Based on observation, staff interviews, clinical record review, and review of facility documents, the facility staff failed to prevent abuse for 1 of 8 residents (Resident #2), in the survey sample which resulted in the identification of Immediate Jeopardy.The findings included: Based on observation, staff interviews, clinical record review, and review of facility documents, the facility staff failed to prevent abuse for 1 of 8 residents (Resident #2), in the survey sample which resulted in the identification of Immediate Jeopardy.The findings included: The facility staff failed to prevent Resident #1 from abusing Resident #2 by pushing him out of a chair and onto the floor as well as attempting to hit Resident #2 with a chair while Resident #3 stood in close proximity to the incident. 1. …
F600 citations in Virginia
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F600 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F600 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 interview, staff interview, clinical record review, and facility document review, the facility staff failed to protect the resident's right to be free from sexual abuse and physical abuse by another resident of the facility for 1 of 39 current sampled residents, Resident #69. The facility staff failed to (1) protect Resident #69 from sexual abuse by another resident (Resident #98) on 4/15/26 and (2) protect Resident #69 from physical abuse resulting from an altercation with another resident (Resident #64) on 7/04/26. The facility's investigation determined that the altercation on 7/04/26 resulted in a closed fracture of the right fourth metatarsal neck thus constituting harm to Resident #69. …
Based on staff interviews, clinical record review, and review of facility documents, the facility staff failed to prevent abuse for 1 of 34 residents (Resident #38), in the survey sample.The findings included: The facility staff failed to prevent Resident #15 from abusing Resident #38 by striking her on the chin.1. Resident #15 was admitted to the facility 7/12/19. The diagnoses included vascular dementia, muscle spasms, hemiplegia and hemiparesis, and major depressive disorder.The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 6/20/26 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 06 out of a possible 15. This indicated Resident #15's cognitive abilities for daily decision making were severely impaired.2. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 0.41× |
| 2024 | 0.91% | 0.39× |
| 2025 | 1.61% | 0.61× |
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