Mecklenburg County — Charlotte — is North Carolina's largest nursing-home market: 29 facilities, 151 surveys, 805 citations. It is also one of its most severe. At 5.33 deficiencies per survey and a 20.5% Immediate-Jeopardy rate, roughly one Mecklenburg survey in five reaches jeopardy, and harm-level citations make up 10.8% of the total.
The local fingerprint
Accidents and abuse at the sharp end
Kitchen sanitation (F812) and infection control (F880, 1.38× the state rate) lead Mecklenburg's citation volume, and resident rights (F550) over-indexes at 1.35×. But the jeopardy mix is clinical: accidents (F689, 13 of 60 IJ citations — with hazard identification in every one and inadequate supervision in 86%), abuse and neglect (F600, 9), and quality of care (F684, 9). This is a county where supervision failures reach residents.
Supervision is the headline: for every high-risk resident, confirm the hazard is identified, the intervention is in place, and monitoring is documented (F689). Reinforce abuse prevention and reporting (F600), and hold quality-of-care review (F684). With one survey in five reaching jeopardy, Charlotte buildings should manage to the harm data, not the citation count.