Based on observation, staff interview, and facility documentation review, the facility staff failed to ensure biologicals and medications were stored appropriately on three of three units. 1. On The Monroe Unit , one PPD (purified protein derivative) dated as opened [DATE] was available for administration to Residents. A second vial was opened with no date when opened. PPD is only good for 30 days after opened and accessed; 2. On the John Tyler Unit, a vial of flu vaccine was opened without a date. 3. On the Madison unit, two vials of flu vaccine was open without a date. The findings included: 1. On The Monroe Unit , one PPD (purified protein derivative) dated as opened [DATE] was available for administration to Residents. A second vial was opened with no date when opened. …
F431 citations in Virginia
Pharmacy Service Deficiencies
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F431 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
F431 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 general observations, the facility staff failed to provide a separately locked permanently affixed compartment for the storage of drugs subject to abuse. All four nursing units (Units I through IV) had a portable mobile box that contained controlled substances sitting on a counter in the medication room. In addition, Unit I's medication refrigerator had a small metal lock box inside that contained injectable medication subject to abuse which was not permanently affixed. The findings include: Observations of the medication rooms took place on 5/23/13 between 10:30 AM and 10:45 AM. Each medication room was locked and accessed by a designated nurse. A portable narcotic/control box was observed sitting on the counter of each medication room. …
What else Virginia surveyors cite →
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