Based on staff interview, clinical record review, and observation the facility staff failed to assess for complications of a Foley catheter resulting in harm for one of 30 residents in the survey sample: Resident's #8 . Resident #8 was not assessed for skin breakdown related to a Foley catheter. Resident #8, developed an open penile wound without prior assessments or interventions for prevention resulting in harm to the resident. Findings include: Resident #8 was admitted to the facility on [DATE] with, but not limited to the following Diagnoses: [REDACTED]. The most recent MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 4/25/17. …
F315 citations in Virginia
Quality of Life and Care Deficiencies
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F315 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
F315 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 observation, staff interview, facility document review, and clinical record review, it was determined that facility staff failed to provide appropriate treatment and services for the use of a urinary catheter to prevent infections for one of 24 residents in the survey sample, Resident #5 During multiple observations Resident #5's Foley catheter bag was observed directly touching the floor. The findings include: Resident #5 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident #5's most recent MDS (minimum data set) assessment was a quarterly assessment with an ARD (assessment reference date) of 11/2/17. …
What else Virginia surveyors cite →
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