Based on staff interview, clinical record review, facility document review, the facility staff failed to uphold a resident's right to refuse care and treatment causing harm and resulting in a hospitalization for one of 36 residents in the survey sample, Resident #42. The findings include:For Resident #42 (R42), the facility staff forced the procedure to obtain a urine sample by physically restraining and forcing the insertion of a catheter causing harm resulting in hospitalization. R42 was admitted to the facility with diagnosis that included but was not limited to benign prostatic hyperplasia (1). …
F552 citations in Virginia
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F552 less often than its own record predicts
0.99 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F552.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F552 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 staff interview, clinical record review, and facility document review, the facility staff failed to meet education and consent requirements for the administration of an antipsychotic medication for one of 19 residents, Resident #17.The findings include: For Resident #17 (R17), the facility staff failed to provide evidence of education to the resident or RR (resident representative) of the risks and benefits, alternatives for treatment, and informed consent for the initiation of dosage of Seroquel (1) on 12/5/25.A review of R17's clinical record revealed the following order written 12/5/25: Seroquel Oral Tablet 25 mg (milligrams Give 1 tablet by mouth in the evening related to unspecified dementia with other behavioral disturbance.A review of R17's MARs (medication administration… …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.66× |
| 2024 | 0.27% | 0.70× |
| 2025 | 0.54% | 0.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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