The State of North Carolina has 106 state inspectors who are expected to properly inspect the state’s 435 nursing homes. That gives each inspector a caseload of roughly four facilities; inspectors review those nursing homes at least once every 15 months.  In Harnett County, leaders said that local inspectors could do reviews every two months and, in the meantime, respond to complaints immediately. But, Federal law permits only state inspectors – not county inspectors – to evaluate the county’s four nursing homes. Yet, some of those nursing homes have repeatedly been cited for violations by federal and state inspectors. For example, Harnett Manor, a one-star facility, has been noted for violations such as “not controlling the fly population,” “showers beds and potty chairs stored dirty” and “feces present.”

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