Based on staff interview, Resident Council meeting interviews and facility documentation, the facility staff failed to respond to concerns expressed in Resident Council for five of six months reviewed: October through December 2025 and January through February 2026.The findings include:For five months of Resident Council, the facility staff failed to provide evidence of investigation and/or response to concerns expressed during the meetings by Resident Council Members.On 4/22/26 at 11:00 a.m., a meeting of the Resident Council was conducted. Six cognitively intact residents who regularly attend Resident Council meetings were present. …
F565 citations in Virginia
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F565 more often than its own record predicts
1.43 times the share F565 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F565 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 resident council interview, staff interview, and facility document review, the facility staff failed to act upon grievances/concerns from the (MONTH) (YEAR) resident council meeting. The findings included: The surveyor obtained the resident council minutes from (MONTH) (YEAR), (MONTH) 2019 and (MONTH) 2019 during the entrance conference on 3/19/19 from the administrator. The resident council president was identified as Resident #58. On 3/20/19 at 11:00 a.m., the surveyor met with a group of the facility residents. Part of the interview included review of the previous three months resident council minutes and discussion of the minutes with the group. Seven residents attended the resident council meeting. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 1.29× |
| 2024 | 0.37% | 1.21× |
| 2025 | 0.38% | 1.43× |
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