and the dietary manager only became aware of the deficiency after being interviewed. The administrator expected snacks to always be available and was not aware of the ongoing issue. Despite an adequate supply of snacks being ordered, the process for ensuring their consistent availability to residents was not followed, resulting in residents not receiving evening snacks upon request.

An unhandled error has occurred. Reload 🗙