Based on staff interview, clinical record review and facility document review, it was determined the facility staff failed to evidence an accurate PASARR (preadmission screening and resident review) screening for one of 35 residents in the survey sample, Resident #15.The findings include: The facility failed to ensure a PASARR II was completed upon admission for Resident #15. Resident #15 (R15) was admitted to the facility on [DATE] with diagnosis that included but were not limited to dysphagia, traumatic subdural hemorrhage, bipolar disorder, schizophrenia and diabetes mellitus. …
F645 citations in Virginia
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Virginia cites F645 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F645 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 failed to ensure a PASARR (Pre-Admission Screening and Resident Review) was completed for one of 23 resident's, Resident #62. Resident #62 did not have a PASARR screening when admitted to the facility. The Findings Include: Resident #62 admitted to the facility on [DATE]. The most recent MDS was a quarterly assessment with ARD (Assessment Reference Date) of 1/22/19. [DIAGNOSES REDACTED]. Resident #62 had a cognitive score of 11 indicating moderately cognitively intact. On 2/19/19 Resident #62's medical record was reviewed and did not evidence that A PASSAR had been completed by the facility. …
The short window
Recent years
| Year | Share of Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 0.56× |
| 2024 | 0.53% | 0.84× |
| 2025 | 0.54% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
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