Based on staff interview, clinical record review, and facility document review, the facility staff failed to conduct an admission minimum data set (MDS) assessment within 14 calendar days after admission for two (2) of eight (8) sampled residents (Resident #1 and Resident #5).The findings included: 1. For Resident #1, the facility staff failed to conduct an admission MDS assessment within 14 calendar days after admission.A facility policy titled, Care Plan/Comprehensive Assessment revised 4/04/25 indicated The RAI (Resident Assessment Instrument) manual provides instructions for when and how to use the time frames for completing assessments and transmitting data.The resident demographic record indicated the facility admitted Resident #1 on 11/26/25. …
F636 citations in Virginia
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F636 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F636 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.
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.67× |
| 2024 | 0.32% | 1.09× |
| 2025 | 0.08% | 0.31× |
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