Based on resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to provide a dignified discharge, resulting in psychological harm for one resident (Resident #1) in a survey sample of four residents. The findings included: For Resident #1, facility staff coerced Resident #1 into signing an AMA form. The facility evicted him against his will. The facility staff humiliated him by laughing at him in the lobby of the facility. The facility staff transported him along with his belongings to the front lawn of his sister's apartment. …
F557 citations in Virginia
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F557 more often than its own record predicts
1.95 times the share F557 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F557 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 observation, resident interview, and clinical record review, the facility failed to ensure a resident was treated with respect and dignity for one (1) of seventeen (17) residents, Resident #3.The findings include:For Resident #3 the facility staff failed to maintain the resident's dignity during a meal as evidenced by standing over the resident to feed the resident and failed to remove facial hair that the female resident indicated she did not wantResident #3 was originally admitted to the facility 02/10/2026. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 1.04× |
| 2024 | 0.27% | 1.00× |
| 2025 | 0.46% | 1.95× |
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