Based on observation, resident interview, family interview, staff interview, facility document review, clinical record review, and in the course of a complaint investigation, the facility staff failed to follow infection control practices for one of two residents, Resident #1. Resident #1 was admitted to the facility with a Right Internal Jugular tunneled line. The facility failed to ensure the ports of the central line were capped to prevent infection, they did not assess the line, they did not obtain orders for the care and management of the line, and the staff was not knowledgeable regarding the type of line they were caring for. Resident #1 was on contact isolation and the facility staff did not ensure that staff donned PPE (personal protective equipment) prior to entering the room. …
F441 citations in Virginia
Environmental Deficiencies
Have a program that investigates, controls and keeps infection from spreading.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F441 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
F441 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, resident interview, staff interview, facility documentation review, clinical record review,the facility staff failed to: 1. The facility staff failed to ensure infection control measures of hand hygiene and allowing santi wipe to dry for a full 2 minutes were followed during a glucometer check to prevent potential infections for 1 Resident (Resident #14) in the survey sample of 14 Residents. 2. The facility staff failed to implement appropriate hand hygiene during a sacral wound care dressing change in addition to disinfect the over bed table after being used for wound care for Resident #1 in the survey sample of 14 Residents. The findings included: 1. Resident #14 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED].*(1). …
Based on observation, staff interview and facility document review, it was determined that the facility staff failed to implement infection control practices for the storage of resident linens in one of three linen closets. The facility staff failed to store linens in a sanitary manner. Clean linens in the linen closet on the A wing of the facility were observed stored directly beneath an area on the ceiling containing brown stains. The findings include: Observations of the linen closet located on the A-wing of the facility during the days of the survey, on 02/08/17 at 4:25 p.m. and on 02/09/17 at 8:00 a.m., revealed clean linens (pillows, blankets and sheets) were stacked on shelves and uncovered inside the linen closet. …
What else Virginia surveyors cite →
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