Based on observation, interview and facility documentation, the facility staff failed to ensure the resident's right to share a room with his or her roommate of choice, for 1 resident (R14) in a survey sample of 64 residents.For Resident 14 (R14) the facility staff did not attempt to ensure compatible roommates. R14 was admitted to the facility on [DATE] with diagnoses of but not limited to COPD (Chronic Obstructive Pulmonary Disease), diabetes type 2 chronic kidney disease, dialysis dependent, heart failure, obstructive sleep apnea, malignant neoplasm of colon, acquired absence of bilateral lower limbs. presence of implanted cardiac defibrillator, ischemic cardiomyopathy, and hypertension. …
F559 citations in Virginia
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F559 more often than its own record predicts
4.84 times the share F559 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F559 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 | 0.07% | 0.92× |
| 2024 | 0.37% | 3.67× |
| 2025 | 0.54% | 4.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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