Based on resident representative interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure a safe discharge to the community for two of three residents in the survey sample (Residents #1 and #2). Residents #1 and #2 were discharged to a lower level of care in the community without a documented basis for the discharge, a prior discharge plan, identification or verification of needed care/services, involvement of the interdisciplinary team, preparation/orientation for the residents and without involvement or consent from the legal guardian (for Resident #1). This resulted in the identification of immediately jeopardy regarding failure to provide a safe, appropriate discharge to the community.The findings include:1. …
F627 citations in Virginia
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F627 more often than its own record predicts
1.23 times the share F627 takes of citations nationally.
Of every deficiency written in Virginia in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F627 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, staff interview and facility document review, it was determined that the facility staff failed to ensure all discharge needs were met prior to discharge from the facility for one of 43 residents in the survey sample, Resident #136.The findings include:For Resident #136 (R136), the facility staff failed to ensure needed durable medical equipment (DME), a bedside commode, was delivered to the residents home prior to discharging them from the facility to reside independently in a multi-level home with a bathroom located up 13 steps on the second level when they were unable to negotiate stairs. …
What else Virginia surveyors cite →
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