F558 in Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F558 more often than its own record predicts
Versus expected share1.38×
1.38 times the share F558 takes of citations nationally.
Share of Virginia citations1.53%
Of every deficiency written in Virginia in 2025, this is the portion that was F558.
Virginia1.53%
National1.11%
Share of all citations that were F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F558 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.
G · Actual harm, isolatedJune 20, 2019
Based on observation, resident interview, staff interview, clinical record interview, facility documentation review, and in the course of investigating a complaint, the facility staff failed make reasonable accommodations of needs for 3 (resident #25, 37, and 30) of 76 sampled residents. This resulted in harm for Resident #25.
The Findings included:
1. The facility staff failed to provide an appropriately sized bed for Resident #25 who was 7 feet tall and weighed 466 pounds, resulting in psychological harm.
Resident #25 was a [AGE] year old who was admitted to the facility in 10/4/17. His [DIAGNOSES REDACTED].
The Minimum Data Set, which was a Quarterly Assessment with an Assessment Reference Date of 3/11/19 was reviewed. …
E · No harm, potential for more than minimal, patternJune 26, 2026
Based on observation, resident interviews, staff interviews, clinical record reviews, and facility documentation review, the facility failed to ensure that the accommodation of resident needs and preferences was provided for six of 76 residents in the survey sample, Residents #5, #101, #118, #81, #40 and #117. The findings include:1. For Resident #5 (R 5) Facility staff failed to accommodate resident needs by failing to ensure the resident had access to a call bell.
R5 was originally admitted to the facility 09/26/2022. …
B · No harm, potential for minimal, patternMarch 5, 2020
Based on observation, resident interview, staff interview, clinical record review, and in the course of a complaint investigation, the facility staff failed to accommodate for individualized need and preference for two residents (Resident #78 and #2) in a sample size of 26 residents. This happened over multiple days.
The findings included:
1. For Resident #78, the facility staff failed to provide a device so he could independently move himself up in bed.
Resident #78, a [AGE] year old male, was admitted to the facility most recently on 01/28/2020. [DIAGNOSES REDACTED].
Resident #78's most recent Minimum Data Set with an Assessment Reference Date of 02/21/2020 was coded as a quarterly review. …
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