Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide residents and/or resident's representative with a facility bed hold policy upon transfer for one (1) of thirty (30) sampled residents, (Resident #65) The findings include: For Resident #65, the facility staff failed to provide the resident and/or the resident's representative with the facility bed-hold policy upon transfer/discharge to a higher level of care on 2/4/25. …
F625 citations in Virginia
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F625 less often than its own record predicts
0.80 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F625 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 interview, clinical record review and facility documentation the facility staff failed to provide bed-hold notice at the time of transfer, for 1 Resident (#130) in a survey sample of 37 Residents. The findings included: For Resident # 130 the facility staff failed to provide the bed hold policy notice at the time of transfer from facility to the ER. Resident #130 was system selected as a closed record for transfer to hospital. On 5/25/23, a review of the clinical record revealed that on 3/21/23, Resident #130 was sent to the emergency room due to low oxygen saturation via rescue squad at 8:40 PM. A review of the clinical record revealed that the Resident had a bed hold policy signed on 3/13/23 (8 days prior to the transfer to the hospital). …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.92% | 1.49× |
| 2024 | 0.85% | 1.23× |
| 2025 | 0.23% | 0.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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