Based on staff interview, clinical record review, and facility documentation review, the facility staff failed to accurately code an assessment for one resident (Resident #4-R4) in a survey sample of nine residents. The findings included:For R4 the facility inaccurately coded a minimum data set (MDS) assessment to reflect the resident was receiving dialysis treatment. On 6/23/26, the facility provided the surveyor with a CMS-802, Resident Matrix. The document noted that R4 received dialysis treatments. On 6/25/26, during a clinical record review of R4's chart there was no indication in the physician orders, nursing notes, care plan, or documents tab to indicate that the resident was receiving dialysis services/treatments. …
F641 citations in Virginia
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F641 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F641 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 correctly code a significant change MDS (minimum data set) resident assessment for 1 of 35 residents in the survey sample, Resident #53. Resident #53 was not coded as receiving hospice services. The findings include: Resident #53 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #53's most recent MDS, a significant change assessment with an ARD of 12/8/2021, coded Resident #53 as scoring a 15 on the brief interview for mental status (BIMS) of a score of 0 - 15, 15 - being cognitively intact for making daily decisions. Section O failed to evidence documentation of Resident #53 receiving hospice services. The physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 2.24% | 1.31× |
| 2024 | 1.65% | 0.98× |
| 2025 | 1.38% | 0.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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