Based on observations, Resident interview, facility staff interviews, clinical record review, and facility documentation review, the facility staff involuntarily secluded one (1) Resident (Resident #226) in a survey sample of 74 Residents, resulting in psychosocial harm. The findings included: For Resident #226, who refused a transfer to the locked memory care unit (for residents with dementia and behaviors), the facility staff failed to honor the resident's request. The staff moved him against his will, into the secured unit with no access codes to afford him independent egress. The resident did not meet the criteria for the move as no criteria was ever derived in the facility by way of policy or procedure, which resulted in a move for staff convenience. …
F603 citations in Virginia
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Virginia cites F603 more often than its own record predicts
1.05 times the share F603 takes of citations nationally.
Of every deficiency written in Virginia in 2024, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F603 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 staff interview, facility documentation review, clinical record review, and in the course of a complaint investigation the facility staff failed to provide an environment free from seclusion for one on three residents in the survey sample, Resident #1. Resident #1 was kept behind a locked half door for approximately two hours. The findings include: Resident #1, a [AGE] year old male, was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. Resident #1's most recent MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 6/4/2019 was coded as a quarterly assessment. Resident #1 was coded with a BIMS (Brief Interview of Mental Status) score of 3 out of 15 indicating severe cognitive impairment. …
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