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
F0839
E

Failure to Verify RN Licensure for Nursing Staff

Rocky Mount, North Carolina Survey Completed on 11-21-2025

Penalty

No penalty information released
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

A facility failed to verify that a staff member hired as a Registered Nurse (RN) possessed an active professional nursing license in accordance with state laws. The staff member, identified through employment records and licensure verification, worked as an RN for several months. The personnel file included a Maryland Board of Nursing (MBON) licensure verification with the same first and last name as the staff member, but the middle name was missing, and subsequent checks revealed discrepancies. The staff member's competencies were reviewed and no performance issues were documented during her employment. Further investigation revealed that the staff member did not have an active RN license but was registered as a Certified Nursing Assistant (CNA) in Maryland, with her middle name included in the registry. Attempts to verify her RN license in both Maryland and North Carolina were unsuccessful, and the North Carolina Board of Nursing did not have her listed. Interviews with facility staff and external parties, including a staffing agency and another facility, highlighted concerns about the staff member's credentials, particularly regarding inconsistencies in her name and the absence of a valid nursing license. Despite these concerns, the facility's Human Resources process failed to detect the lack of a valid RN license, relying instead on incomplete or mismatched documentation. The staff member continued to work as an RN until she left the facility, and no further investigation was conducted by facility staff when questions about her licensure arose. The deficiency was identified through a review of employment records, licensure verification, and staff interviews, confirming that the facility did not ensure all nursing staff were properly licensed as required by state regulations.

An unhandled error has occurred. Reload 🗙