Based on staff interview, and facility document review, the facility staff failed to promptly and fully resolve a grievance for one of 26 residents in the survey sample, Resident #9. The findings include:For Resident #9 (R9), the facility staff failed to address the resident representative's grievance regarding the phone and podiatry appointment. A grievance summary dated 3/23/26 documented, Grievance Details: Patient's son reported various concerns about her phone, podiatry appointment, and nursing care. Summary of Investigation: Documentation from staff indicates that pt. (patient) refuses all bowel regiment [sic] medications and requests an enema, but then will refuse the enema. Pt. also declines daily to get out of bed. Summary of Findings: Documentation from staff indicates that pt. …
F585 citations in Virginia
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F585 more often than its own record predicts
1.19 times the share F585 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F585 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, staff interviews, resident interviews, and facility documentation, the facility staff failed to update the grievance officer's information so residents would know with whom to file a grievance on two of two units. The findings included: The facility staff failed to update the postings in the common area on each of the nursing units with the grievance officer's correct information, so the residents would know to whom to file their grievance. On 6/3/24 at 3:00 p.m., a resident council group meeting was conducted, with seven residents in attendance. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 0.54× |
| 2024 | 0.32% | 0.51× |
| 2025 | 0.77% | 1.19× |
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