Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
F328 in Virginia. Pick another state for the same tag.
No F328 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
F328 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.
J · Immediate jeopardy, isolatedOctober 15, 2015
Based on observation and staff interview, the facility staff failed to safely store an oxygen cylinder for one Resident (#7) of 17 Residents in the survey sample resulting in immediate jeopardy and substandard quality of care.
After removal of the immediate jeopardy, the scope and severity was lowered to a level 2, isolated (D).
1. An oxygen cylinder was stored unsecured on the floor of Resident #7's room, approximately 4 feet from the head of her bed. The survey team agreed that this situation consisted of IJ, since the cylinder could become an out of control projectile should it be toppled and the regulator become displaced.
The findings included:
1. …
Based on staff interviews, clinical record review, facility document review and during the course of a complaint investigation, the facility staff failed to ensure 1 of 2 residents in the survey sample, Resident #1, received proper care and treatment during an acute change of condition resulting in hospitalization and subsequent [MEDICAL CONDITION].
The facility staff failed to immediately respond to provide emergency care for Resident #1 who was having difficulty breathing and failed to properly assess for placement and patency of the [MEDICAL CONDITION] (1) airway that resulted in acute [MEDICAL CONDITION] (2) and subsequent hospitalization due to [MEDICAL CONDITION] (3) [MEDICAL CONDITION].
The findings Included:
Resident #1 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. …
D · No harm, potential for more than minimal, isolatedNovember 2, 2017
Based on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide respiratory care and services for three of 26 residents in the survey sample, Residents #10, #9, and #2.
1.a. The facility staff failed to obtain a physician order [REDACTED].#10.
b. The facility staff failed to store a nebulizer mask in a sanitary manner for Resident #10. The resident's nebulizer mask was observed sitting on top of a plastic bag on the resident's dresser.
2. The facility staff failed to administer oxygen at the physician prescribed rate for Resident #9.
3. The facility staff failed to administer oxygen to Resident #2 at the physician ordered rate.
The findings include:
1.a. …
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