Based on record review, interviews, and policy review, the facility failed to ensure a signed bed hold were included in the transfer to the hospital for three of four residents (Resident (R) 44, R12, and R73) reviewed for hospitalization out of 24 sample residents. This failure had the potential of not relaying pertinent medical and demographic information to the receiving hospital. Findings include: 1.) Review of R44'sadmission Record located in the electronic medical record (EMR) under the Profile tab revealed R44 was initially admitted to the facility on [DATE] with diagnoses including diabetes mellitus. Review of R44's Progress Notes, dated 06/29/26, revealed R44 had been sent to the emergency room after a syncopal episode while in rehabilitation. …
F628 citations in Virginia
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F628 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F628 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.
What else Virginia surveyors cite →
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