Deficiency Index

F646 citations in Virginia

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F646 in Virginia. Pick another state for the same tag.

No F646 citations were recorded in Virginia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.

In the surveyor’s words

What Virginia surveyors wrote

F646 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.

D · No harm, potential for more than minimal, isolatedMay 12, 2021

Based on resident interview, staff interview and clinical record review, facility staff failed to notify the state mental health authority following a significant change in the mental condition of a resident who has mental illness for review for 1 of 27 residents, Resident #121. The findings included: For Resident #121, the facility staff failed to refer the resident to the state mental health authority for a Level II PASARR screening following expression of [CONDITION(S)] resulting in three separate suicide attempts requiring transfer to a higher level of care following each incident. Resident #121's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . …

Heritage Hall Big Stone Gap

What else Virginia surveyors cite →

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