Based on clinical record review and staff interview, the facility staff failed, for two of 25 residents in the survey sample (Residents # 4 and 10), to promptly notify the residents' attending physician of abnormal lab results, resulting in harm. 1. For Resident # 4, the facility staff failed to notify the resident's attending physician of a lab result that identified the resident as having a urinary tract infection [MEDICAL CONDITION], leading to a one month delay in treatment, which lead to the resident being hospitalized and intubated, which constituted harm. 2. For Resident # 10, the facility staff failed to notify the resident's attending physician of low blood sugar and the initiation of hypoglycemic measures. The findings include: 1. …
F505 citations in Virginia
Administration Deficiencies
Quickly tell the resident's doctor the results of laboratory tests.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F505 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
F505 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 clinical record review, staff interview and facility documentation, the facility failed to notify physician of labs results obtained on 12/22/16 for 1 out of 27 residents (Resident #2) in the survey sample. The facility staff failed to notify the physician of lab results drawn on 12/22/16 for Comprehensive Metabolic Panel (CMP (1)), Lipid Profile Complete (2), [MEDICATION NAME] (3), Vitamin D 25-[MEDICATION NAME] (4) and Hemoglobin A1C (5). The findings included: Resident was originally admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. Resident #2's Minimum Data Set (MDS) with an Assessment Reference Date of 02/07/17 coded the Brief Interview for Mental Status (BIMS) score an 11 out of a possible 15 indicating moderate cognitive impairment. …
Based on staff interview and clinical record review the facility staff failed to notify the physician of a lab result for one of 24 residents in the survey sample: Resident # 13. Findings include: Resident # 13 was admitted to the facility 7/23/10 with [DIAGNOSES REDACTED]. The most recent MDS (minimum data set) was a quarterly assessment dated [DATE] and had the resident coded with severe impairment in cognition with a total summary score of 02 of 15. The clinical record was reviewed on 6/13/12 at approximately 9:10 a.m. The POS (physician order [REDACTED]. Lab results dated 5/7/11 and 11/7/11 were located. Lab results for the Chem 7 and the [MEDICATION NAME] level were recorded on the lab form. …
What else Virginia surveyors cite →
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