Based on observations, staff interviews, clinical record review, and facility document review the facility staff failed to provide an environment that was free of hazards to prevent accidents for 13 of 47 residents in the survey sample, Resident's #12, #18, #19, #20, #21, #25, #26, #27, #28, #29, #30, #31, and #32 resulting in the identification of Immediate Jeopardy. The facility staff failed to ensure safe coffee temperatures on 6/23/16 to prevent an avoidable accident for Resident #18 resulting in second degree abdominal burns after spilling hot coffee on self, and on 3/22/17 during this survey coffee served to Resident's #12, #19, #20, #21, #25, #26, #27, #28, #29, #30, #31, and #32 during the lunchtime meal in all four dining rooms was identified at temperatures sufficient to cause… …
F323 citations in Virginia
Environmental Deficiencies
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F323 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
F323 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 resident interview, staff interview, facility document review and clinical record review, the facility staff failed to safely transfer one of 14 residents in the survey sample. Resident #2 was transferred manually from her wheelchair to bed without use of a mechanical lift as required in her plan of care on 8/15/2017. The resident expressed pain in her right leg after the transfer and two days later was diagnosed with [REDACTED]. In addition, treatment of [REDACTED]. The findings include: Resident #2 was admitted to the facility on [DATE] with re-admission on 8/23/17. [DIAGNOSES REDACTED]. The minimum data set ((MDS) dated [DATE] assessed Resident #2 as cognitively intact, weighing 243 pounds and as totally dependent on two people for transfers. …
Based on observation, staff interviews and facility documentation review the facility staff failed to ensure one treatment cart was stored in a secured location, accessible to designated staff only. The facility staff failed to ensure treatment cart containing medication in the hallway was locked when not in direct site of the nurse. The findings include: On 11/15/17 at approximately 9:55 a.m., LPN #2 removed wound care supplies from the back hall treatment cart located in the hallway; then went into room 538B to perform wound care on Resident #1. At approximately 10:15 a.m., the surveyor came out of the room and noticed the treatment cart was left unlocked. The nurse came out of room 538, walked pass the unlocked treatment cart over to the medication cart. …
What else Virginia surveyors cite →
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