Based on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess a resident for medication self-administration for one of 26 residents in the survey sample, Resident #17. The findings include:For Resident #17 (R17), the facility staff failed to assess the resident to ensure it was safe for the resident to keep Blu Emu (a topical pain reliever) (1) at the bedside. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 5/27/26, the resident scored 15 out of 15 on the BIMS (brief interview for mental status), indicating the resident was cognitively intact for making daily decisions. On 7/7/26 at 9:14 a.m., R17 was observed lying in bed. …
F554 citations in Virginia
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F554 less often than its own record predicts
0.94 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F554 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.
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 1.19× |
| 2024 | 0.96% | 1.76× |
| 2025 | 0.54% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction