2. For R1, the facility staff failed to evidence required documentation was provided to the receiving facility for a transfer to the hospital on [DATE] and 04/06/2025. On the most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 03/26/2025, R1 scored an 8 (eight) out of 15 on the BIMS (brief interview for mental status), indicating R1 was moderately impaired of cognition for making daily decisions. The facility's nursing progress noted for R1 dated 02/25/2025 documented, Note Text: Resident complaining that she can't breathe. O2 (oxygen) concentrator, tubing, and all working properly. Nasal spray administered and neb (nebulizer) tx (treatment) given without relief. …
F622 citations in Virginia
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F622 more often than its own record predicts
3.29 times the share F622 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F622 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 clinical record review and staff interview, the facility staff failed to ensure that comprehensive care plan goals were sent with facility residents upon transfer for 7of 22 residents. The findings included: The facility staff failed to ensure that comprehensive care plan goals were sent with facility residents upon transfer. During the course of the survey that was conducted 5/29/19 through 5/31/19, the survey team identified the following Residents did not have comprehensive care plan goals sent upon transfer, Resident # 6, Resident # 12, Resident # 19, Resident # 31, Resident # 32, Resident # 40, and Resident # 43. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.92% | 3.65× |
| 2024 | 0.64% | 2.00× |
| 2025 | 0.38% | 3.29× |
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