Based on staff interview, resident interview, APS (Adult protective services) review and clinical record review, the facility staff failed to promote the dignity and respect for three of 25 residents, which resulted in harm for one of 25 resident's Residents #21. The resident stated in an interview, I felt awful, humiliated and embarrassed ., I am so happy to be out of there I can't imagine having to go back there. The remaining residents were Resident #4, and #10 and the facility staff failed to ensure a dignified dining experience in the facility. 1. Resident #21 was left lying in a bed soiled with urine and bloody wipes, from the resident's menstrual cycle, were found between the resident's legs during ADL (activities of daily living) care resulting in psychological harm. 2. …
F241 citations in Virginia
Resident Rights Deficiencies
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F241 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
F241 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.
Based on the Group interview and family interview, the facility staff failed to maintain an atmosphere of dignity and respect for the residents. The Group and family indicated the staff is rude, inconsiderate, and swear in their presence. The findings were: At 10:00 a.m. on 11/1/17, a Group Interview was conducted that included 11 alert and oriented residents. During the interview, the subject of dignity and respect was discussed. The comments by the Group included the following: It is how they address us and their tone of voice. When you ring the call bell they come into the room and say What do you want. It's like you are bothering them when you ask for help. Sometimes when you ring the call bell a CNA (Certified Nursing Assistant) will come into the room and say, I'm not your aide. …
Based on observation, staff interview, and clinical record review the facility staff failed to ensure geri sleeves and leg protectors were in good repair for two of 16 residents, Resident #10 and Resident #6. 1. Resident #10's geri sleeves and leg protectors were worn and tattered. 2. Resident #6's geri sleeves were worn and tattered. Findings were: 1. Resident #10 was originally admitted to the facility on [DATE] with the following diagnoses, but not limited to: Dementia, hypertension, dysphagia, diabetes mellitus and restless leg syndrome. The most recent MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 02/07/2013. …
What else Virginia surveyors cite →
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