Wake County — Raleigh — posts the single highest county Immediate-Jeopardy rate in our North Carolina dataset: 21.0%. Across 20 facilities and 81 surveys, more than one visit in five reaches jeopardy, at 5.41 deficiencies per survey. Wake pairs the state's accident-and-abuse jeopardy pattern with a distinctive weakness in records and drug storage.
The local fingerprint
Accidents lead; records over-index
Accidents (F689) and drug storage (F761) tie as Wake's most-cited tags, and F689 also leads its jeopardy citations (8 of 32), with hazard identification in every citation and inadequate supervision in 91%. Wake's distinctive over-index is resident records (F842) at 1.76× the state rate, alongside quality of care (F684, 1.32×). Inside F641, every accuracy citation involves inaccurate MDS coding.
Supervision first (F689): hazard identification, intervention, and documented monitoring for every high-risk resident. Secure and label medications (F761 — insecure storage appears in 68% of citations). And close the records and MDS-accuracy gap (F842, F641) that over-indexes here. With the state's highest county jeopardy rate, Raleigh buildings can't rely on a falling citation trend.