Based on observations, resident and staff interview, facility documentation and clinical record review, the facility staff failed to ensure one resident (Resident #17) in a survey sample of 32 residents, with end stage [MEDICAL CONDITIONS], received the care and services to maintain the highest practicable wellbeing, consistent with the resident's assessment and plan of care, resulting in immediate jeopardy and substandard quality of care. After acceptance of the POC (plan of correction), the deficiency was lowered to a level three, isolated, to include Resident #1 who also, had a harm level deficiency. Resident #2 and Resident #14 were included in the citation but not at harm level. 1. …
F309 citations in Virginia
Quality of Life and Care Deficiencies
Provide necessary care and services to maintain or improve the highest well being of each resident .
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F309 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
F309 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 clinical record review, resident interview, and staff interview, the facility failed for one of 17 residents in the survey sample (Resident # 2) to ensure the resident had an effective pain management program. 1. Resident # 2's request for pain medication for a toothache was refused. This constituted harm. 2. The facility staff also failed to offer non-pharmacological interventions to address Resident # 2's pain. The findings include: 1. Resident # 2's request for pain medication for a toothache was refused. This constituted harm. Resident # 2 in the survey sample, a [AGE] year-old female, was admitted to the facility on [DATE], and most recently readmitted on [DATE] with [DIAGNOSES REDACTED]. …
Based on observation, resident interview, staff interview, facility documentation review, clinical record review the facility staff failed to: 1. The facility staff failed to ensure non-pharmacological interventions were attempted prior to the administration of [MEDICATION NAME] for 1 Resident (Resident #4) of 14 residents in the survey sample. 2. The facility staff failed to ensure non-pharmacological interventions were attempted prior to the administration of [MEDICATION NAME] for 1 Resident (Resident #8) of 14 residents in the survey sample. 3. The facility staff failed to follow physician orders [REDACTED]. 4. …
What else Virginia surveyors cite →
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