Based on staff interview, clinical record review, and facility document review, it was determined the facility staff obtained a laboratory test without a physician's order for one of 24 residents in the survey sample; Resident #12. The facility staff obtained a PT/INR laboratory test for Resident #12, when it was not ordered or scheduled to be obtained. The findings include: Resident #12 was admitted to the facility on [DATE] and readmitted on [DATE] with the [DIAGNOSES REDACTED]. Resident #12's most recent MDS (Minimum Data Set) was a quarterly assessment with an ARD (Assessment Reference Date) of 10/25/17. Resident #12 was coded as being cognitively intact in ability to make daily life decisions. …
F504 citations in Virginia
Administration Deficiencies
Provide or obtain laboratory services only when ordered by the attending physician.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F504 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
F504 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 upon staff interview and clinical record review, it was determined that the facility staff failed to ensure that laboratory tests were only obtained when ordered by the physician for 1 of 24 residents in the survey sample. (Resident #17) Findings included: Resident #17 was admitted to the facility on [DATE] and at present had the following [DIAGNOSES REDACTED]. A review of Resident #17 ' s clinical record was performed by the surveyor on 9/22/11. During this review, the surveyor noted a physician order [REDACTED]. D/C (discontinue) all labs and weights ... …
What else Virginia surveyors cite →
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