Based on staff interview, resident interview, clinical record review, and facility document review, the facility failed to ensure resident rights and dignity were met for 1 of 23 Residents in the survey sample, Resident #5. The findings included: The facility staff failed to ensure the safety and dignity of Resident #5 was maintained. Another resident's family member cornered Resident # 5 in his room, verbally threatened and belittled him and caused him to urinate on himself. Resident # 5 was a [AGE] year-old-male who was admitted to the facility on [DATE], with a readmission date of [DATE]. [DIAGNOSES REDACTED]. The clinical record for Resident # 5 was reviewed on 12/13/18 at 10:41 am. …
F550 citations in Virginia
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F550 less often than its own record predicts
0.93 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F550 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 observations and staff interviews, the facility staff failed to create a dignified dining experience for 16 of 17 residents residing on the Memory Unit. The findings included: From 6/9/26 through 6/11/26, during breakfast and midday meals, 16 residents in the Memory Unit were provided with disposable plastic cutlery. One resident was also observed receiving meals in a disposable plastic container. On 6/11/26 at approximately 4:20 PM, an interview was conducted with Certified Nursing Assistant (CNA) #10. CNA #10 stated that a resident who had previously resided on the unit attempted to poke others with a fork, and the administrative staff instituted the use of disposable cutlery. …
Based on observation, staff interview and facility document review, the facility staff failed to ensure a dignified dining experience during lunch in the dining room on the second floor on 08/21/18. During the lunch observation on 08/21/18, staff were observed feeding more than one resident at the same time. The findings were: A dining observation was conducted during lunch on 08/21/18 beginning at approximately 11:32 a.m. Residents were observed seated at various tables around the dining room. CNA (certified nursing assistant) #1 was observed seated between two residents She was observed feeding both residents at the same time. She alternated between the two residents, giving one resident a few bites of food and then feeding the other resident. This continued for the entire meal. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.92% | 0.45× |
| 2024 | 1.55% | 0.71× |
| 2025 | 1.99% | 0.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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