F166 in Virginia. Pick another state for the same tag.
No F166 citations were recorded in Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Virginia surveyors wrote
F166 findings written in Virginia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
D · No harm, potential for more than minimal, isolatedSeptember 29, 2017
Based on staff interview, facility document review, clinical record review and in the course of complaint investigation, it was determined that facility staff failed to resolve a reported grievance for one of 34 residents in the survey sample, Resident #3.
The facility staff failed to resolve Resident #3's grievance reported to the social worker by the responsible party (RP) about a missing laundry basket full of dirty clothes in January of 2017.
The findings include:
Resident #3 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #3's most recent MDS (minimum data set) assessment was a quarterly assessment with an ARD (assessment reference date) of 8/24/17. …
C · No harm, potential for minimal, widespreadSeptember 14, 2017
Based on staff interview and facility document review, it was determined that the facility staff failed to maintain a complete grievance log for six months since the prior survey.
The findings include:
During a review of the facility grievance logs for (YEAR) it was determined that documentation was missing from the log. For each instance of a grievance there is a column that identified Date Response Letter Sent; this was left blank in all instances.
Review of the facility policy that was requested during the entrance conference revealed the following: Grievance Procedures under PR[NAME]EDURE: .Grievance Tracking
A. The Grievance Officer will maintain a log of all grievances for 3 years including:
i. Date of grievance
ii. Grievance identification
iii. Type of grievance
iv. …
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